Reverse Transfer Form

Reverse Transfer Form

Complete this form to begin the process of transferring to Mid Michigan College from another college or university.
Name*

First NameLast Name
Do you have any previous last names? If so, enter them below.
If you have multiple previous last names separate them with a comma.
Mid Mich Email*
example@midmich.edu
Date of Birth*

MonthDayYear
Current Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Approximate date you began attending Mid Michigan College*

MonthDayYear
Approximate date you stopped attending Mid Michigan College*

MonthDayYear
List the colleges or universities you'll be sending transcripts from. If applicable, place an asterisk next to the college or university you are currently attending.*
Have you submitted an official transcript request form for the college or university you are currently attending?*

YesNo
Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact Registration & Records at (989) 386-6659 or enrollment@midmich.edu.

In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.
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