Prior Learning Evaluation Form

Prior Learning Evaluation Form
After speaking with the program coordinator, please submit your evaluation request and include documentation. Prior to your submission, please log into the noncredit registration portal to obtain your Lumens Student ID (required) and Colleague ID (if provided). Please use the forgot username and password features to assist you in your login. Please do not create a new profile unless this is your first time logging in.
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Lumens Student ID
Colleague ID Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What type of classes are you requesting credit for?
What course are you seeking Prior Learning Credit for? (Please note that you must attach documentation to support credit for the courses you are requesting):
Which of these are your requesting? (select all that apply)
Please provide your NCCER ID Number if you have it.
Please attach a copy of your OSHA-10 construction card (or certified safety training) AND a letter from your employer verifying one year of paid employment in a construction-related field or military record. In the letter, have your employer state your full name, the start and end date of your work experience, your job title, and your specific job duties. Please, have your employer sign and date the letter.

I understand the documentation required and have attached them to the documentation section of this form. I understand that if I am taking any level 1 trade, such as Electrical or HVAC, I will not receive a certificate from the curriculum developers at NCCER for Core Curriculum and level 1 of my respective trade course.
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Please attach a copy of your welding certificate.

I understand that I need to provide a copy of my welding certificate(s) in the documentation section of this form.
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Please upload any supporting documentation:

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Acknowledgement:
Should be Empty: