PNCA Transfer Agreement Pathway - Intent to Participate

HIDDEN: Affiliate Org

HIDDEN: Student Type

Contact Information:

Legal First Name

Legal Last Name

Preferred First Name

PNCA will use your preferred first name when addressing you in all email and mail communications.

Birthdate

Email Address

Mobile Phone Number

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Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information:

Most Recent High School Attended:

Hidden CEEB

High School Graduation Year:

Please indicate indicate your Transfer Partner College

Have you already started taking courses at this institution?

Yes

No

When did you start taking courses at this institution?

Are you currently following a transfer agreement?

Yes

No

When do you intend to begin following the transfer agreement?

When do you anticipate to have the transfer pathway agreement completed?

When do you intend to apply to PNCA?

Please list the major that you are interested in pursuing at PNCA:

Transfer Partner College Advisor Information

Advisor Name

Advisor Email

Advisor Phone

PNCA Pathway Terms and Conditions:

I understand that as a participant in this program, my academic records at my Transfer Partner College will be shared quarterly with PNCA.

I understand that participation in the PNCA Transfer Pathway does not guarantee admission to PNCA.

I understand that PNCA has the right to rescind participation in the PNCA Pathway program for any reason, including not adhering to the terms and conditions of participation, academic probation, or violation of conduct.

Your PNCA Admissions Counselor will reach out to you to meet with you about the transfer agreement and next steps.