Reverse Transfer Form

    Reverse Transfer Information
    Birthdate
    Birthdate
    Or
    Contact Information
    May we text you?
    May we text you?
    Mailing Address
    This is the location where you receive mail, even if it is not the place where you reside.
    Mailing Address
    This is the location where you receive mail, even if it is not the place where you reside.
    Please list the school(s) you would like reverse transfer credits from.
    Search tip:  When searching for an institution, we recommend that you enter the city and state that your school is located in.  For example: "Springfield, OH" or use *** for part of your city name - "Spr***,OH.  Either of them will bring up a list of schools in Springfield, OH. Choose your school by clicking on it from the list.
    I acknowledge that my transcript(s) will be thoroughly reviewed for the degree I was seeking while at Clark State, and if those requirements are not met, my transcript(s) will be reviewed for the Associate of Arts – General Transfer degree or the Associate of Science – General Transfer degree.
    I acknowledge that my transcript(s) will be thoroughly reviewed for the degree I was seeking while at Clark State, and if those requirements are not met, my transcript(s) will be reviewed for the Associate of Arts – General Transfer degree or the Associate of Science – General Transfer degree.