Florida Vedic College

REGISTRATION FORM FOR PORTFOLIO ASSESSMENT

FLORIDA VEDIC COLLEGE
Office of Portfolio Assessment
934 N. University Drive, #102
Coral Springs, FL 33071

printable form - complete all questions

Check One:
	I am currently enrolled at Florida Vedic College
	I am not currently enrolled at Florida Vedic College

Please Print:

Last name:
First Name:
Middle Initial:
Street Address:
City:
State:
Zip:
Daytime Phone number:
Social Security Number: (if applicable)

Please indicate the primary reason for your interest in Portfolio Assessment:

	pursuing a degree at Florida Vedic College
	note degree program in which you are enrolled:
	pursuing a degree at another institution
	banking credit for teacher Certification
	banking credit for professional advances
	other:

ALL STUDENTS MUST READ THE FOLLOWING AND SIGN BELOW:

I understand that it is my responsibility to ensure that the credits I earn through the Portfolio Assessment process are applicable to my degree program, or that they are appropriate for my certificate/license/professional advancement.

I also acknowledge that the information I submit to Florida Vedic College in every portfolio is true and correct. I understand that willful failure to give accurate information is considered adequate grounds for dismissal from the College and for revocation of credits granted.

Florida Vedic College is committed to providing reasonable accommodation for verified disability. If you would like information on reasonable accommodation for disability, please contact the Admissions Office at 954-389-7773


Student Signature	Date

FOR EACH COURSE FOR WHICH YOU ARE SUBMITTING A PORTFOLIO,
PLEASE INDICATE BELOW:

A.	The Course Title
B.	Number of Credits
C.	Name of the college in whose catalog the course description appears in (if other than the Florida Vedic College course Catalog
	Department in which course is offered Year of the catalog The page on which the description appears.

Attach a photocopy of the description for each course listed. You may use additional sheets. If necessary:

Course Title	Credits	If not from Florida Vedic College College/Department/Year

Total Number of Credits ____________

Submitting this form along with your portfolio does not guarantee the student any credit will be extended. It is up to the evaluation team to grant the credit.

Please remit the assessment cost of $100.

After that has been paid, you will be assessed $10 for each 3 credits awarded to you.
Example:

1 course for 3 credits awarded = $10
10 courses for 30 credits awarded = $300

You will need to send your check or money order to the College at the same address above to release the credit to your file and permanent record.