Transcript Credit Review Form

This form is for students transferring into Brookdale Community College who wish to request a change and/or update to their transfer credit evaluation. If you have not yet had your transcripts evaluated by Brookdale, please review our Transfer Student Checklist for directions.

Transfer Evaluation Request Form

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 explain in the change you are requesting. Be sure to list the college/university, course number and/or title, and the reason for your request in the box below.*
If you are a Brookdale employee completing this form on behalf of the student, please list your name here:
First Last
Acknowledgement*
- I understand that my requests for changes will be reviewed against Brookdale's transfer credit policies and I must have Official Transcript(s) on file for coursework to be considered. A request for changes does not guarantee a change can be made to my evaluation.
Email
This field is for validation purposes and should be left unchanged.

Transcript Credit Review Form

Transcript Credit Review Form

Transfer Evaluation Request Form

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