CREDIT BY EXAMINATION
PETITION
IT IS VERY IMPORTANT THAT YOU READ ALL INFORMATION CAREFULLY BEFORE COMPLETING THIS
FORM: Refer to the current Schedule of Classes or College Catalog for the current course listings of classes that qualify for Credit
by Examination.
Eligibility:
1. Be currently registered and have a minimum cumulative GPA of 2.0.
2. Have completed 12 units within the Los Angeles Community College District and cleared all holds.
3. Not be currently enrolled in, nor have completed a more advance course in this discipline.
4. The maximum number of units for which a student may petition for Credit by Examination at the College is 15 units.
Processing Steps:
1. The Admissions Office will check for preliminary qualifications listed above.
2. The petition is forwarded to the Department Chair.
3. An examination will be administered and evaluated by the Department Chair or designee. * **
4. Upon evaluation of the examination, the Department will assign Pass or No Pass. If the student passes the examination, P
will be assigned. If the student does not pass the examination, NP will be assigned. ***
5. When all authorized signatures are obtained, the Admissions Office will annotate the student record.
Last Name First Name Middle Initial Student ID Number
Other Names Used Date of Birth Telephone Number
Address City State Zip Email Address
Semester & Year Semester & Year Semester & Year Semester & Year
Course Name &
Number
Course Name &
Number
Course Name &
Number
Course Name &
Number
Stude
nt Signature_______________________________________________________________Date________________________
FOR OFFICE USE ONLY DO NOT WRITE BELOW THIS LINE
ADMISSIONS DEPARTMENT CHAIR DEPARTMENT DEAN
Meets Preliminary Requirements
Doesn’t meet Preliminary Requirements
P
NP
9700 Number Assigned
Signature Signature Signature
Date Date Date
Student Notification: Email USPS Signature: Date:
* See backside of this form ** See backside of this form
*** See backside of this form
click to sign
signature
click to edit
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