DEPARTMENT OF MEDICAL LABORATORY AND RADIATION SCIENCES

RADIATION THERAPY PROGRAM

Intrauniversity Transfer Application

The University of Vermont
College of Nursing and Health Sciences
Office of Student Services
002 Rowell Building, 106 Carrigan Drive
Burlington, VT 05405

Please note that according to University policy, students with a cumulative grade point average of 2.0 or higher are eligible to request an internal transfer. A limited number of spaces are available in the Radiation Therapy program and a higher GPA will be considered more favorably in the review process.

Please fill in the following information:

Date
Name	Student ID#
Local Address
Permanent Address
E-Mail Address	Phone Number
Present College/School College of Agriculture and Life Sciences College of Arts and Sciences School of Business Administration College of Education and Social Services College of Engineering and Mathematics Rubenstein School of Environment and Natural Resources	Current Major
Current GPA	Cumulative GPA to date	Semester/Year Applying for

I give the College of Nursing and Health Sciences permission to review my university record. Check appropriate box.

1. Yes
2. No (If no, you must provide an official copy of your UVM transcript)

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