Credit Recommendation Evaluation Form

PLA Credit Sought:
Note: If you are a veteran or active military or a dependent/spouse, most fees are waived-please inform the PLA Coordinator of status.

Please print, sign and forward this form to the PLA Coordinator.

To Be Completed by the Awarding Department/College/Division:

To be completed by the PLA Coordinator or a Member of the PLA Committee:
*PLA Coordinator or designee sends form to the Records Office (copy is maintained in the student's academic file and by the PLA Coordinator)