Date: __________________ Student Name: ________________________________ NU ID: ____________________ Advisor Name: ________________________________ Matriculation Term: _________ Requested Transfer: Transfer Course Course Hours UNMC Course Number Course Name University Hours Requested Semester/Year Equivalency Student Requested Total Hours: ____________ Advisor Signature: ________________________________________ Date: ______________ Student Signature: ________________________________________ Date: ______________ Registrar Approved Transfer: Transfer Course Course Hours UNMC Course Number Course Name University Hours Approved Semester/Year Equivalency Department Accepted Total Hours: ____________ Internal Use: Office of Educational Services: ______________________________ Date: ______________ Curriculum Committee Chair: ________________________________ Date: ______________
Date: __________________ Student Name: ________________________________ NU ID: ____________________ Advisor Name: ________________________________ Matriculation Term: _________ Requested Transfer: Course Number Course Name University Course Hours Transfer Hours Requested Semester/Year UNMC Course Equivalency Student Requested Total Hours: ____________ Advisor Signature: ________________________________________ Date: ______________ Student Signature: ________________________________________ Date: ______________ Registrar Approved Transfer: Course Number Course Name University Course Hours Transfer Hours Approved Semester/Year UNMC Course Equivalency Department Accepted Total Hours: ____________ Internal Use: Office of Educational Services: ______________________________ Date: ______________ Curriculum Committee Chair: ________________________________ Date: ______________
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