Name: ID# (7-digit): NetID:
Major: Expected Date of Graduation:
Year Entered Cornell (e.g., Fall 2018): Cell Phone:
Faculty Advisor: Department:
Were you an external transfer to Cornell? □ Yes □ No
Have you ever received transfer credit? (Does not include AP credit) □ Yes □ No
Transfer Course Information
Institution: Course Subject/Nbr.:
Course Title:
Credit Hours: Term/Session: □ Fall □ Spring □ Summer □ Winter Year:
(You must attach a full course description and course syllabus to this form before submitting.)
□ I have read and accept the terms regarding transfer credit on this form and in the corresponding Engineering Undergraduate Handbook.
Signature: Date:
Section A: To Be Completed By Student
This section is not required for Liberal Studies and Advisor-Approved Electives, unless you wish to apply transfer credit toward a minor.
This section must be completed only if you are applying for transfer credit to satisfy requirements in mathematics, science,and
engineering. The corresponding Cornell department must approve course equivalency (i.e., if seeking credit for MATH 1910, the Math
department will need to sign and approve. See reverse side for more information.) If you are applying for a major elective and there is
not an equivalent Cornell course, please indicate “N/A” for Course # and “Major Elective” as the course title.
Cornell Equivalent Course #:
Cornell Course Credit Hours:
Cornell Equivalent Course Title:
□ I have reviewed the appropriate material related to the courses described above and believe that the two are reasonably
equivalent in content, rigor, and level. I recommend that credit be awarded only if a minimum grade of C is earned. If MATH
1910, 1920, 2930, or 2940 are taken at a tw0-year or community college, then a grade of at least A- must be earned.
Department Name: Date:
Signature: Title:
Section B: To Be Completed By Cornell Department
Please indicate what the transfer course will be used for toward student’s degree requirements by checking one of the following
boxes. Liberal Studies designations will be determined by Engineering Advising.
□ Course Listed in Section B □ Liberal Studies □ Advisor-Approved Elective
Faculty Advisor Signature: Date:
(I acknowledge that I have communicated with this student regarding this request.)
Section C: To Be Completed By Your Faculty Advisor
□ Approve credits for □ Cannot be approved for credit
If Liberal Studies, which category: and level:
Signature: Date:
College Action: To Be Completed By Engineering Advising Office
Return fully completed form with attached course description and course syllabus to:
Engineering Advising, 180 Rhodes Hall, Cornell University
Transfer Credit Application Form
Revised 11/2019
Received: ___/___/___ By: ____
Entered db: ___/___/___ By: ____
Entered decision: ___/___/___ By: ____
