Campus Transfer Request

Campus Transfer Request

In accordance with the School Policy, all online programs are to provide this form to any student who is joining online from all TMIKY campuses whether or not the student is “in good standing” and whether or not their student records are up-to-date and complete. “In good standing” means that the student’s records include financial, personal, and program documents, and is entitled to attend classes, as of the date of this form. This form is to be submitted with student file and sent directly to the student’s new campus they will be attending.

Name of Student: Gender:



Street Address:  

City: State:   Zip Code:  

Name of Emergency Contact:   Emergenct Contact Phone:  

Location Transferring to:

Name of Administrator at New Campus:  

Location Transferring from:

Name of Administrator at Previous Campus:  

Please check (√) the appropriate box.

If student is not in "good standing", please explain below.


Leave this empty:

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Signature Certificate
Document name: Campus Transfer Request
lock iconUnique Document ID: aa9082840afadba24bb3e439d90f657de291a3ce
Timestamp Audit
August 19, 2022 2:45 pm EDTCampus Transfer Request Uploaded by Greg Goins - [email protected] IP
August 19, 2022 2:45 pm EDTTMIKY Student Forms - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip:
March 6, 2023 9:43 am EDTTMIKY Student Forms - [email protected] added by - as a CC'd Recipient Ip: