Essay Petition Form 8 09 2

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Essay Petition Form 8 09 2 Powered By Docstoc
					                                                   Credit for Prior Learning
                                  ESSAY PETITION AND AUTHORIZATION FORM
                                    (Each essay requires a separate and complete form.)
PART I: STUDENT INFORMATION

Name:                                                                Student ID#:

Address:                                                            Program/Region:

                                                                     Phone #:

E-mail: ________________________@wolfmail.stritch.edu                ___Check to have authorization returned via wolfmail.

PART II: CREDIT PETITION INFORMATION



Parallel Course No. & Name                                                                    No. of Credits


University Catalog Used (Attach copy of title page and course description for non-Stritch courses.)

The following prior learning experience(s) qualify me to petition for credit on the above subject: ___________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Credits to be applied to:       Elective        Oral Comm            Humanities         Social Science         Natural Science

                                Additional Liberal Arts          Other (specify):

The following references will support and validate my essay:
                        Title                      Edition                          Author                     Publication Date
 1.
 2.
 3.
 4.

PART III: AUTHORIZATION/SIGNATURES
                             Approved (Y/N)           Name Printed                   Signature                       Date
 1. Student Petitioner              Y
 2. Academic Counselor
    *Mail to Credit for Prior Learning Office (address below) for remaining signatures.
 3. Director of CPL
 4. Faculty Evaluator
INSTRUCTIONS FOR PART III
1. Mail the completed form to Credit for Prior Learning, Box 94A, 6801 N. Yates Rd, Cardinal Stritch University, Milwaukee, WI
   53217.
2. When all authorizations have been granted or denied, a copy will be returned to you by mail or e-mail as indicated.
3. A copy of this authorization should accompany your final essay submission.
4. The assessment fee of $75.00, if applicable, is to be mailed at the time the essay is submitted.
5. Materials will be forwarded to the faculty evaluator for assessment and results mailed to you.

				
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posted:9/14/2012
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