Professional/Technical Academic Exceptions Form Submit to Admissions, Registration, Records and Credentials (ARRC)

Student Name: Jeffrey Berleue NSCC Student ID #: ____985-81-7686_______________

AAS Degree Program Code/Catalog Year of Audit: _654D 2010-11__________Program Title: __BMET____________________

Certificate Program Code/Catalog Year of Audit: ________________________ (List as many EPC's and Audit Years as pertains to the below information. Example: 275B/0405, 275F/0506, etc.)

The following pertains to the above identified certificate and/or degree program: Approvals:

Credit Type(WV, SB, NA, CC, WE*, CE**) Listed on back of form

NSCC Required Course

NSCC Credit for Required Course

Course meeting requirement, if applicable

Credits awarded

College, if applicable(Transcript must be on file.)

Advisor Submittedby, if applicable

DateSubmitted

FacultyCoordinatorApproval signature

DeanApproval signature, if applicable

Date of Final Approval

SB CSC 110 EET 136 2 -17 -11 wilkinsonSB EET 170 EET 298 B013SB EET 251 IT 122SB EET 252SBSBSBSBSB SBSB

Notes Pertaining to the Above Information

I give permission for my transcripts from other colleges to be evaluated for use in this degree/certificate: ______________________________________

*Work Experience (WE) – $39.06 per course (fee pay code EX) **Credit by Exam (CE) – $66.85 per credit (fee pay code ET)Payment must be made and stamped by Cashier on the Work Experience/Credit by Exam form before submitting this form with WE or CE to ARRC

North Seattle Community College does not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, age, marital status or disability. For more information including accommodations for people with disabilities, call 206.527.3697

Instructions for Professional/Technical Academic Exceptions

COURSE WAIVER (WV), SUBSTITUTION (SB), NATIONALLY ACCREDITED POST-SECONDARY INSTITUTIONS (NA) & CERTIFICATES OF COMPLETION (CC)1. The student fills out the Academic Exceptions form with Faculty Coordinator. 2. All supporting documentation is attached to Academic Exceptions form and turned in to ARRC by the faculty coordinator.3. Courses from other colleges being substituted cannot be processed until official transcripts have arrived at ARRC. 4. Courses from NSCC being substituted cannot be processed until those courses have been successfully completed.

WORK EXPERIENCE (WE) – fee pay code EX 1. The student fills out the Academic Exceptions form and the Work Experience/Credit by Exam Payment form with Faculty Coordinator.2. The student pays $39.06 per course at the Cashier’s Office. 3. The Cashier stamps the Work Experience/Credit by Exam Payment form “PAID” and the student returns it to the faculty coordinator to be submitted

with the rest of the packet.4. All supporting documentation is attached to the Academic Exceptions form and turned in to ARRC by the faculty coordinator. 5. A maximum of 25% of the required credits in any program of study may come from Work Experience.

CREDIT BY EXAM (CE) – fee pay code ET (Student must have completed a minimum of 9 residence credits with a quarterly GPA of “2.0” or higher.)If you are petitioning for Credit by Exam for ENG 101 or 102, please see the English Coordinator in the Humanities division for special instructions. All others please follow the instructions below:1. The student checks with the appropriate division to determine if an exam is available for the course.2. If an exam exists, the appropriate division will set up an exam time and notify the student. The student & Faculty Coordinator fill out the Academic

Exceptions form.3. The student pays the $66.85 per credit charge at the Cashier’s Office. The $66.85 per credit charge is in addition to tuition and fees paid for all other

regular college enrollment.4. The Cashier stamps the Work Experience/Credit by Exam form “PAID”.5. Students petitioning for ENG 101 or 102 return the form to the Testing Office to where the exam is taken. All others return the form to the division

facilitating the exam.6. Exam is graded and credit values assessed by the individual division or department.7. Instructor/Dean completes the Academic Exceptions form (Dean’s signature required) and forwards that and the stamped Work Experience/Credit

by Exam form to ARRC.8. A maximum of 25% of the required credits in any program of study may come from Credit by Exam.

NOTE: WE, CE, NA, or CC credit is NOT considered residence credit. Courses substituted from another college also will not be considered

residence credit. Students must successfully complete one quarter at NSCC before any academic exception requests can be processed.

Faculty Coordinators will submit the form directly to the ARRC office. A separate form (Work Experience/Credit by Exam Payment form) will be given to the student to take to the Cashier for Work Experience and Credit by Exam.