Fillable Credit By Examination Request (Modesto Junior College)

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Credit By Examination Request (Modesto Junior College)

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BROWSE MODESTO JUNIOR COLLEGE FORMS

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MJC Enrollment Services Phone (209)575-6853
EAST 435 College Avenue, Student Services Bldg. 1st Floor WEST 2201 Blue Gum Ave, Yosemite Hall 1st Floor
Credit By Examination Request
A student may request for credit by examination provided the student has evidence of training and/or
experience in that subject area. Contact the appropriate Division Dean for a list of courses that may be
challenged by examination. Should the request be approved, the grade will become part of the student’s
permanent record. The record will be clearly annotated to reect that the credit was earned by examination.
In order to challenge a course for credit by examination, a student must be in good standing as evidenced by:
1. Registration in other MJC credit course(s) at the time course is challenged.
2. A cumulative grade point average (GPA) of 2.0 or better for any previous college units earned.
Credit by examination will NOT be granted for a course:
3. If the units granted would cause the student to have completed more than 30 units of credit by
examination.
4. In which a student is currently enrolled.
5. In which a student has received a grade or a “W”.
6. In which a student has received AP credit.
7. That is below the student’s academic level or below course completed.
The student should confer with the Division Dean of the course subject area for procedures and standards
for ling a Credit by Examination request. A student who wishes to le for P/NP option must submit his/
her request at the time the Credit by Examination form is led. Units earned by examination do not count
toward the residence requirement nor do they count toward full-time status.
Requests must be led no later than seven weeks before the end of the semester. The current per unit
fee(s) will be charged for each course challenged. It is the students responsibility to check on the progress of
this request. (Note: A waiver of fee(s) may be granted based on Financial Aid Oce criteria.)
STEPS TO COMPLETE CREDIT BY EXAMINATION FORM:
1. Student requests and completes the STUDENT portion of the form. Enrollment Services completes the
eligibility section of the form.
2. If approved, student takes the form to the appropriate division to complete the DIVISION DEAN portion
of the form. Requires Dean’s signature.
3. Student takes the completed form with the appropriate signatures to the Business Services Oce for
payment OR to the Financial Aid Oce for Fee Waiver verication.
4. Student schedules examination with Division’s Examiner. Examiner will complete REPORT OF
EXAMINATION section and issue grade. Requires Dean’s signature.
5. Division Oce submits completed form to the Enrollment Services Oce for nal processing.
09/13/16_BC
Credit By Examination
Submit completed form in-person to Enrollment Services.
To be completed & signed by the STUDENT:
Today’s Date: Student ID: w Phone:
First Name: Middle Initial: Last Name:
A. I REQUEST THE PRIVILEGE OF TAKING AN EXAMINATION FOR CREDIT IN:
Course Name & Section Number: Course Units: Semester/ Year:
Course Title:
B. I submit the following details concerning my previous training and experience in the eld (List names and places of rms, dates of service,
nature of work, or courses taken. You may also attached a typed statement, if more room is needed.)
Student Signature: Date:
To be completed & signed by the ENROLLMENT SERVICES OFFICE:
Yes, student satises eligibility criteria #1-7 listed on page one and is permitted to take a Credit by Examination, if approved by Division Dean.
No, student does not meet one or more of criteria listed on page one. Missing criteria # .
Enrollment Services Sta Signature: Date:
To be completed & signed by the DIVISION DEAN’S OFFICE:
Approved: Denied: Reason (If Denied):
Division Dean Signature: Date:
To be completed by the BUSINESS SERVICES OR FINANCIAL AID OFFICE:
Business Oce -MEXMG-Fee Paid: Date: Sta Initials:
Financial Aid - Waiver Status: Date: Sta Initials:
REPORT OF EXAMINATION to be completed by the DIVISION DEAN’S OFFICE:
Course Name & Number: Course Title: Units:
Examination completed on and a grade of was received and should be recorded on his/her permanent record.
Examiner’s Signature: Date:
Division Dean Signature: Date:
AFTER ALL SIGNATURES HAVE BEEN OBTAINED, ALL FEES HAVE BEEN PAID, & EXAMINATION HAS BEEN COMPLETED,
DIVISION OFFICE MUST RETURN THIS FORM TO THE ENROLLMENT SERVICES OFFICE FOR FINAL PROCESSING.
Enrollment Services Sta Signature: Date Posted:
09/13/16_BC
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Credit By Examination Request (Modesto Junior College)

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Completed 4 September 2020

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