TRANSFER CREDIT REQUEST FORM
PLEASE PRINT CLEARLY
Telephone ( ) Alternate Phone ( ) E-Mail __________________________________
Confederation College course I am requesting credit for:
Course Number: ________________________________
Course to be assessed (attach detailed course outline and official academic transcript):
Course Number _________________________________ Course Name
*Do not use this form for assessment of Confederation College courses – information on course equivalencies can be
obtained from your program coordinator or Admissions & Registration.
Note: Use one form for each course request. Only request forms with all supporting documents attached will be processed.
RETURN FORM TO: Admissions & Registration, Confederation College, P.O. Box 398,
1450 Nakina Drive, Thunder Bay, Ontario P7C 4W1 OR FAX : (807) 623-4512
If you are applying for more than one exemption, the maximum fee is $50 if all the exemptions are applied for at the
same time. ($25 for one exemption, $50 for two or more).
OFFICE USE ONLY
Request assigned to____________________________ (Admission/Registration Officer) Date:_____________
Charge Applied to Student Account
Request forwarded to:___________________________________ (coordinator) Date:_____