Transcript Credit Review Form

Transfer Evaluation Request Form

This form is for students transferring into Brookdale Community College who wish to have their credits earned from other colleges and universities evaluated for use at Brookdale.

Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Are your transcripts coming under a different name (for example, a maiden name)?*
- Yes
- No
If Yes, please indicate the name below.
Brookdale ID Number (this is a seven digit number)*
Program of Study (Major) *You must be enrolled in a degree or academic certificate:*
View our complete list of degree programs and certificates.
Please list all colleges and universities you have attended prior to Brookdale:*
Acknowledgement*
- I understand that a completed application to Brookdale and Official Transcript(s) must be on file with Brookdale Community College before an evaluation of my credits will be completed.
Name
This field is for validation purposes and should be left unchanged.

Transfer Evaluation Request Form

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