LSA Transfer Interest Form

Contact Information

First Name

Last Name

Birthdate

Email Address

Street Address

City

State/Province

Country

Postal Code

Pronouns

Academic Information

Semester Planning to Transfer

How many credits of graded college course work have you completed?

What majors are you interested in?

Current Educational Enrollment

Are you enrolled in any of the State of Michigan's community college programs?

At which Michigan Community College are you enrolled?

Which college are you currently enrolled at?

Military Information

Are you currently on active duty?

Please select the military branch.

Are you currently serving in the National Guard or Reserves?

Please select the one that applies.

Are you a U.S. Veteran?

I belong to the following classifications of protected veterans (choose all that apply):

Disabled VeteranRecently Separated VeteranActive Wartime or Campaign Badge VeteranArmed Services Medal VeteranVeteran of the Vietnam-eraI am a protected veteran, but I choose not to self-identify the classifications to which I belong.I am NOT a protected veteran

Please select all the branches that apply.

United States Air Force

United States ArmyUnited States Coast GuardUnited States Marine CorpsUnited States NavyUnited States Space Force

Military Discharge Date

Are you the dependent of a U.S. Veteran or Active Service Member?

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Contact Information