Fillable Prior Learning Course Application IPL 305/501 (University of Illinois at Springfield)

Fill Online, Printable, Fillable, Blank Prior Learning Course Application IPL 305/501 (University of Illinois at Springfield) Form

Use Fill to complete blank online UNIVERSITY OF ILLINOIS AT SPRINGFIELD pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Prior Learning Course Application IPL 305/501 (University of Illinois at Springfield)

On average this form takes 9 minutes to complete

The Prior Learning Course Application IPL 305/501 (University of Illinois at Springfield) form is 2 pages long and contains:

  • 2 signatures
  • 3 check-boxes
  • 27 other fields

Country of origin: US
File type: PDF

U.S.A. forms for University of Illinois at Springfield

BROWSE UNIVERSITY OF ILLINOIS AT SPRINGFIELD FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
University of Illinois Springfield
Internships and Prior Learning Services IPL
One University Plaza MS BRK 482 • Springfield, IL 62703-5407 5.16
217-206-6640 • Fax: 217-206-7415
ipl@uis.edu • www.uis.edu/ipl/
Prior Learning Course Application – IPL 305/501
1. The student should complete this form AFTER speaking to his/her academic
advisor.
2. Once completed, the student should obtain departmental approval on page 2.
3. Submit the completed form to IPL in Brookens 482 or ipl@uis.edu; upon
approval, the student will receive an email regarding course approval to
register for the prior learning course, IPL 305 or IPL 501 (graduate credit).
Course Registration for (Semester/Year): ☐ Spring 20____ ☐ Summer 20____ ☐ Fall 20____
STUDENT INFORMATION
Student Name: _______________________________ University ID Number: _______________________________
Phone: _______________________________ UIS Email Address: _______________________________
Academic Program/Major: _________________________ Academic Advisor: _______________________________
Hours completed at UIS: _____________ Total hours completed: _____________
Are you a graduate student? ☐ Yes ☐ No Expected Graduation Date: ___________________________
How did you hear about the prior learning course/program? ___________________________________________________________
____________________________________________________________________________________________________________
Undergraduate students should enroll in 3 credits of IPL 305. If you are seeking more than 3 credits, consult with an IPL
Coordinator to determine the number of credits you may earn.
Graduate students should enroll in 4 credits of IPL 501.
How will you use this credit? (Consult with your advisor if needed.)
ECCE Engagement or ECCE Elective? Number of Credits ______
General Electives? Number of Credits ______
Other? __________________________________ Number of Credits ______
Is this your first prior learning portfolio*? ☐ Yes ☐ No
*If this is not your first portfolio, speak to an IPL Coordinator regarding the process for earning additional portfolio credit.
For IPL Office Use
DATE RECEIVED:
COURSE:
CRN:
APPROVAL:
IPL 305/501
If you have questions, please email Rachel Price at rpric3@uis.edu or call 217-206-6695.
1. Describe, in detail, the proposed prior learning experience you wish to receive credit for (e.g., professional training; certification;
volunteer work; military service; individual research; independent study; travel).
2. Briefly explain how you believe what you learned in this experience can be applied to situations outside of the setting in which you
learned it.
UIS DEPARTMENT/ADVISOR APPROVAL
The student must seek approval from a faculty member, academic advisor, or department chair in his/her department.
DEPARTMENT SIGNATURE
I agree that this student should complete the prior learning course for his/her degree progress.
Printed Name: _____________________________ Signature:____________________________________ Date:____________
STUDENT VERIFICATION
I verify that I have not received credit nor attempted to receive credit from the University of Illinois Springfield or any other
higher education institution on the basis of the work I will prepare for this portfolio.
Student Signature: ________________________________________________ Date:________________
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Prior Learning Course Application IPL 305501 (University of Illinois at Springfield)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 29 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document