Prior Learning Credit Request Form

Pre-Approved Prior Learning Request Form

Did you find your experience listed on our webpage?

Yes

No

This form is for those Prior Learning Experiences found on our pre-approved lists found on our Webpage
If you did not find your experiences listed, this is not the correct form. For Prior Learning Experiences that are NOT found on our lists, you must fill out this form instead.

Personal Information

Email Address

First Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Please indicate your current student status:

I just applied.

I am a current student.

RWU ID#

Types of Pre-Approved Prior Learning

You request as many as three (3) reviews per form. After you receive a determination of your initial requests, you may complete the form again for additional requests for PLA.

What is the name of the Certificate?

Upload your approved Certificate/License here in pdf format.

Do you have a second pre-approved Prior Learning experience?

Yes

No

What is the name of the License?

Upload your pre-approved License here in pdf format.

Do you have second pre-approved Prior Learning experience?

Yes

No

Name of Training or Workshop

Upload your approved Training/Workshop Materials here in pdf format.

Do you have a second pre-approved Prior Learning experience?

Yes

No

What is the name of the FEMA training?

Upload your FEMA Certificates of Completion here in pdf format.

Do you have a second pre-approved Prior Learning experience?

Yes

No

What is the make of the Pre-Approved Course?

Please upload proof of successful completion of your approved Non-Credit Class in a pdf format.

Do you have a second pre-approved Prior Learning experience?

Yes

No

What is the name of the ACE/NCCRS Credential?

Upload your approved ACE/NCCRS credential here in pdf format.

Do you have a second pre-approved Prior Learning experience?

Yes

No

What is the name of the Certificate?

Upload your pre-approved License here in pdf format.