Petition for Credit Based on Prior Learning/Experience

Petition for Credit Based on Prior Experience
Currently enrolled students may receive credit for courses on the basis of professional experience or substantial prior learning. The student must complete this preliminary application describing the prior learning and submit the request to his/her program coordinator. The program coordinator will review the petition for accuracy, completeness, and appropriateness of documentation. The program coordinator will list the course(s) for which he/she feels the student should be granted credit. The program coordinator will then forward the request to the academic dean for approval. If approved, the academic dean will forward the request to the Registrar’s Office.
Student Information

To be filled out by the student
Student Name*

First NameLast Name
LoLA ID #*
Declared Major *
I request that the following work experience and/or prior learning be considered for credit:*
(Documentation such as proof of certification, course syllabus, or other pertinent information must be attached.)*

Cancelof
Signature*

Clear
Date*

MonthDayYear
Date
Registrar's Office
Program Coordinator's Name*

First NameLast Name
Program Coordinator's Email:*
example@fletcher.edu
Dean's Name*

First NameLast Name
Dean's Email*
example@fletcher.edu
Program Coordinator

To be completed by the Program Coordinator
The program coordinator will list the course(s) for which he/she feels the student should be granted credit.*
Note: No more than 50 percent of an award level may be earned through non-traditional means. Advisors must verify that the student is not exceeding this percentage if this petition is approved.
Program Coordinator's Signature*

Clear
Date*

MonthDayYear
Date
Registrar Processed
Processed by:*
Date*

MonthDayYear
Date
Comments
Should be Empty:

Petition for Credit Based on Prior Experience

Student Information

Registrar's Office

Program Coordinator

Registrar Processed