Application for recognition of prior learning (rpl)

APPLICATION FOR RECOGNITION OF PRIOR LEARNING (RPL)

Please confirm that you have read the Student Guidelines on RPL before completing this form by ticking here

Student Name

Student ID

Correspondence Address

Telephone

Email

Programme Title/Code

Mode of Study

Full-time

Part-time

Distance Learning

Stage / Year

Stage

1

2

3

4

5

6

Year

1

2

3

Date of Application

DETAILS OF MODULES FOR WHICH EXEMPTION IS BEING REQUESTED:

Module Code	Credit Value	FHEQ Level	Module Title

FOR STUDENTS APPLYING FOR THE RECOGNITION OF PRIOR CERTIFICATED LEARNING

If you are claiming Recognition of Prior Certificated Learning (RPCL) for awards or qualifications already gained, please complete the section below and attach the original certificates or transcript.

To aid the consideration of your claim please also provide the following information/documentation:

• 
  details about syllabuses, assessment and which components of the award/qualification were successfully completed;
  
• 
  details of any credit awarded for your previous learning;
  

Title of award/ qualification	Grade(s) achieved	Name and address of awarding body	Where the learning was undertaken	Dates and duration of study	Mode of study (full time, part-time etc)	Credit Points & Level

Documentation is expected to be in English, so please provide a translation if necessary.

FOR STUDENTS APPLYING FOR THE RECOGNITION OF PRIOR EXPERIENTIAL LEARNING

If you are applying for Recognition of Prior Experiential Learning (RPEL), you must discuss the exact requirements/evidence base of your application with the Programme Leader/RPL Co-ordinator and agree documentation required and deadlines for submission.

In the first instance, applicants must complete the section below outlining:

• 
  courses against which the experiential learning might be counted;
  
• 
  an outline of the nature of the experience and its relevance to the University programme;
  
• 
  where the experiential learning took place;
  
• 
  when the learning took place.
  

Module Code and Title for which exemption is sought	Nature of experience and relevance to University module / programme	Where and when the learning was undertaken	Supporting evidence (to be discussed with programme leader/ RPL Coordinator prior to submission)

PLEASE ADD ANY ADDITIONAL INFORMATION IN SUPPORT OF YOUR CLAIM BELOW





STUDENT DECLARATION
Please tick below to confirm that:
all the information given in this application is true;

you are the author of any evidence submitted for RPEL assessment;

such experiential learning has not already been used to gain academic credit towards an award at this or another institution;

that to the best of my knowledge and belief I have, where appropriate, observed all copyrights and other rights belonging to other parties.

I understand that the RPEL assessment will need to be seen by various parties in connection with the assessment of content and for other related administrative and academic purposes but I expect that any commercially or professionally sensitive information to be treated in confidence.

Signature:

Date:
PROGRAMME LEADER/RPL CO-ORDINATOR DECLARATION

Having considered this application for RPL, I can confirm that:

• 
  RPCL - I have seen the original documentation (certificate/ transcripts/ letter from employers etc.) Authenticated copies, signed by myself, are attached.
  

AND/OR

• 
  RPEL – this application was assessed by the following (tick as appropriate)
  

a focussed interview or viva;

a simulation exercise;
a practical demonstration;
diagnostic or written tests emulating the usual assessment;
special assignments;
submission of a portfolio of evidence containing samples of work, a reflective narrative and witness testimony.


RECOMMENDATION OF PROGRAMME LEADER/RPL CO-ORDINATOR

1. 
   Exemption to be awarded for the following modules and the session in which study will occur:
   

Module Code	Module Title	FHEQ Level	Credit Points	Academic Session

2. 
   Exemption NOT to be awarded for the following courses
   

Module Code	Module Title	FHEQ Level	Credit Points

This claim is rejected in full or part because:

3. 
   Further evidence/information is required before a decision can be made as below.
   

Name: Date:

Position:

FACULTY RPL ASSESSMENT BOARD DECISION

I can confirm that the above recommendation was: (tick as appropriate)

APPROVED
REJECTED

Name of Chair:

Signed: Date:

Where rejected, please provide additional comments below:



APPROVED MODULE EXEMPTIONS MUST BE SENT TO STUDENT RECORDS FOR CODING IN BANNER
OFFICE USE: processed by SR OFFICER:

Date: