Transfer Out Processing Form
Name
*
First Name
Last Name
Student ID
*
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Major
*
Date of Clearance
*
-
Month
-
Day
Year
Date
I request for transfer into the school below
*
Are you an international student?
*
Please Select
Yes
No
Are you a student athlete?
*
Please Select
Yes
No
How many credits have you completed at Bethesda University?
*
0-30
31-60
61-90
Over 90 Credits
To what school are you transferring?
*
What are the most important reasons to choose the new school?
*
In which program have you been studying?
*
What might the school do so that fewer students would transfer out of our school?
*
Date
*
-
Month
-
Day
Year
Date
Student Signature
*
Department's chairs email (should be filled by academic office)
example@example.com
Submit
Should be Empty: