NAME:    SSN:    
Catalog Edition:  2004-2005
Montgomery College
TRANSFER STUDIES CERTIFICATE  #234                                                                                                         30 CREDITS TOTAL
General Education                               Foundation and Distribution Courses  Courses Hrs Grade N = Need  ELECTIVES  Hrs Grade N = Need
Foundation Courses: (11 credits **)
  EN Foundation (EN 102 or 109)   3            
  MA Foundation (MA 110 or higher)   3            
* Distribution Courses        
 Arts Distribution  (ARTS)   3            
 Behavioral/Social Science (BSSD)   3            
 Humanities Distribution (HUMD)   3            
 Lab Science Distribution (NSLD)   4            
** EN 101 can   be 
* Choose Distribution courses from pages 67 - 70 in the used - elective 
   2004-2005 Montgomery College Catalog.  
Note:  Overall GPA of 2.0 is required.
Multicultural Course: 
(Inclusion of a multicultural course
is recommended but not required)
Submit an Application for Graduation  Adviser Signature:      
either the semester before or during
the semester that you fulfill all requirements. Date:       
BRING THIS FORM TO THE COUNSELING
OFFICE ON YOUR CAMPUS TO APPLY
FOR THIS CERTIFICATE
  Counseling Center / 175 SA Counseling & Advising/CB 215 Counseling/Student Serv. Pavilion
  Montgomery College Montgomery College Montgomery College
  20200 Observation Drive 51 Mannakee Street Takoma Ave & Fenton St.
  Germantown, MD  20876 Rockville, MD  20850 Takoma Park, MD  20912
 240-567-7770 240-567-5088 240-567-1480