Transfer and Course Substitution Form
Student Name: ____________________________________ Banner ID:____________________________
Date of Birth:_______________________________Campus/Site:__________________________________
Program Major:__________________________________________________________________________
PROCESS FOR PETITION OF UNDERGRADUATE TRANSFER CREDIT
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Attach a course description or syllabus for each of the course(s) you are petitioning for credit. It may be copied from a college
catalog or a college website.
If you are petitioning credit for multiple courses in different department (eg. English, History & Math), a separate form will need
to be completed to submit to individual departments.
Complete the course information for each of the course(s) in the table below.
Submit all documentation to the department in which you wish to receive credit. Department contact information is on the back
of this form.
Flow Chart: Student → Advisor → Dean → Registrar’s Office
Submit all documentation to [email protected] or deliver to the Registrar’s Office.
South Louisiana Community College will make every effort to conduct the evaluation as expeditiously as possible once all
documentation has been reviewed.
Transfer Course OR Course Substitution
Prefix & Number
Credit
Hours
SLCC Course Credit Prefix & Number if equivalent
to courses taught at SLCC (Section to be completed
by Academic or Program Advisor / Department
Head / Dean ONLY)
If Transfer Credit
Denied, please indicate
Below
_______________________________________________
Student Signature
Date
_______________________________________________
Approval: Dean
Date
_____________________________________________
Processed: Registrar’s Office
Date
REV. 2/6/2014
Site
Department
ACADIAN
ACADIAN
ACADIAN
ACADIAN
ACADIAN
ACADIAN
ACADIAN
ACADIAN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
ARDOIN
CB COREIL
CB COREIL
CB COREIL
CB COREIL
CB COREIL
DEVALCOURT
DEVALCOURT
DEVALCOURT
DEVALCOURT
DEVALCOURT
DEVALCOURT
DEVALCOURT
DEVALCOURT
DEVALCOURT
EVANGELINE
EVANGELINE
EVANGELINE
EVANGELINE
GULF AREA
GULF AREA
GULF AREA
GULF AREA
GULF AREA
LAFAYETTE-EXT
TECHE
TECHE
TECHE
TECHE
TECHE
TECHE
TH HARRIS
TH HARRIS
TH HARRIS
TH HARRIS
TH HARRIS
TH HARRIS
TH HARRIS
TH HARRIS
TH HARRIS
TH HARRIS
TH HARRIS
“ALL”
Alternative Energy
Business Office Technology
Business Office Technology
Allied Health
Machine Tool Technology
Practical Nursing
Welding
RN
Air Conditioning & Refrigeration
Automotive Technology
Business Office Technology
Care & Development of Young Children
Civil Surveying & Mapping
Clinical Lab Tech
Culinary Arts
Drafting & Design
Electrician
Graphics
Industrial Electronics Technology
Information Technology
Machine Tool Technology
Practical Nursing
Surgical Technology
Welding
Automotive Techonolgy
Business Office Technology
Allied Health
Practical Nursing, CNA
Welding
Arts & Humanities
Business Technology
Emergency Medical Technician
English & Language
Math
Midwifery
Science
Social Studies
RN
High School, CNA
Allied Health
Practical Nursing
Welding
Business Office Technology
Cosmetology
Practical Nursing
Industrial Agricultural/Mechanics
Welding
Aviation Maintenance Technology
Business Office Technology
Carpentry
Drafting & Design Technology
Industrial Electronics Technology
Machine Tool Technology
Welding
Air Conditioning & Refrigeration
Business Office Technology
Computer Network Specialist
Diesel Powered Equipment Technology
Electrician
Practical Nursing
Allied Health
Industrial Electronics Technology
Machine Tool Technology
Non-Destructive Testing
Welding
Nsg/AH Dept Chair
Department Head/
Faculty Advisor Name
Benson, Barbara
Kellum, Michelle
Spaetgens, Darla
McGinn, Cynthia
Stutes, Donald
LeDay, Renita
Sonnier, Darnel
Pearson, Judith
Anthony, Wilbert
Dore, Duane
Kinchen, Nancy
Crowley, Kathy
O’Pry, Michael
Griffin, Linda
Thomas, Earline
Tanner, Earl
Lemaire, Ryan
Darwin, Charles
Landry, Merlin
Das, Naba
Deranger, Don
Foti, Terri
Lemon, Paula
McCauley, Glenn
Hebert, Clint
Fontenot, Nina
Hebert, Kim
Dunbar, Alice
Savoy, Arthur
Humphries, Sandy
Landreneau, Melissa
Galloway, Rebecca
Schoolmaster,Courtney
Eckhoff, Rebecca
Daigle, Sherri
Steffan, Brian
Prudhomme, Delana
Pearson, Judith
Daquilla, Mary
David, Monica
Benoit, Veronica
Savoy, Samuel
Cernich, Wynde
Taylor, Niki
Cheryl Fontenot
Sherman, Keith
Simon, Mark
Gyarfas, Nicholas
Bourque, June
Poche', Paul
Hoag, Chris
St. Julien, Tanya
Bernis, Sandy
Smith, Tommy
Vidrine, John
Simon, Martha
TBA
Lemoine, Aaron
Gunnels, Lane
Doucet, Donna
Margaret Lazard
Anding, Joe
TBA
Hicks, Steven
Charles, David
White, Linda
Department Head/
Faculty Advisor Email
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
TBA
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
TBA
[email protected]
[email protected]
[email protected]
REV. 2/6/2014
Department Head/
Faculty Advisor Phone
337.788.4210
337.788.8102
337.788.8109
337.788.8105
337.788.8110
337.788.8103
337.788.8106
337.943.1507
337.521.9648
337.521.9653
337.521.9044
TBA
337.521.9647
337.521.9654
337.521.9638
337.521.9643
337.521.9643
337.521.9644
337.521.9042
337.521.9640
337.521.9651
337.521.9627
337.521.9632
337.521.9652
337.363.2197
337.363.2197
337.363.2197
337.363.2197
337.363.2197
337.521.8937
337.521.8948
337.521.8967
337.521.8976
337.521.8952
337.892.2358
337.521.8955
337.521.8974
337.943.1507
337.394.6466
337.394.6466
337.394.6466
337.394.6466
337.892.2370
337.892.4830
337.892.2346
337.892.2356
337.892.2359
337.262.5186
337.373.3241
337.373.0011
337.373.3256
337.373.3261
337.373.3240
337.373.3260
337.943.1526
337.943.1506
TBA
337.948.0379
337.943.1525
337.943.1511
337.943.1510
337.943.1519
TBA
337.948.0244
337.943.1527
337.892.2358