CTU: PRIOR LEARNING ASSESSMENT

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Conservative Theological University

PRIOR LEARNING ASSESSMENT
APPLICATION

(Application for Experiential Learning Assessment)

Please evaluate my training, experience, and educational program as presented here. I would like to have as accurate an estimate as is possible of the credit I can anticipate and of the work still to be done to satisfy requirements for a __________________ degree. I understand that this is tentative and unofficial, that firm commitments regarding credit and requirements can be made only after a process of validation of past learning and the development of a specific degree plan. I further understand that I must be at least 25 years old and to have a minimum of 5 years active professional or ministerial experience to qualify for the PLA.

(Please print or type)

Name ______________________________________________________ SS# __________-_______-___________

Address _____________________________________________________ E-Mail ___________________________

City_____________________________ State__________ Zip Code______________ Tel. #( ) _______________

Signature___________________________________ Date________________ Degree Program:___________________

This request is to be accompanied by the Application Fee of $45.00.

NOTE: Application will not be processed without the required fee.

1. FORMAL EDUCATION

A. Secondary Education (Check appropriate spaces.)
- High school Graduate?      Yes (   )      No (   )        Year: _______________________
  Where? ________________________________________________________________
- Certified for high school equivalence?    Yes (   )      No (   )     Year:_______________
  Where? ________________________________________________________________
- Graduate of an educational system outside of the U.S.?     Yes (   )     No (   )
   Where? ________________________________________________________________

B. Work completed in degree-granting institutions (colleges, universities, community and junior colleges) transcripts should be provided. List any degree conferred giving name of institution and date. _____________________________________________

_______________________________________________________________________________________________________

LIST DEGREE-GRANTING INSTITUTIONS ATTENDED.

Name of institution	Date attended	Number of courses (or hours) completed

(Use separate sheet if more space is needed.)

C. Seminary, professional, and vocational schools.

Name of institution	Nature of program	Dates

(Use separate sheet if more space is needed.)

D. Ministry training programs.

Program	Area of instruction	Hours of training

II. SPECIAL SKILL ACQUIRED OUTSIDE INSTITUTIONAL INSTRUCTION

A. Use of languages other than English (Language, level of competence, how acquired).

B. Research techniques

C. Applied arts ____________________________________________________________________________________________________________

D. Other _________________________________________________________________________________________________________________

III. OCCUPATIONAL CAREER AND ASSOCIATED LEARNING

A. Military Service

Dates ______________________________________________________________ Highest Rank _______________________

Special Training _______________________________________________________________________________________________

B. Concise ministry record (most recent, first).

Place of Ministry	Title	Dates

(Use separate sheet if more space is needed.)

C. Knowledge and skill. On a separate sheet describe concisely the important knowledge and skill you have acquired in connection with your occupation, ministry or profession.

IV. EXPERIENTIAL LEARNING

A. Travel and cross-cultural experience.
    On a separate sheet describe any extended experience you have and with another culture. Indicate elements in this     experience which were of special education value.
B. Systematic study.
    Describe concisely any extended program of study, private or in volunteer groups, in which you have engaged. Indicate     primary educational value, (use additional sheets, do not write, must be typed).
C. Creative Productivity.
    Describe concisely any written productivity in which you have been engaged. List fiction, poetry, or articles you have written.     (type on separate sheets.)
D. Community Service.
    Describe concisely any services which you have performed which require special knowledge of psychology, sociology, or     management. (type on separate sheet.)

V. GENERAL OBSERVATIONS
If you wish, you may write on a separate sheet any special competence which you have acquired which you think should be considered in determining your entitlement to any advance academic credits toward a degree program.

VI. GENERAL PROCEDURE

Upon approval of the PLA application, the following procedures will be activated.

1. A letter of approval and authorization to commence with the production of a prior learning assessment portfolio will be sent.
2. The prior learning assessment portfolio production syllabus will be mailed, this gives detailed instructions for the preparation and production.
3. You will be have a time limit of 120 days to complete the PLA portfolio. (Time starts on the date mailed from CTU offices.)
4. You will be billed at the current tuition rate for any academic credit hours granted on the PLA, (invoice to be paid upon receipt).
5. PLA tuition credits not paid within 30 days will be voided and not transcripted on the students official internal academic transcript.
6. Conservative Theological University will grant a maximum of 18 academic credit hours on the PLA Production Portfolio.

VII. INSTRUCTIONS

Upon completion of application, submit to:

Conservative Theological University
Admissions Department
12021 Old St. Augustine Road
Jacksonville FL 32258

Your application will be reviewed by the administration and notification of status will be sent within 30 days of the request and application date received by CTU.