Fillable Ap Credit Form 090814 (Pasadena City College)

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Ap Credit Form 090814 (Pasadena City College)

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The Ap Credit Form 090814 (Pasadena City College) form is 1 page long and contains:

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  • 3 check-boxes
  • 25 other fields

Country of origin: US
File type: PDF

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PASADENA CITY COLLEGE
Petition for Credit through
Advanced Placement Examination and/or CLEP
Print NAME ______________________________________________________ DATE _________________________
Last First MI
ADDRESS _____________________________________________________________________________________________
BIRTHDATE ___________________________ TELEPHONE # ( ) ____________________________________
STUDENT I.D. # ____________________________________ _______________________________________________
Student’s Signature
I am petitioning for credit based on the ADVANCED PLACEMENT (AP) EXAM for:
_________________________________________________ _________________________________________________
Course title and number (ex: Spanish 1) Course title and number
_________________________________________________ _________________________________________________
Course title and number Course title and number
Petition Response:
FOR OFFICE USE ONLY
Evaluator
Signature: ____________________________ Date ___________ Date Posted to PCC Student Record/by: ______________
I am petitioning for credit based on the CLEP EXAM for:
_________________________________________________ _________________________________________________
Course title and number (ex: Spanish 1) Course title and number
_________________________________________________ _________________________________________________
Course title and number Course title and number
Refer to Division Dean for response:
Date: _______________________________ Division Dean signature:__________________________________________
Petition Response:
FOR OFFICE USE ONLY
Evaluator
Signature: ____________________________ Date ___________ Date Posted to PCC Student Record/by: ______________
ADM246 9/14
Please submit this petition after completing 15 or more units at PCC. Please send your official, sealed
AP EXAM or CLEP score to the PCC Records Office 15 business days before filing this form.
EMAIL (required)___________________________________
AP/CLEP official scores already submitted
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Ap Credit Form 090814 (Pasadena City College)

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Completed 24 July 2020

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