Fillable Minnesota State University Credit for Prior Learning Application

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Minnesota State University Credit for Prior Learning Application

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The Minnesota State University Credit for Prior Learning Application form is 2 pages long and contains:

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File type: PDF

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Credit for Prior Learning Application
Section One
(Completed by student)
Credit for prior learning is credit granted to a student by MSUM for learning that has taken place prior to admission to MSUM.
Typically, this learning takes place because of job or volunteer experience. Credit is granted when sufficient documentation of
this learning is presented and evaluated as college level learning. Students who have been admitted to a degree program at
MSUM and completed a minimum of 16 graded credits with a GPA of 2.0 or better (satisfactory academic standing) are eligible to
apply. Credit for prior learning is not granted for graduate credits.
Students who wish to obtain credit for prior learning should make an appointment with the faculty evaluator (who evaluates the
subject matter the student wishes to pursue credit for) and bring preliminary, or sample, validation to that meeting. This
validation is evidence of learning that is not in the form of a finished portfolio and therefore can be completed more quickly but
yet enough for the faculty evaluator to determine the credit a student is eligible to earn.
Name (Last, First, Middle)
Dragon ID/Star ID Email Phone
Student Signature Date
*Student will be responsible for completing this section and bringing form to faculty evaluator to complete section two.
Section Two (Completed by Faculty Evaluator)
Faculty Evaluator Office Phone Number Email
Department Course Rubric/Course # Credits
Faculty Evaluator Signature Date
*After obtaining verification and signature, student will be responsible for bringing form to Registrar’s Office.
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Contact Information:
Minnesota State University Moorhead
Registrar’s Office | Owens Hall 210
1104 7
th
Ave S
Moorhead MN 56563
Phone: 218.477.2565
Fax: 218.477.2941
Email: Registrar@mnstate.edu
Minnesota State University is an equal opportunity educator & employer and is a member of the Minnesota State System.
Section Three
(Completed by Registrar)
Eligibility Verified (16 credits earned with a 2.0 GPA)
Registrar Staff Signature Date
*After obtaining verification and signature, student will be responsible for bringing form and payment to Business Services Office.
Section Five
(Completed by Faculty Evaluator)
Evaluation
As Faculty Evaluator, I approve an award of:
Credits (enter #) _________
No credit awarded ________
Faculty Evaluator’s Signature
: _________________________________________________Date: __________________________________
*Faculty Evaluator will be responsible for sending form to department chair and dean for signatures.
Section Six (Approval Signatures)
Department Chair Signature: _____________________________________________Date:_______________________________
Dean Signature: _______________________________________________________ Date:_______________________________
*After obtaining signatures, the Dean will forward to the Registrar’s Office.
Section Four (Completed by Business Services Office)
A $35.00 fee per credit is required. You may pay by check or credit card. Make checks payable to Minnesota State University Moorhead
Business Services Staff Signature or Stamp Date
*After obtaining signature and making payment, student will be responsible for bringing form to Faculty Evaluator.
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Minnesota State University Credit for Prior Learning Application

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Completed 14 April 2020

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