Office of Admissions, Records & Registration
TRANSCRIPT EVALUATION REQUEST FORM
| Full Student Name | |
| NOTE: You must have a current application on file to complete this request. | |
| I request an evaluation of all my credits including my current registration. | |
| I have requested my high school transcripts be sent to Prairie State College. | |
| Select one: | |
| I have only attended Prairie State College. | |
|
I have requested my college transcripts from: (list all schools sending transcripts) NOTE: The Federal Privacy Act requires the student request official transcripts from any College. College 1: College 2: College 3: College 4: |
|
| If your transcripts from other schools have not been received within 30 days of submitting this form, your file will be returned to the file room. | |
| Evaluate my credits for: (check one) | |
| Student ID | |
(for example, Liberal Arts, Accounting Technician, Nursing, etc. Refer
to list (then use the "back" button to return to this page.)
NOTE: Due to the large number of requests that are received, only ONE program
will be evaluated per student request. If you need assistance in selecting
a program, please see the Counseling & Academic Advising Center, located in
the Library, for further assistance.
Other names my school records may be listed under:
Your evaluation will be mailed to you. Confirm your current address and daytime
phone number below:
| Home Street Address: | |||
| City: | State: | Zip Code: | |
| Day phone: | |||
| Email: (required field) | |||
| By clicking
the "submit" button below I authorize Prairie State College to evaluate my official transcript for the Academic Program I indicated above. |
|||