UNIVERSITY OF PITTSBURGH \ FORM INSTRUCTION GUIDE
FORM TITLE: TRANSFER/ADVANCED STANDING CREDITS
ACCEPTED
NUMBER: FORM 0120
PROCEDURE: 09-04-06
TO BE COMPLETED BY THE ACADEMIC CENTER:
Enter the following information where indicated:
REQUIRED FOR ALL TRANSACTIONS:
1. Social Security Number of Student
2. Name of Student (Last/First/M.I.)
3. For Standardized Test, Name of Examination
For Transfer Credit, Name of Institution where the
credits were earned
(Limit to 30 characters. See Exhibit C, University of
Pittsburgh Transcript: Standard Abbreviations
REQUIRED FOR ADD TRANSACTIONS:
Adding new Advanced Standing entries to the transcript
4. For Standardized Test, Examination Date
For Transfer Credit, Dates of Attendance at institution
where the credits were earned: YYYY through YYYY.
5. Two-digit Code of Academic Center awarding the Advanced
Standing Credits (See Data Element Dictionary Table
18160.)
6. Student level. Check one to indicate whether credits
are to be posted to the Undergraduate or Graduate
transcript:
01 - Undergraduate
02 - Graduate
7. Total Number of Block Credits Accepted
REQUIRED FOR CHANGE TRANSACTIONS:
Changing/Correcting Advanced Standing entries previously posted
Enter Current Data:
8. For Standardized Test, the Examination Date to be
changed
For Transfer Credit, the Years of Attendance to be
changed
9. Two-digit Code of Academic Center (See Data Element
Dictionary Table 18160.)
10. Student Level. Check one to indicate change to the
undergraduate or graduate transcript:
01 - Undergraduate
02 - Graduate
11. Total Number of Block Credits Accepted to be changed
Enter Replacement Data:
12. For Standardized Test, the corrected Examination Date
For Transfer Credit, the corrected Date of Attendance
13. The corrected Total Number of Block Credits Accepted
REQUIRED FOR DELETE TRANSACTIONS:
Required for deleting advanced standing entries previously
posted.
14. For Standardized Test, Examination Date
For Transfer Credit, Years of Attendance at institution
where credits were earned
15. Two-digit Code of Academic Center (See Data Element
Dictionary Table 18160.)
16. Student level. Check one to indicate deletion from
undergraduate or graduate transcript.
01 - Undergraduate
02 - Graduate
17. Total Number of Block Credits Accepted
ACADEMIC CENTER AUTHORIZATION
18. Signature of Academic Dean (or designee) and Date
19. Signature of Department Chairman, Department Name, and
Date
FOR REGISTRAR'S USE ONLY
20. Date processed
21. Initials of processor
22. Initials of verifying individual
OPTIONAL - FOR ACADEMIC CENTER USE ONLY
When awarding Transfer Credits, the following detail may be
completed for academic center use.
23. Y (Yes) or N (No) to indicate whether the course for
which credit was awarded is equivalent to a course
offered at the University of Pittsburgh
24. Transaction type. Check one to indicate:
A - addition
C - change
D - deletion
Enter the following for each course:
25. Subject area
26. Course Number of Pitt equivalent
27. Course Title of Pitt equivalent
28. Number of credits