Request Credit for Prior Learning CPL Form "*" indicates required fields Step 1 of 2 50% First Name* Last Name* Phone*Email* What is your program of interest?*AccountingAccounting AssistantAgribusiness Science and Technology - Agribusiness ManagementAgronomyAgronomy TechnicianAg Power and Equipment TechnicianAnimal ScienceAutomotive TechnicianAuto CollisionBusiness ManagementCancer Information ManagementCNCComputer Support TechnicianEarly ChildhoodElectro-Mechanical TechnologyElectrical Power DistributionFarm Operations and Management - Ag MechanicsFarm Operations and Management - Farm Ag MaintenanceFarm Operations and Management - Crop OperationsFarm Operations and Management - CropsFarm Operations and Management - DairyFarm Operations and Management - Dairy TechnicianFarm Operations and Management - LivestockFarm Operations and Management - Livestock TechnicianGolf Course ManagementGraphic & Web DesignHealth Information TechnologyHuman Services AssistantInstrumentation and Controls TechnologyLeadership DevelopmentMedical AssistantMedical CodingMedical Lab TechMidwifeNetwork SpecialistNon-Profit Leadership DevelopmentPhysical Therapy AssistantSupply Chain ManagementSupply Chain AssistantWelding Do you have experience with the following? Please check all that apply.* License or certificate Military experience Volunteer experience College credit Work experience Professional Training Other (Must provide details below) Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable in any of the following areas: Leadership Supervision Quality control Human Resources Project management Quality management Other (Must provide details below) Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Business law Tax preparation Payroll Accounting software Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Accounting Software Payroll applications Tax preparations Reporting Supervisory Using Microsoft products: Word, Excel, PowerPoint, etc. Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Certified Financial Planner Chartered Financial Analysts Certified Public Account FINRA Series 7 Securities License Chartered Life Underwriter Chartered Financial Consultant Chartered Property Casualty Underwriter Professional in Human Resources (PHR) Senior Professional in Human Resources (SPHR) CPIM from APICS MOUS Certification Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Accounting Business Law Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Animal Insemination Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Animal nutrition Agribusiness finance Equipment management Customer service and sales Marketing Supervisory Accounting Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Please list below Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Soils Ag computer applications Precision ag technologies Equipment management Animal science Field application equipment Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Pesticide Applicator CCA Certification Other Please tell me more:In your current job, are you performing tasks/duties that directly relate to the following areas: Ag technologies Soils Fertilizers Soil nutrients Accounting Customer sales and service Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Animal Insemination Sanitation Testing Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Accounting Ag finances Customer sales and service Animal care Milk Production Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: EPA Certification Welding Other Select AllPlease tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Hydraulics Diesel Engines Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: ASE Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Electrical systems Brakes Suspension or steering Emission systems Transmissions Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: CTR Credentials Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Medical terminology Medical records software Quality management in healthcare Health informatics Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Professional Preschool credential Other Third Choice Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Infant and toddlers Child nutrition Child health and safety Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable): List below Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: CompTIA Security + CompTIA A+ LPI Linux Essentials Microsoft MOUS Cisco CCNET Cisco CCNET Security VMWare VCA Microsoft Exam 70-74X, 70-41X, or 70-64X Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Microsoft office suite Fiber optics Information security Cabling Mac OS Project management Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable): List below Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable): Please list below Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: AC and DC Power Electrical Wiring Welding Hydraulics and pneumatics Fiber optics Cabling Robotics Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable): Please list below Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Soils Ag computer applications Equipment management Animal science Field application equipment Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable): Pesticide Applicator CCA Certification Other Please tell me more:In your current job, are you performing tasks/duties that directly relate to the following areas: Soils Ag computer applications Plant science Animal science Equipment management Supervisory Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Soils Ag computer applications Precision ag technologies Equipment management Animal science Plant science Forage equipment Grain harvesting equipment Field equipment Field application equipment Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable): Sanitarian Certificate DHI Tester AI Certification Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Ag computer applications Precision ag technologies Equipment management Livestock housing and equipment Milk production Animal reproduction Dairy Production management Forage equipment Animal science Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable): AI Certification Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Ag computer applications Forage crop production Livestock housing and equipment Animal reproduction Meat quality Soils Animal science Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable): Wisconsin Certified Pesticide Applicator 3.0 PGA Membership GCSAA Membership Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Tourism Hospitality Irrigation Food sanitation Soils Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: CTR Credentials CPC CCS-P ICD-10 Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Medical terminology Medical records software Quality management in healthcare Health informatics Healthcare stats and analytics Human diseases Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Wisconsin AODA Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Community resources Interviewing Counseling Geriatrics Disabilities Documentation Children Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: MOUS Certification HACCP Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: AC and DC power Hydraulics and pneumatics Fiber optic cabling Cabling Robotics Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Please list below Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Medical terminology Medical records software Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: CPC CCS-P ICD-10 Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Medical terminology Medical records software Human diseases supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Please list below Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Basic lab skills Phlebotomy Urinalysis Immunology Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Certified Professional Midwife Other Third Choice Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Medical terminology Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: MOUS CPIM from APICS CSPC from APICS CLTD from APICS Lean Belt Purchasing Process Certificate from APICS Six Sigma Green Belt Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Inventory Forecasting Scheduling Process Mapping Purchasing ERP system Project management QuickBooks Supervisory Other Please tell us more:Have you earned any certificates or completed professional training (including any military training if applicable) in any of the following areas: Any AWS Certificates Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Oxyfuel SMAW GTAW GMAW FCAW Fabricating Blueprint Reading Supervisory Other Please tell us more:In your current job, are you performing tasks/duties that directly relate to the following areas: Coaching and mentoring Planning and facilitating meetings Managing/supervising a diverse workforce Using Microsoft products such as Word, Excel, etc. Conducting performance reviews and/or evaluations Recruiting Leading a team Employee training Overseeing a project Professional communication Other (Must provide details below) Please tell us more:PhoneThis field is for validation purposes and should be left unchanged. CONTACT Building 400, Room 480 cpl@swtc.edu Louise Bradley Louise Bradley Prior Learning/Testing Specialist 608.822.2743 Email Louise Supervisor Danielle Seippel Registrar 608.822.2317 Email Danielle
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Credit for Prior Learning