Credit by Credential Form
Policy 5.1.2
1247 Jimmie Kerr Rd, P.O Box 8000. Graham, NC 27253
336-506-4270
Student ID:
ID #
Name:
First Name
Last Name
Program of Study & Year:
Ex: Mathematics 2024
Semester
Please Select
Fall
Summer
Spring
Subject:
Subject
Course Number:
#
Subject:
Subject
Course Number:
#
Please Explain below how the learning outcomes of the current, Industry-Earned credential aligns with the learning outcomes of the course above
Supporting Documentation:
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Requestor Name:
*
First Name
Last Name
Department Head Email:
*
Academic Dean Email:
*
VP of Student Learning Email:
*
Completed on spreadsheet Prior to submitting form?
Yes
Registrar's Office Submitted:
Submitted
Submit
Should be Empty: