"Transcript Evaluation Request Form - Pima Community College"

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Request for Transcript Evaluation
Complete this form to request an evaluation of your previous coursework.
Are you applying for the Teacher Certificate Program at PCC?
Yes
No
Are you applying to the Public Safety and Emergency Services Institute at PCC?
Yes
No
Are you applying for a faculty position at PCC?
Yes
No
Do you have an application for graduation pending?
Yes
No
Transcript evaluations are completed at the District Office and take a minimum of (6) weeks to
complete. Your request may be reviewed at another location, depending on your program of study.
CLEP, AP and military evaluations occur upon receipt. You should meet with an advisor to review
appropriate use of your transfer credits.
Mail, fax or bring this request to:
Pima Community College, Office of Admission and Records, 4905B East Broadway Blvd., Suite 220,
Tucson, AZ 85709-1120 • FAX Number: 520-206-4790
________________________________________________
____________________________________________________
Pima Student Identification Number
Date of Birth
________________________________________________
____________________________________________________
Name (Last, First, Middle Initial)
Previous name, if applicable
________________________________________________________________________________________________________
Mailing Address
_______________________________________
___________
__________________ ___________________________
City
State
ZIP Code
Phone Number
List the name(s) of the transcripts you would like to have evaluated below.
College Name
Location
Transcript Received
Date Received
(office use only)
(office use only)
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
___________________________________________________
__________________________________
Signature
Date
For Office Use Only:
Date transcript evaluation request received: _____________________________
Date transcript evaluation request completed: ________________________ ____
Evaluated by: _____________________________________________________
1204BW4D
Request for Transcript Evaluation
Complete this form to request an evaluation of your previous coursework.
Are you applying for the Teacher Certificate Program at PCC?
Yes
No
Are you applying to the Public Safety and Emergency Services Institute at PCC?
Yes
No
Are you applying for a faculty position at PCC?
Yes
No
Do you have an application for graduation pending?
Yes
No
Transcript evaluations are completed at the District Office and take a minimum of (6) weeks to
complete. Your request may be reviewed at another location, depending on your program of study.
CLEP, AP and military evaluations occur upon receipt. You should meet with an advisor to review
appropriate use of your transfer credits.
Mail, fax or bring this request to:
Pima Community College, Office of Admission and Records, 4905B East Broadway Blvd., Suite 220,
Tucson, AZ 85709-1120 • FAX Number: 520-206-4790
________________________________________________
____________________________________________________
Pima Student Identification Number
Date of Birth
________________________________________________
____________________________________________________
Name (Last, First, Middle Initial)
Previous name, if applicable
________________________________________________________________________________________________________
Mailing Address
_______________________________________
___________
__________________ ___________________________
City
State
ZIP Code
Phone Number
List the name(s) of the transcripts you would like to have evaluated below.
College Name
Location
Transcript Received
Date Received
(office use only)
(office use only)
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
___________________________________________________
__________________________________
Signature
Date
For Office Use Only:
Date transcript evaluation request received: _____________________________
Date transcript evaluation request completed: ________________________ ____
Evaluated by: _____________________________________________________
1204BW4D