BSC Transfer Appeal

This request should be completed by a student to appeal a BSC transfer credit evaluation decision.

General Information:

  • Students must provide a course syllabus. The syllabus must come directly from the institution the course was taken and include dates taken. 
Syllabus should be sent to the Academic Records Office
Mail:  Bismarck State College
Attn: Academic Records - Kene Miller
PO Box 5587
Bismarck ND 58506-5587
Fax: 701-224-5643
Email: bsc.records@bismarckstate.edu (subject line: BSC Transfer Appeal)

* Indicates Required Field. Note: Some fields are masked for your security. 
* Campus Email:
  
* Student ID:
 
* First Name:
 
Middle Name: 
* Last Name: 
 
* Street Address:
 
* City:
 
* State:
 
* Zip:
 
* Phone (555-555-5555):
 

Which College/University was appealed course taken:

* University/College Name:
 
* Address:
 
* City:
 
* State:
 
* Zip:
 
* Describe in detail the transfer decision you are appealing:
 
* Explain why you feel the decision made by BSC is not correct: 
 
* Syllabus will be provided by:


 
To research the details of your appeal a variety of faculty and staff may be contacted. Please allow 2 - 4 weeks for your appeal to be processed. If you are dissatisfied with the outcome from BSC, you can make further appeal to the BSC Dean of Academic Affairs:
* Signature: I certify to the best of my knowledge that the information on this form is true and complete without evasion or misrepresentation. I understand that if found to be otherwise, it is sufficient cause for rejection or dismissal. I am also aware that my academic records may be reviewed and discussed by BSC personnel. By checking this box you have created an electronic signature as legal as your handwritten signature:
 
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