Credit For Prior Learning Form

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Credit for Prior Learning

Registrar ∙ Founders Hall ∙ 7390 South 6th Street ∙ Klamath Falls, OR 97603

Student Last Name Student First Name Student ID #

Date of Request Degree/Cert Program

Requirements:
1. You must have earned 12 credits at KCC before Credit for Prior Learning can be awarded.
2. Only 35% of a degree’s credits can come from Credit for Prior Learning.
3. Credit for Prior Learning may not be used to establish KCC’s residency requirement
4. Only those subject areas taught by KCC will be considered.
5. Courses that were taken as community education courses or that were received through an industry recognized certification
process that are approved for prior learning credit may require a prior learning fee.
6. Academic credit will be awarded and transcribed only for those courses formally approved by the institution’s curriculum
approval process(es). Credit must be directly applicable to meet requirements selected courses as outlined in college
publications.

Course(s) for which student is seeking credit:

Course Number and Section Course Title Credit Hours Credit Hours
Requested Granted

Type of Prior Learning: Total Hours Total Hours


Requested: Granted:
Industry Certification ____ Portfolio ____ Professional Licensure ____

Institutional Challenge Exam ____ Other Assessment ____

If Portfolio was selected, describe how Portfolio will be completed:

Reviewed June, 2019 Academic Year 2019-20


Approval:

_________________________________________ ______________________
Student Signature Date

_________________________________________ ______________________________________ ______________________


Program Lead Signature Printed Name Date

_________________________________________ ______________________________________ ______________________


Dean Signature Printed Name Date

_________________________________________ ______________________________________ ______________________


Vice President of Academic Affairs Signature Printed Name Date

Business Office Use Only

CPL Fee: $__________ Total cost: $__________

Received By: ____________ Date: __________

Types and Charges Associated with Credit for Prior Learning:

Type Fee

Credit- By Exam (CLEP, DANTES, etc) No fee

Industry Certifications No fee

Challenge Exam $35 per course

Military Credit (ACE Credit Recommendation Service) No fee

Portfolios $35 per course

Professional Licensure No fee

Return to Registrar

Received By: ___________________________

Date: _________________________________

Reviewed June, 2019 Academic Year 2019-20

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