Credit Award Form

CCRI Student Name: Community College of Rhode Island ID#: Term Credit Awarded: If no term is indicated, term will be designated by Dean’s approval date Credit Award Form Please check the appropriate box  Challenge Credit  Correctional Officers Training  Military Credit CHLG EXPP MTRA $10.00 per credit posting fee $25.00 posting fee $25.00 posting fee/no posting fee  CLEP Credit/ DANTES Credit  Experiential/Portfolio Credit  Municipal Police Training Credit CLEP EXPP MPTF no posting fee $10.00 per credit posting fee $25.00 posting fee  College Board/ Advance Placement  High School Articulation Credit  Standardized Credit Award EXPC HSAR ADSA no posting fee no posting fee $25.00 posting fee

Course Instructors Credit Subj/Course Course Title Grade Credit Initials Awarded

Total Number of Credits

   Student Signature Date       Review Instructor /Department Chairperson Date         Dean of Business, Science and Technology Date     Office of Enrollment Services Date

Bursar’s Office Total Fee paid: $______

Method of Payment: Cash______Check______Charge______Money Order______

Credit Card Number______Exp Date______*Visa/ MasterCard/Discover

Signature/authorized credit card payment



Enrollment Services Office Posted in Banner: Initials ______Date ______

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