Gebreyesus, Maria TR RD Fall 2015 07/24/1996 CEEB: 3440 CAID: 12669744 FERPA: Waived

TRANSFER COLLEGE REPORT
CONTACTS Official Name / Title Email / Phone Website / Profile Institution / CEEB Address _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

ACADEMICS
Cumulative GPA: _______ on a _______ scale, covering a period from (mm/yyyy) _________ to _________

This GPA is [_] weighted _ [_] unweighted. The school’s passing mark is: __________ Highest GPA in class _________

Graduation _______________________________ (mm/dd/yyyy)

Evaluation Is this applicant in good standing? [_] Yes ___ [_] No

Is this applicant eligible to return to your institution? [_] Yes ___ [_] No If you answered “no” to either or both questions, please attach a document to provide details. Has the applicant ever been found responsible for a disciplinary violation at your school, whether related to academic misconduct or behavioral misconduct, that resulted in the applicant’s probation, suspension, removal, dismissal, or expulsion from your institution? [_] Yes ___ [_] No ___ [_] School policy prevents me from responding. To your knowledge, has the applicant ever been convicted of a misdemeanor, felony, or other crime? [_] Yes ___ [_] No ___ [_] School policy prevents me from responding. If you answered “yes” to either or both questions, please attach a separate sheet of paper or use your written recommendation to give the approximate date of each incident and explain the circumstances. I recommend this student: [_] No basis __ [_] With Reservation __ [_] Fairly Strongly __ [_] Strongly __ [_] Enthusiastically

Signature ________________________________________________________________________________________ Please mail this form and accompanying documents directly to each college/university admission office. Do not mail this form to The Common Application offices.

CR Gebreyesus, Maria CEEB: 3440 Fall 2015 1 TRRD CAID: 12669744