Transcript Evaluation Request for Respiratory Care Applicants

Prospective students should complete this form prior to sending transcripts to the KU Respiratory Care program. Unofficial transcripts will be reviewed on a provisional basis.


First Name		Last Name

Other name(s) under which your records might be found		Email Address Telephone Number:

Current Mailing Address


Educational Background

Major		Degree
Total Number of credit hours completed
Do you currently hold an RRT or CRT?		Yes No
If "no" above, are you RRT eligible?		Yes No
Students must have RRT or be RRT eligible to be accepted into the program.


Colleges Attended

Institution 1		Name of college/university
		Location
		Dates attended


Institution 2		Name of college/university
		Location
		Dates attended


Institution 3		Name of college/university
		Location
		Dates attended

Official transcripts must be sent directly to the following address KU Respiratory Care Education Mail Stop 1013 3901 Rainbow Blvd. Kansas City, KS 66160 Please double-check your email address for accuracy before submitting.