Fillable Course-Challenge-Petition Course Challenge Petition draft 1.1

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Course-Challenge-Petition Course Challenge Petition draft 1.1

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Enrollment)Services)will)retain)this)request)together)with)a)copy)of)the)Cashier’s)Office)receipt)and)documentation)of)portfolio)in)student’s)
file.)Petition!for!Credit!by!Course!Challenge!(rev!April 2018)!
Petition'for'Credit'by'Cou r se 'Ch al len ge
Definition:!Course!challe n ge !e x aminations!a re !s u ffic iently!comp re h ensive!to!dete r m in e !t h at !st u d e n ts !h av e !th e !s ame!
knowledge!and!skills!as!those!students!who!enroll!in,!and!successfully!complete,!the!course.!A!student!should!have!
previous!training,!private!study,!work!experience,!or!other!bona!fide!qualifications!indicating!the!student!has!knowledge!
or!ability!equivalent!to!course!completers.!!
• A!student!may!not!take!a!challenge!exam!for!a!course!that!they!have!audited!or!failed.
• Credit!may!be!awarded!only!for!courses!for!which!Course!Ch allen ge !exa m ina tion s!ha ve !bee n!d eve lop ed .
• Students!may!take!a!challenge!exam!for!credit!only!once!per!course,!and!once!a!decision!has!been!rendered!and!the
grade!issued,!they!will!not!be!allowed!to!repeat!the!exam(s);!however,!they!may!choose!to!enroll!in!the!course.!
• The!student!may!appeal!the!Course!Challenge!decision!via!the!college’s!Student!Grievance!Procedures!–!Academic
Evaluation!Policy!5035.!
Process:!
1. After!consulting!with!an!advisor,!and!verifying!specific!cours e!is!ava ilable !for!challenge,!student!completes!petition.
2. The!student!pays!the!assessment!fee!and!provides!petition!and!verified!payment!to!division!dean’s!office.
3. Dean’s!office!determines!who!will!administer/assess!exam!and!scheduling!with!student.
4. Exam!is!administered,!assessed!and!petition!is!completed!a n d !fo rwarded!with!exam!to!Enrollment!Services.
Student Name _____________________________________________________________ SID# ____________________
Last First
Telephone Shoreline E-mail ________________________________
I am petitioning for credit during , and affirm I am enrolled for credit at Shoreline during this quarter.
Quarter/Year
I have reviewed the information provided regarding prior learning assessment, specifically course challenges, as stated in Policy 5164 and its
Procedures:
Student Signature: _____________________________________________________ Date: __________________________
Course
ID
Course Title
Credits
Faculty or Assessor Name
Approval Course Challenge
Is Available Signature
Date
Student pays associated, nonrefundable fee(s) at Cashier. Proof of payment will be recorded on the petition. Student takes petition to
division dean’s office, where a copy will be retained and another forwarded to the faculty or staff assessor.
Course Challenge Exam Fee $200/course
Attach Cashier Receipt
Fee Code ET _ $ 200.00
FEE PAYMENT To be completed by Cashier- Cashier initials (attach copy of receipt) Date
PRINT DIVISON DEAN NAME SIGNATURE DATE
Faculty or Assessor Name
Faculty/Assessor Signature
Date
Enrollment Services notifies student via their Shoreline email after transcription of credit has been completed.
PRINT DIRECTOR, ENROLLMENT & FINANCIAL AID SERVICES/Registrar NAME SIGNATURE
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Course-Challenge-Petition Course Challenge Petition draft 1.1

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Completed 6 December 2019

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