Fillable CSU CHICO PETITION FOR CREDIT FOR PRIOR EXPERIENCE

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CSU CHICO PETITION FOR CREDIT FOR PRIOR EXPERIENCE

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CALIFORNIA STATE UNIVERSITY, CHICO
PETITION FOR CREDIT FOR PRIOR EXPERIENCE
Name ______ Wildcat ID No.
Address _______ Email: ____________________________
City State ____Zip ____ PHONE: Home Work
*Are you currently enrolled? _ Yes ___ No Regular student Extension student
Number college or university semester units completed Class level
Major _ Expected semester of graduation __ _____
Credit for prior experience will be posted in only one the following four ways: (A) in lieu of a regular,
current CSU, Chico course; (B) general credit in a discipline or subject; (C) general credit in a General
Education area; or, (D) credit toward the university’s diversity requirement. All such credit will be
graded “Credit” and will not be counted toward the CSU, Chico residency requirement.
Complete items I-II below.
I. I have prior experience which I would like to have assessed for academic credit. I would like to
apply this experience as follows (complete ONLY ONE (A, B, C, or D):
A. In lieu of the following course(s):
Course No. Title
Course No. Title
Course No. Title
B. General credit in
(Discipline/Subject)
C. Credit toward General Education requirement(s):
Oral Communication, Written Communication, Critical Thinking, Math (A1-A4)
Physical/Life Sciences (B1-B2)
Arts and Humanities (C1-C2)
Social Sciences (D1-D2)
Learning for Life (E)
Upper Division: Natural Science (UD-B), Arts/Humanities (UD-C), Social Science (UD-D)
D. Credit toward university’s diversity requirement: USD GC
II. On separate sheets:
1. Briefly describe how many units of credit you are seeking and how these units would affect
your academic program and graduation status. For instance, will the units be applied toward
your major, general education, upper division requirements, etc.
2. Describe your experience. Be sure to include number of hours of activity/experience and how
this experience is educational in nature (see Information Sheet). Also include appropriate
documentation such as dates, addresses, names of employers and supervisors, letters or
certificates, etc.
*Credit will be posted on permanent record ONLY AFTER STUDENT HAS REGULARLY ENROLLED AT
CSU, CHICO and will be posted in the semester following approval of the petition.
SEPARATE FORM REQUIRED FOR EACH DEPARTMENT FROM WHICH YOU ARE SEEKING CREDIT.
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CSU CHICO PETITION FOR CREDIT FOR PRIOR EXPERIENCE

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Completed 18 January 2020

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