Fillable APPLICATION FOR CREDITS FOR PRIOR LEARNING (North Island College)

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APPLICATION FOR CREDITS FOR PRIOR LEARNING (North Island College)

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Country of origin: CANADA
File type: PDF

Canada forms for North Island College

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Rev:
July 25, 2019
Student’s FULL name and address (print clearly)
NAME
NIC STUDENT NUMBER
ADDRESS
CITY
PROVINCE
COUNTRY
POSTAL CODE
PHONE NUMBER
NORTH ISLAND COLLEGE PROGRAM
In consultation with the Course Instructor, Department Chair and/or PLA Advisor, list the courses for which you are applying for credit.
COURSE CODE
COURSE TITLE
PLA TUITION FEE
RECEIPT #
TOTAL CREDITS
REQUESTED:
___ __________________________________
Student Signature Date
___ __________________________________
Faculty/PLA Advisor Signature Date
OFFICE USE ONLY: (Form to be completed by Program Faculty and PLA Coordinator)
Faculty can enter grades directly into student record UNLESS the mark is DNC or F. Record those grades on this form only and submit.
COURSE CODE
CREDITS AWARDED
GRADE ASSIGNED
QUALIFIER / W.P.M.
DESCRIPTION OF PLA PROCESS USED (e.g. CHALLENGE EXAM, PORTFOLIO ASSESSMENT etc.)
TOTAL CREDITS
AWARDED:
Grades entered
_____
_______________________________________ ___________________________________ ________________________________
Assessed by (Prin
t Name) Assessed by Signature Date
____________________________________________ ___________________________________ ________________________________
PLA Coordinator (Print Name) PLA Coordinator Signature Date
FOR SRO USE ONLY
APPLICATION FOR CREDITS FOR PRIOR LEARNING
Office of the Registrar
2300 Ryan Road
Courtenay BC V9N 8N6
T:
1-800-715-0914 E: forms@nic.bc.ca
The information on this form is collected under the authority of the College and Institute Act, and will be used for the purposes of assessment
and reporting. Inquiries about the collection or correction of personal information should be addressed to the Office of the Registrar, North
Island College, 2300 Ryan Road. Courtenay, BC V9N 8N6
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APPLICATION FOR CREDITS FOR PRIOR LEARNING (North Island College)

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Completed 5 February 2021

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