Fillable Non Institutional Credit Form (Liberty University)

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Non Institutional Credit Form (Liberty University)

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The Non Institutional Credit Form (Liberty University) form is 4 pages long and contains:

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NON-INSTITUTIONAL CREDIT
Submit this form to have your course considered for transfer credit.
Please submit a separate form for each course under consideration.
Student Name: Student ID #:
Parent/Guardian Name: Academic Year:
Official Course Title: LUOA Course to Replace:
What type of course will this be?
Accredited School (Provide name in course title field)
Homeschool - Recorded as Pass/Fail
Course Duration:
Semester (1/2 credit = 75 hrs instruction)
Full Year (1 credit = 150 hrs instruction)
Instructional
Hours:
Total Hours: Start Date:
End Date:
Documents Required Prior to Approval:(see end of form for adding information)
Course Description
Scope and Sequence (Detailed sequence of content covered)
Curriculum or Textbook Used (Include ISBN or URL)
Planned Method of Evaluation (List of tests, quizzes, labs, performances, etc.)
Documents Required Upon Course Completion:
Sample Submissions from Planned Method of Evaluation (5 for 1/2 credit, 10 for 1 credit)
Log of Instructional Hours (To include date and duration of each session)
Transcript from Institution including Final Grade
Withdrawal:
Once approved, this course may not be dropped without prior approval from an
Academic Advisor.
PARENTAL USE
Please sign this form by typing your
name and date in the space provided to
signify that all information is accurate:
Parent/Guardian Signature: Date:
TO BE COMPLETED BY THE PARENT FOLLOWING COURSE CONCLUSION
Please Note: All required documents must be submitted and approved upon course conclusion in
order to receive credit.
Grading Scale: A = 90%-100% B = 80%-89% C = 70%-79% D = 60%-69% F = 0%-59%
Final Letter Grade: Parent/Guardian Signature: Date:
FOR OFFICIAL LUOA USE ONLY
INITIAL APPROVAL
Request for Approval:
Approved
Denied
As Appears on Transcript:
Transfer Credit
LUOA
Credit
For Number of Credits:
Comments/Notes:
Chair Signature: Date:
FINAL APPROVAL
Credit Approval:
Approved
Denied
Comments/Notes:
Chair Signature: Date:
Documents Required Prior to Approval:
Course description: (please include a complete description of the course material - can be copied
from websites or from the curriculum provider) Also include textbook or curriculum (ISBN or URL)
Planned Method of Evaluation: (provide list of comprehensive exams, project, lab reports or papers
the student will complete during the course - be sure to save examples as you will need to provide
these to receive LUOA credit at the end of the term)
Scope and Sequence: (can be provided in a separate Word or pdf document - this should include a
list of topics and method of assessment)
Appeal Rationale
Parent/Guardian Appeal
Appeal Denied
Appeal Granted
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Non Institutional Credit Form (Liberty University)

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Completed 22 July 2020

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