Certification Credit

Student Name
Student Number
Major

Date:

After careful evaluation of this request for credit by examination, we are recommending to the ASU Registrar that credit be granted for the following courses:

Course Number and Title	Examination Passed

These credit hours are to be posted upon payment of a nonrefundable fee of $20 per semester hour credited. Credit earned by examination will not affect the student's GPA.

Fee	Receipt/Approval
Fee Due: $	Chair, CIT Department
Fee Paid: $	Dean, College of Business

Instructions:

CIT Department chair is to complete this form, along with a Cash Transmittal Report (CTR) using the account numbers of 14002-252302-512312-0000.
This evaluation form is to be signed and dated by the CoB Dean, and copies are to be kept on file in the CoB Student Services Center and in the CIT Department office.
The CTR and the student's check are to be taken to the Cashier's Window, and the receipt is to be filed by the CIT Department secretary.
The original of this evaluation form is to be submitted to the Registrar's Office.

	Computer & Information Technology Department - ASU College of Business Business Building Room 204 • 2007 Aggie Road • P.O. Box 130 State University, Arkansas 72467 Voice 870.972.3416 • FAX 870.972.3417
©2004 ASU Department of Computer & Information Technology