Illinois Community College Board

ARTICULATION REQUEST

between

______________________
Community College
  and  
______________________
Senior Institition

COMMUNITY COLLEGE SECTION (See reverse for instructions on form completion.)

COURSE TITLE ____________________________________________

COURSE PREFIX ___________ COURSE NUMBER ___________ 2-DIGIT PCS# ___________

CREDIT HOURS ___________ LECTURE ___________ LAB ___________

Check one: This is

___ a proposed course. Effective date of first class ___________
___ an established course.
___ a revised course. Effective date of change ___________

Comments or questions:


SENIOR INSTITUTION SECTION (See reverse for instructions on form completion.)

Please answer all of the following:

  1. This course applies to requirements in a major area(s)

    2. G     Yes.   List Major(s) and in lieu of what course:

    G     No.   Check:  (    ) We do not offer a major in this area.
                                   (    ) Other (please explain)

  2. This course will apply toward general education requirements.

    3. G     Yes.   Indicate area(s) and in lieu of what course:

    G     No.   Please explain:

  3. This course is considered elective credit.

    4. G     Yes.   Indicate area(s) and in lieu of what course:

    G     No.   Please explain:

  4. This course is appropriately classified as a lower-division offering.

    5. G     Yes.

    G     No.

  5. Comments or questions:
Signed ______________________________________
               Official Transfer Coordinator, Senior Institution		 Date __________________

Title ________________________________________
Return to Dr. Belinda A. Dalton
Danville Area Community College
2000 E. Main St.
Danville, IL 61832