Transfer Form

If you need assistance regarding transfer please complete this form. The Transfer Coordinator will contact you to help create a transfer plan.

Student Information

*Required Information
First Name:* Last Name:*  
Phone:* Email:*  
Street:*
City:* State:* Zip:*
         
Current Degree Plan with HCTC:
(Check all that apply)



Field of Study: 
 
What school do you plan to transfer to?
1st Choice: 2nd Choice:
What degree will you seek upon transfer?
When do you plan to transfer? (If unsure, please estimate)
Semester: Year:
Please check any areas where you need assistance or information:






Additional Comments:
Referred By: