Transfer Work Approval Form

Transfer Work Approval Form
All Lipscomb University students must receive approval to transfer work from another college or university. This form must be approved BEFORE the student enrolls in a course at another institution.

The minimum grade of "C" is required for transfer work to be accepted. A student's Lipscomb GPA will not be affected by transfer credit. However, both the hours attempted and grades of any transfer course will be included in the GPA calculation for Tennessee Lottery Scholarship recipients.

Please note: Course description and/or syllabus may be required before transfer permission is granted.
Date of Submission*

MonthDayYear
Date
Student Name*

First NameLast Name
Student L#*
Lipscomb Email Address*
example@mail.lipscomb.edu
Name of School for Proposed Course*
Institution where course will be taken
Course Title*
Course Number*
Credits*
Comparable Lipscomb University Course Title*
Comparable Lipscomb University Course Number*
Is this a math course?*

YesNo
Which term will this course be taken?*
Which year will this course be taken?
Ex: 2026
Has this course been attempted previously?*
Was the attempt at Lipscomb University?*
What was the earned grade?*
Will you be taking classes at Lipscomb while you are taking this class?*
How many hours?*
Major*
Minor*
If no minor is declared, write "N/A"
Is this course required for your Major?*
Is this course required for your Minor?*
Are you an Education Major?*
Credit hours transferred BEFORE starting at Lipscomb: *
How many credit hours did you bring to Lipscomb when you first enrolled? (Include transfer credits, dual enrollment, AP, CLEP, etc.)
Credit hours transferred AFTER enrolling at Lipscomb:*
How many credit hours have you transferred in since you started taking classes at Lipscomb?
Number of credit hours from a 2-year institution:*
Of all your transferred credits, how many came from a 2-year institution? Please note: the maximum total hours transferred from 2-year schools is 63 hours.

Name of the Department Chair over Minor area of study*
Email Address of Department Chair over Minor area of study*
IMPORTANT: You must use firstname.lastname@lipscomb.edu format
A list of College Deans and Department Chairs can be found HERE.

Director of Teacher Education Name*
Director of Teacher Ed. Email Address*
IMPORTANT: You must use firstname.lastname@lipscomb.edu format
A list of College Deans and Department Chairs can be found HERE.

Name of Department Chair over Major area of study*
Email Address of Department Chair over Major area of study*
IMPORTANT: You must use firstname.lastname@lipscomb.edu format
A list of College Deans and Department Chairs can be found HERE.

Student Signature*

Clear
After this form is submitted, the information will be routed to the appropriate parties. Once all information has been thoroughly reviewed, a member of the Registrar's Office will notify you of your transfer work status. Thank you!
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