Transfer Credit Re-evaluation Form Transfer Credit Re-Evaluation Form Student InformationName* First Last PeopleSoft ID#*Example: 1234567 (Non-degree students can enter their NetID) E-mail Address (must be your UConn address unless don't have access to it):* WARNING: Using a non-UConn e-mail address may prevent your request from being delivered.Your major(s):* Student Status* New Incoming Freshman or Transfer Student who has been referred here via your Transfer Credit Report Current UConn Student who has already had a Prior Course Approval request processed by Admissions This Course Credit evaluation request is for* a Transfer Credit course I am currently enrolled in. a Transfer Credit course I have already completed. a Prior Course Approval for a course I want to take. Evaluation InformationEnter the information about the math course you want us to evaluate.College/University*Provide the full name of the institution you completed or will complete the course in which you would like evaluated. Course Number and Title:*Example: MAT | 111 | Calculus I | 4 | Fall 2021SubjectCatalog numberCourse Name/TitleCreditsSemester Taken Course instruction type:* In-person Online/Hybrid Was or is this course instructed outside of the United States?* Yes No Has UConn Admissions already evaluated this course?* Yes No What UConn catalog number was assigned to this course by Admissions?*Example: "MATH 91101" or "MATH 1071Q" or "Rejected" Course Materials*In order for your transfer credit to be re-evaluated, you must obtain and upload a Syllabus (from or near the term taken) from the college/university with the following information included: instructor information, textbook/course materials, grading, exam information, and course schedule/outline or all topics covered. If you took the course in high school for college credit, you must use the syllabus from the college/university, not the high school. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 250 MB, Max. files: 3. Comments or Questions: NameThis field is for validation purposes and should be left unchanged.