Systems and Procedures
A Division of The Corporate Controller's Office
IN

CREDIT BY EXAM
FORM INSTRUCTIONS

Form Instructions

Student completes the upper section of the form and obtains the appropriate signatures (in order).

  1. Student Number - Enter the PSU ID number.
  2. Last Name - Enter the last name of the student
  3. First Name - Enter the first name of the student
  4. Middle Name - Enter the middle name of the student
  5. College & Major or Certificate - Enter the name of the college and the major or certificate
  6. Course Name - Enter the course name
  7. Number - Enter the course number
  8. Credit - Enter the number of credits to be earned
  9. Location - Enter the location
  10. Semester - Enter the semester
  11. Dean/Director/Campus Academic Officer/Campus Registrar - The Student's College Dean, Campus Academic Officer, or Campus Registrar signs within this box and dates the form
  12. Head of Department Offering Course - The Head of the Department Offering the course signs within this box and dates the form
  13. Testing Department Budget Number - The Budget Number of the Testing Department is entered within this box
  14. Return Grade Card to - Enter the name and the department address to whom the grade card should be returned
  15. Instructor Administering Exam - The Instructor administering the exam must collect the exam fee before administering exam. They sign and date within this box
  16. Instructor's College Dean/Campus Academic Officer/Campus Registrar - The College Dean, Campus Academic Officer, or Campus Registrar signs within this box and dates the form
  17. Fee Paid - The dollar amount of the fee collected is entered within this box
Image of Credit by Exam Form