Revised 8/2018; 4/2020
ALVIN COMMUNITY COLLEGE
Application for Prior Learning Assessment
Departmental Exams, Mirror Coursework, Industry Certification/Career Portfolios
Student Name First MI Last ACC ID#
Part 1. Visit with ACC Department Chair to discuss PLA options for review. Attach ACC unofficial transcript from WebACCess.
ACC Course Prefix ACC Course # Sem. Hours
Source: PLA Credit to be Evaluated
(check appropriate box and provide grade for mirror coursework and
"Mirror"
Industry
Certification
Career Portfolio
(Work Experience)
Departmental
Part 2. Student Eligibility and Criteria: Submit Application to College and Career Pathways Office (A227).
1. PLA credit may be awarded when the student has successfully completed a minimum of 3 hours of ACC course work and is currently
enrolled after the census date of the requesting semester.
2. PLA credit will only be awarded as it applies to a current ACC program of study.
3. PLA is noted with a grade of "S" for the semester hour value and is not calculated in the institution’s grade point average (GPA). Credit by
Departmental Exam will be noted with a grade of A, B, or C on the transcript, and will not be calculated in the ACC GPA.
4. A maximum of 24 hours can be awarded for prior learning. These hours will not be counted toward resident credit, with the
exception of ACC Continuing Education Mirror courses.
5. Award of prior learning assessment at ACC does not guarantee transfer of such credit to other colleges and universities.
I understand I am responsible for determining transferability of this credit by contacting the institution(s) to which I plan to transfer. I have
submitted official records and documents for evaluation to the Office of College and Career Pathways.
Student Signature and Date CCP Official Signature and Date
CCP Recommendation: Review Approved Review Denied
Part 3. Fees: The fee for each evaluation is $10.00 per credit hour for departmental exams; $100 per skills assessment. Request for
evaluation does not guarantee college credit. The evaluation fee is non-refundable and is payable at the Cashier’s window in A-Bldg.
(Student initials).
____________________ALVIN COMMUNITY COLLEGE STAFF ONLY____________________
Part 4. To be completed by the ACC Department Chair (checklist per SACS criteria):
Attach documentation of content and level of instruction (if applicable).
Attach documentation of faculty qualification to teach at appropriate degree level (if applicable).
Attach American Council on Education or National College Credit Recommendation Service documents (if applicable).
Attach documentation of equivalency of clock hours to ACC credit hours. (i.e. 15 clock hours = 1 ACC SCH) (if applicable)
Signatures below indicate verification that credentials/evidence presented meet criteria for award of credit.
Department Chair Signature and Date Dean Signature and Date
Evaluation Total: _______________________________ CCP Initials: ____________________
Business Office/Cashier’s Window: Amount Paid $ Receipt Number Received by Date
$____________ per credit for exam $___________ per skills assessment
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