Fillable Printable Madison College Transfer of Application

Madison College Transfer of Application

MADISON COLLEGE

Transfer of Application

Date Received ____________________________________________ Staff Initials __________________________

8July2015

Application Semester

Fall

Spring

Application Year

Questions?

For assistance with this form visit the Enrollment Center or call (608) 246-6210.

Last Name

Student ID or Social Security Number

Middle InitialFirst Name

Submit your completed form in one of the following ways:

In-person (preferred): Enrollment Center, Truax Campus, Rm. A1000 or any regional or metro campus

Fax: (608) 243-4353

Mail: Enrollment Center, Madison College, 1701 Wright St. Madison, WI 53704

Please allow up to 15 business days to process a Transfer of Application. You will receive a letter at the address

provided with confirmation of change made. Your account will be updated to reflect this address.

Program Originally Applied to:

Mailing Address: Street

SUBMISSION INSTRUCTIONS

Student Signature __________________________________________________________________ Date ________________________

APPLICATION INFORMATION

STUDENT INFORMATION

CityStateZip Code

Apartment

Program Requesting:

I wish to remain on the waiting list per my waiting list letter; however, if I transfer my program choice and that

results in my placement on another program waiting list, I realize my original waiting list status is CANCELLED.

I wish to enter this program instead of my previous choice; therefore, my waiting list status is CANCELLED.

INSTRUCTIONS - This form is to be submitted by the applicant to request a Transfer of Application for the same

semester as the original application. Applications do not transfer from one semester to another. Only program

applications are eligible for transfer; certificate applications are non-transferable. Requests must be submitted by the

application deadline of the new program.

Prior to submitting this form, review the application deadline, required application materials, and admission

requirements for the new program. Select the name of the new program from the online list at madisoncollege.edu/

Waitlisted Applicants ONLY - Choose one of the following:

degree-certificates and click on the Admission Requirements link.

Truax, Regional and Metro Staff - Date stamp, initial and submit to intake@madisoncollege.edu.