Fillable Office of Records and Registration Request for Credit (Adirondack Community College)

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Office of Records and Registration Request for Credit (Adirondack Community College)

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The Office of Records and Registration Request for Credit (Adirondack Community College) form is 1 page long and contains:

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  • 11 check-boxes
  • 20 other fields

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File type: PDF

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Office of Records and Registration
640 Bay Road, Queensbury, NY 12804-1445
CALL: 518.743.2279 | FAX: 518.832.7601 | EMAIL: registrar@sunyacc.edu
Request for Credit by Examination
The College may provide examinations for current students if no appropriate tests are commercially available. Only students who have
registered for course challenge examinations in the Office of the Registrar are eligible for the awarding of credit. Examinations must be
approved by the appropriate Division Chair. No exam may be taken for a course at a lower level if credit has been earned in a higher-
level course. Credit awarded through examination is not considered residence credit and will not automatically transfer to another college.
This policy can be reviewed in the SUNY Adirondack College Catalog at; http://catalog.sunyacc.edu/admissions/advancedstanding.
1. Part 1 shall be filled out by the student and submitted to the appropriate Division Chair for review and approval.
2. Once approved, the Division Chair will forward Part 2 to the Instructor. If denied, Division Chairs submit to Registrar’s Office.
3. The Instructor shall submit the completed form to the Registrar’s Office for processing.
Part 1: Student Request
Semester: ❑ Summer ❑ Fall ❑ Winter ❑ Spring Year: _________
Student Name: __________________________________________________ Banner ID: _________________________________
Subject, Course Number and Title (example: ENG 101 Introduction to College Writing)
Credits
Student Request Justification:
I consider myself qualified to take an examination in this course for the following reasons:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Student Signature (required): _____________________________________________________ Date: _________________________
☐ Sent via SUNY Adirondack wolfmail account
Part 2: Division Chairperson Use Only
☐ Approved The examination will be prepared, administered and evaluated by: ________________________________________
☐ Denied
Reason for denial: __________________________________________________________________________________________
__________________________________________________________________________________________________
Division Chairperson Signature (required): __________________________________________ Date: _________________________
☐ Sent via SUNY Adirondack email account
Part 3: Instructor Use Only
☐ Satisfactory demonstration of the required course competency on ______________
☐ Unsatisfactory demonstration of the required course competency on _____________
Instructor Signature (required): ___________________________________________________ Date:
_________________________
☐ Sent via SUNY Adirondack email account
For Registrar’s Office Use Only: Initials: ___________ Date processed: __________ Form Updated: 6/2/2020
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Office of Records and Registration Request for Credit (Adirondack Community College)

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Completed 20 September 2020

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