Student Challenge Agreement

STUDENT CHALLENGE AGREEMENT

This Student Challenge Agreement (the Agreement) sets forth the terms by which the Student requests to demonstrate competency for course credit, placement, or exemption through an institutional challenge assessment. The Student agrees to the procedures, fees, standards, and consequences described below.

STUDENT INFORMATION

Student Name:    Student ID:

Student is a minor:    If checked, Parent/Guardian information must be provided below and the Parent/Guardian must sign in the Student signature line.

CHALLENGE REQUEST DETAILS

Credits requested:    Term/Session:    Proposed Assessment Date:

ELIGIBILITY AND PREREQUISITES

By checking each item the Student affirms eligibility and acknowledges the listed prerequisites for the challenge assessment:

Student is currently enrolled or in good standing with the institution.
Student has completed required prerequisites or demonstrated equivalent knowledge.
Student understands required fees are due as set forth below and may be non-refundable.
Student authorizes release of prior academic records necessary to evaluate eligibility.

ASSESSMENT FORMAT, STANDARDS, AND ACCOMMODATIONS

The challenge assessment will be administered according to institutional procedures. Format may include written examination, practical demonstration, portfolio review, or oral examination. Passing standard is determined by the department and will be communicated prior to assessment. Permitted materials and time limits will be specified at scheduling.

FEES, PAYMENT, AND SCHEDULING

Fee Amount:    Payment Due By:

Fees for challenge assessments are non-refundable except where the institution cancels the assessment. Failure to pay by the due date or failure to attend a scheduled assessment may result in automatic withdrawal of the challenge request and forfeiture of fees.

RESULTS, GRADING, AND RECORDS

If the Student meets the established standard, the Student will be granted credit as determined by the academic department. The form of credit (letter grade, pass/fail, or credit only) and any transcript notation will follow the department policy and will be communicated in writing. If the Student does not meet the standard, no credit will be awarded.

The Student hereby consents to release of assessment results to academic advisors and appropriate departmental staff for purposes of registration and transcript processing:

ACADEMIC INTEGRITY AND APPEALS

The Student must abide by the institution's academic integrity standards during the assessment. Any misconduct may result in a failing outcome for the challenge and additional disciplinary action. The Student may appeal the outcome in accordance with the institution's published appeal procedure; appeals must be filed in writing within the timeframe specified by the institution.

I acknowledge I have read and will comply with the academic integrity requirements:

LIABILITY, INDEMNITY, AND MISCELLANEOUS

The institution will make reasonable efforts to administer the assessment as scheduled. The Student agrees to indemnify and hold the institution harmless from claims arising from the Student's negligent or intentional acts in connection with the assessment. The institution is not liable for denial of credit resulting from failure to meet departmental standards or for administrative errors corrected in accordance with institutional recordkeeping policies.

STUDENT CERTIFICATION

By signing below, I certify that the information provided is true and complete to the best of my knowledge, that I meet eligibility requirements, and that I accept the terms, fees, and consequences set forth in this Agreement. I authorize the institution to evaluate my eligibility, administer the assessment, record results on my academic record, and to communicate results to my academic advisor and department as necessary.

Sign Now