Prior Learning Credit Evaluation Request Form
Submit your request to have your prior learning evaluated for academic credit.
Full Name
*
First Name
Last Name
Student Email Address
*
example@example.com
Student Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Student ID Number (if applicable)
Academic Program or Major
*
Type of Prior Learning to be Evaluated
*
Please Select
Completed College/University Course
Professional Certification or License
Military Training
Work Experience
Other
Title or Description of Prior Learning (e.g., course name, certificate, job title)
*
Institution or Organization Where Prior Learning Was Obtained
*
Date(s) of Completion or Duration of Experience
*
Please describe how your prior learning is relevant to your current academic program and the specific credits or courses you are requesting to be evaluated.
*
Upload supporting documents (transcripts, certificates, letters, etc.)
*
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