ALTERNATIVE AWARD OF CREDIT REQUEST FORM To request Alternative Award of Credit based upon licensure or certification, follow the directions below: 1. Complete this form and include the following documentation: a. Attach a copy of the appropriate Alternative Award of Credit Agreement (Visit valenciacc.edu/asdegrees/tec.cfm to print a copy of the Agreement.) b. Attach a copy of the designated License or Certificate 2. Bring the required documentation to the Dean’s academic department for verification and approval. 3. The Department Dean and/or Program Director will review the documentation and verify that you have met the required criteria for the credit to be awarded per the Agreement. 4. Once the Alternative Award of Credit has been approved, both the Department Dean and Program Director will sign the Alternative Credit Award Form, attach the required documentation, and forward it to the Graduation Office to be processed. Student Name: Major: Atlas Email:
VID#: Catalog Year: Daytime Phone: Please check the appropriate Award of Credit Agreement you are eligible for:
AS Degree and Certificate Program
Computer p Engineering g g Technology gy ((AS))
Computer Engineering Technology (AS) Computer Engineering Technology (AS) Computer Engineering Technology (AS) Computer Engineering Technology (AS) Computer Engineering Technology (AS) Cisco Network Associate (TC)
Cisco Network Associate (TC) Microcomputer Repairer/Installer (TC)
Microcomputer Repairer/Installer (TC) Microcomputer Repairer/Installer (TC) Microcomputer Repairer/Installer (TC) Microcomputer Repairer/Installer (TC) Microsoft Systems Engineer (TC)
Microsoft Systems Engineer (TC) Microsoft Systems Engineer (TC)
Certification
p (CCIE ( Routing/Switching) g g) Cisco Certified Internet Expert Cisco Certified Network Associate (CCNA) Cisco Certified Network Associate Security Cisco Certified Network Professional (CCNP) CompTIA A+ CompTIA Convergence+ CompTIA Network+ Microsoft Certified Desktop Support Technician (MCDST) Microsoft Certified IT Professional (MCIT) - Server Admin Microsoft Certified Systems Engineer (MCSE) - 2003 Cisco Certified Internet Expert (CCIE Routing/Switching) Cisco Certified Network Associate Security Cisco Certified Network Professional (CCNP) CompTIA Convergence+ CompTIA Network+ Cisco Certified Internet Expert (CCIE Routing/Switching) Cisco Certified Network Associate Security Cisco Certified Network Professional (CCNP) CompTIA A+ CompTIA Convergence+ CompTIA Network+ Microsoft Certified Desktop Support Technician (MCDST) Microsoft Certified IT Professional (MCIT) - Server Admin Cisco Certified Internet Expert (CCIE Routing/Switching) CompTIA Convergence+ CompTIA Network+ Cisco Certified Network Associate Security Microsoft Certified IT Professional (MCIT) - Server Admin Microsoft Certified Systems Engineer (MCSE) - 2003
State Code
CISCO018 CISCO004 CISCO011 CISCO005 COMPT001 COMPT003 COMPT006 MICRO006 MICRO034 MICRO013 CISCO018 CISCO011 CISCO005 COMPT003 COMPT006 CISCO018 CISCO011 CISCO005 COMPT001 COMPT003 COMPT006 MICRO006 MICRO034 CISCO018 COMPT003 COMPT006 CISCO011 MICRO034 MICRO013
Cr
10 15 15 14 6 7 3 3 6 3 7 7 4 3 3 3 3 6 6 3 3 3 3 3 3 3 3 6 3
Wireless/IP Communications Tech (TC)
Wireless/IP Communications Tech (TC) Wireless/IP Communications Tech (TC)
Cisco Certified Internet Expert (CCIE Routing/Switching) Cisco Certified Network Associate Security Cisco Certified Network Professional (CCNP) CompTIA Convergence+ CompTIA Network+ Microsoft Certified IT Professional (MCIT) - Server Admin
CISCO018 CISCO011 CISCO005 COMPT003 COMPT006 MICRO034
Identify the documentation you are attaching to verify you have met the criteria for alternative credit: Copy of
License
Copy of
Certificate/Certification
Student Signature
Date
Approval: Please award credits to the student for the licensure/certification. The student has provided the required documentation and completed the necessary course work as specified in the Award of Credit Agreement. Please list the state code if applicable: _________________________________________. Date: Program Director Signature Date: Dean Signature
6 3 3 6 3 3