Wufoo

Students Name: * First Last
NECC ID: *
Course #: *
Course Title: *
Credits: *
Choose one: *
APPROVAL NON-APROVAL
Academic Reviewer *

Academic Grade Report: Academic review of the credentials submitted indicates educational equivalency as follows and recommends transfer credit be awarded accordingly with a grade of Pass (P).
Date * MM / DD / YYYY
The Credential/Certificate Submitted:
Has the credential/certificate obtained included successful completion of an examination? If yes, are you familiar with the content of the examination?

Faculty Evaluator: As the evaluator, you are deemed to be an expert in the field of study which the candidate has requested credit. Please provide a synopsis of how you determined that the candidate is entiteld to credit for the credential review.
Please briefly explain how the examination reflects the course content for which the student is attempting to obtain credit: *
Candidate Interview: Have you interviewed the candidate as part of the evaluation process? *
Yes No
Please briefly explain how you conducted your interview: *
Supporting Evidence: Did the candidate provide you with any additional documentary evidence of their knowledge and understanding of the course materials to support the request? *
Yes No
Please briefly explain how this evidence led you to conclude that this student is entitled to the credits: *
Additional Comments:
Non-Approval: Academic Review of the credential found that they did not prove educational equivalency for the following reasons:
The program was found to be below standards of college-level learning at NECC The program has been found to be outside the scope of the program of study Insufficient information supplied for evaluation
Faculty Evaluator Electronic Authorized Signature: *
Date * MM / DD / YYYY
Do Not Fill This Out