Fillable VALLEY COLLEGE YAKIMA Placement Reciprocity Request Form Office (Yakima Valley Community College)

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VALLEY COLLEGE YAKIMA Placement Reciprocity Request Form Office (Yakima Valley Community College)

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YAKIMA
VALLEY
\ /
COLLEGE
Placement Reciprocity Request Form
Office of Enrollment Services
Yakima Valley College
Please print clearly
Last Name
First Name, Middle Initial
Student ID Number
Email Address
The purpose of this form is to request equivalent placement into pre-college and college-level courses based on a
student’s previous placement at another Washington State Community or Technical College. The following conditions
must be met for the placement assessment to be considered:
1. The placement recommendation was at a Washington State Community of Technical College.
2. The placement recommendation must have been made within the last 12 months.
3. If credit was granted for a course, then placement will be based on that course. The student must provide an
official college transcript.
4. If placement was based on a test score, the student must provide an official copy of the document that provides
specific placement recommendation information from the sending institution (Example: Compass Score Report
or Accuplacer). Test scores should be sent in a sealed envelope from the college or faxed from the college to
YVC.
The student must complete this form prior to registering for classes. Return the completed form and all supporting
documentation to:
Registrar and Director of Enrollment Services
Enrollment Services Office
Yakima Valley College
(509) 574-4702
Please print clearly
Washington State Community/Technical College
Test Date
I am requesting placement test reciprocity for my test scores from the Washington State Community/Technical College
listed above. I understand that it is my responsibility to meet the requirements of this agreement, which include; (a)
providing placement data, (b) testing placement information, and (c) unofficial transcripts from the previous Washington
State Community/Technical College. I also understand that the placement recommendation must have been made in the
last 12 months. I also acknowledge that if credit was granted for a course, then placement will be based on that course
and I must submit an official college transcript.
Student Signature
Date
Yakima Valley College does not discriminate against any person on the basis of race, color, national origin, disability,
sex, genetic information, or age in admission, treatment, or participation in its programs, services and activities, or in
employment. All inquiries regarding compliance should be directed to the Director of Human Resource Services, YVC,
South 16th Ave. & Nob Hill Blvd., Yakima, WA 98902; or call 509.574.4670.
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VALLEY COLLEGE YAKIMA Placement Reciprocity Request Form Office (Yakima Valley Community College)

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Completed 27 July 2020

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