Reverse Transfer Participation Form and FERPA Authorization

If you make progress toward an associate degree at a Massachusetts community college before transferring to a state university or UMass, you may be able to complete the final associate degree requirements at your new institution, while completing courses towards your bachelor’s degree. The program is called Reverse Transfer. Complete this Participation Form today to authorize sharing of your academic transcript between your four-year institution and your community college to find out if you qualify to complete your associate degree.

Name & Date of Birth

Contact Information

(Please enter an email address at which you can be reached over the next 2-3 years. A confirmation email will be sent to this address.)

Institutions

Please enter the information below for the community college you have attended most recently or are attending now:


Please enter the information below for the state university or UMass campus to which you intend to transfer or are currently attending. You may indicate up to two institutions:


*I consent to the sharing of my personal information (as provided above) and academic transcript between the institutions (as provided above) for my participation in Reverse Transfer, in compliance with the Family Education Rights and Privacy Act (FERPA), 20 U.S.C. 1232g, 1974].
 
*Required fields