Two-Year Transfer Information Form
The University of South Florida is reviewing the NCAA transfer eligibility of the student-athlete below and would appreciate your assistance in
providing the information requested. Please return the completed form to our attention
Student: _______________________________________________

Sport: ________________________________________

Institution: _____________________________________________
1.

What is the student’s current academic status with the Eligibility Center?

 Qualifier  Nonqualifier  Pending

2.

What is the student’s current amateurism status with the Eligibility Center?

 Final Certified  Pending

3.

Does your institution offer both 2-year and 4-year degree programs?

 Yes

a.

 2-Year

If so, please indicate the degree program the student is enrolled in:

4.

List the dates the student was enrolled at your institution:

5.

Has the student previously attended another 2 or 4-year institution?
a.

6.

 Yes

 No

# of Full-Time
Terms

Received
Athletics Aid?

Sport

Practiced At Least
14 Days?

Competed

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

 No

Is this student currently or has this student been concurrently enrolled at another institution in which additional credit is expected to be or
has been transferred into your institution?
 Yes
 No
If yes, please list the concurrently enrolled institution_______________________________________________________________
 Yes

Is the student currently in good academic standing at your institution?
a.

9.

________________ to ________________

Please list the student’s number of full-time terms and participation history at your institution:

a.
8.

 4-Year

If yes, please list the previous institution: ___________________________________________

Academic Year

7.

 No

If no, please explain: ________________________________________________________________________________________

Has the student graduated from your institution with an Associates or equivalent degree?
a.

 No

 Yes

 No

When was the degree awarded? _______________________

10. Please indicate the number of credit hours the student completed in the following subject areas (excluding remedial courses):
English: _________________________ Math: _____________________

Natural/Physical Science: ___________________________

11. Has the student been disqualified or suspended from your institution for disciplinary reasons?
a.

 Yes

 No

If yes, please explain: ________________________________________________________________________________________

Name: _____________________________________

Title: _________________________________

Signature: ________________________________

Date: _________________________________