Mid-Term Grades Form

In order to complete our review of your application for admission, we require your current mid-term grades.

NOTE: A decision on your application cannot be made until this information is received.

We ask that you submit either of the following:
1. A photocopy of your mid-term grade report, if your college produces such a report (photocopy acceptable).
2. This form completed with the requested grades.

Name Name First Last
College
Semester
Date Date / MM / DD YYYY
Catalog #
Course Title
Credit Hours
Grade
Catalog #
Course Title
Credit Hours
Grade
Catalog #
Course Title
Credit Hours
Grade
Catalog #
Course Title
Credit Hours
Grade
Catalog #
Course Title
Credit Hours
Grade
Catalog #
Course Title
Credit Hours
Grade
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Date Date / MM / DD YYYY
The information listed on this page will be compared with your final, official transcripts, due in our office no later than one week before the beginning of the semester. Any deliberate falsification or omission of mid-term grades may result in denial of admission or dismissal from the college.