TEST OUT
Students who feel that they have gained knowledge and/or experience parallel to a particular course and are
currently enrolled in a program leading to a diploma or degree are eligible to apply for Test Out. A student may
not test out of a course which appears on the student’s record.
If a student intends to challenge a course that they are registered for, the Test Out process must be completed
and the form submitted to the registrar’s office within the first five days of the semester. Credits earned through
test out may not transfer to other institutions.
Last Name
First Name
MI
Star ID/Student ID
Date of Request
Program/Major/Degree
Telephone Number
Section I Registrars office verifies student is currently enrolled at NCTC and in good academic standing.
_________________________________________
Registrar’s Office Signature Date
Section II I, the instructor, agree to administer an examination for credit for the following course:
Course Number
Course Title
Credits
LEC / LAB / OJT
/ /
_____________________________________
Instructor Signature Date
Section III Student brings form to the bookstore or business office for payment. TOTAL = $ _____________
_____________________________________ _________________________________________
Student Signature Date Bookstore Signature Date
Section IV Instructor completes and submits to the registrar’s office.
_____________________________________ _________________ _______________________
Instructor Signature Date Date of Examination Grade (Credit or No Credit)
Section V Registrar’s office records credit and routes to academic affairs.
Credit Recorded: _____Yes _____No _________________________________________
Registrar’s Office Signature Date
Section VI Supervising Dean signs off and routes to Lori Johnson for payment to instructor.
_________________________________________
Supervising Deans Signature Date
1/14/20 bgh
Northland Community and Technical College is an affirmative action, equal opportunity employer and educator.
This document is available in alternative formats to individuals with disabilities, consumers with hearing or speech disabilities may contact us via their preferred
Telecommunications Relay Service by dialing 711 (toll-free nationwide).
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