SS/EM.39-10/02

YORK TECHNICAL COLLEGE

452 South Anderson Road

Rock Hill, South Carolina 29730

 

TRANSIENT STUDENT AUTHORIZATION

 

Student Name ________________________ Colleague ID Number _________________

 

Host Institution: _________________________________________________________ Term/Year_________________

City____________________________________ State ____________________________________

 

NOTE: Students are required to meet all Transfer Credit guidelines as published in the current York Technical College Catalog and Handbook.

 

I . Host Institution Course:

 

Course Number: _________________ Credit Hours ___________________ Sem. Qtr.

 

Course Title: ___________________________________________________________________

 

Comparable York Technical College Course: ________ _______ Semester

Course Number Credit Hrs.

 

Course Title: ___________________________________________________________________ 

II . Host Institution Course:

 

Course Number: _________________ Credit Hours __________________ Sem. Qtr.

 

Course Title: ___________________________________________________________________

 

Comparable York Technical College Course: ________ ________   Semester

Course NumberCredit Hrs.

Course Title: ___________________________________________________________________

 

Certification Statement: My signature below authorizes York Technical College to release transient student information to the host college indicated on this form.

 

Students Signature_____________________________________Date________________________

 

Text Box: This student is   APPROVED _______________ NOT APPROVED  _____________ to register for the above listed course (s).                                                                                                                                                                         If not approved, state reason: __________________________________________________________________   Student Program _____________________________________________   Students current academic standing is:  __ Good Standing  ___ Academic Warning  ___ Academic Probation  ___ Academic Suspension   _____________________________________________________________      __________________________ Authorized Official of Host Institution                                                                                                              Date  


 

 

 

 

 

 

 

 

 

 

 

 

Distribution: White: Registrars Office, Host Institution Yellow: Student Pink: Registrars Office, Home Institution