Warning: This form will not be sent on a secure
network. If you prefer, you may print the form to fill it out and then mail it
to the campus contact on the campus to which you wish to transfer:
Your Ten Digit University Identification Number:
School or Division Last Enrolled:
Approximate Number of Completed Credit Hours:
School or Division Desired:
Have you attended any other college or university since you last attended an IU campus?
If yes, then please list those schools and the dates attended:
If you attended another college or university since you last attended an IU
campus you will need to have a transcript sent to your desired IU campus for
evaluation of possible transfer credit. A sample transcript request form is
Note: Submission of this form does not assure acceptance of student by receiving school.
Last updated: 3 July 2002
Comments: IUPUI Registrar
The Trustees of Indiana University