Paul D. Camp Community College – Course Equivalency Evaluation

Use this form to request evaluation of a transfer course that is not listed in the standard equivalency guide. Provide complete course details for both the sending institution and the requested Paul D. Camp equivalent. The evaluating faculty or advisor will document their determination and justification below.

* Indicates a required field.

This form is used when a transfer course does not appear in the existing equivalency tables and requires individual faculty or administrative review.

The completed form must be signed by the evaluating faculty member or department chair and submitted to the Registrar's Office for final posting.

Student Information

Student I.D. (Empl. I.D.)

Date of Request

Student Name

Program of Study

Transfer Institution

Enter the details of the college or institution where the course was completed.

Name of College / Institution

Course Comparison

List the transfer course(s) and the Paul D. Camp course(s) being requested as equivalents. Add rows as needed for multiple courses.

Field	Transfer Course (Sending Institution)	PDCCC Equivalent Requested (Paul D. Camp)
Course Prefix & Number
Course Title
Credit Hours

Justification & Supporting Documentation

Explain why this transfer course should be considered equivalent. Reference course syllabi, learning outcomes, or other supporting evidence as needed.

Justification Statement

Supporting Documents Attached

Evaluator Determination

To be completed by the evaluating faculty member, or department chair

Evaluator Notes

Evaluator Name

Title / Department

Evaluator Signature

Date

Advisor Signature

Advisors Signature

Date