CREDIT TRANSFER REQUEST FORM     (Use one per course requested.)

Date: ____________________________

Dear <Professor name here>_________________________________:

<Student name here>____________________________________is a PhD _____ Masters _____ student in the Department of Computer Science. He/she is requesting that the following course(s) taken at the institution named below be transferred for credit at Virginia Tech. As Chair of the Graduate Program Committee (GPC) in the Department of Computer Science, it is my responsibility to approve or deny such requests. Please examine the attached documentation and indicate below whether you feel the course should be accepted. Thank you for your time.

Cliff Shaffer, GPC Chair
Department of Computer Science


Course Taken:

To Transfer to Virginia Tech as:

Course Number ____________________ Course Number ____________________
Course Title ____________________ Course Title ____________________

Course taken at which university/college:__________________________________________________

Grade Received:______.     Number of semester credit hours to be transferred:______.


(For course instructor to fill out.)

Please mark one.

_____ Yes, above course transfers.

_____ No, above course does not transfer.

_____ Yes, above course transfers, but consider the following comments.

_____ Transfer as a specific course      _____ Transfer as General Elective hours

Comments:



Faculty Signature:___________________________________      Date:___________________

Department of _________________________________________________________________

Last Update: February 9, 2001