Prior Learning Assessment (PLA) Request Form

Prior Learning Assessment Request Form

"*" indicates required fields

Date*

Name*

First Last

Email*

Add the email where you would like to receive a response.

Enter Email Confirm Email

Anticipated Graduation Date*

(i.e., May 2021)

Course Code and Name (if known)*

(i.e., BI 101 Old Testament Survey)

Requested Semester/Term (include the year)*

Reason for Requesting Prior Learning Assessment*

Please include an overview of relevant experience.

Student Agreement*

I understand that a fee of $250 must be paid for each PLA before it will be evaluated.

I understand that PLA requests are not guaranteed to be approved.

I understand that I must be cleared by the Financial Department before my PLA is officially approved.