Credit for Prior Learning–Licensed Practical Nurse
In order to receive Credit for Prior Learning (CPL), you will need to:
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Present a valid Practical Nursing (PN) license and a government issued photo ID to the CNM Records Office.
Be currently enrolled at CNM as a student with Nursing declared as your major.
The Records Office awards credit for Credit for Prior Learning for several licensures and certifications. Any
state licenses or national certifications not accepted by the Records Office must be presented to the School of
Health, Wellness and Public Safety for consideration of credit.
If you are using transfer work to meet the general education coursework requirements, official transcripts
must be on file at the CNM Records Office prior to submission of this form. Please note that, if you are using
transfer work to meet degree requirements, you must still meet the CNM graduation residency requirement
before being eligible to graduate.
Complete the following information: (Please Print)
Student Name:
PN License Number
Student ID: ___________________
Expiration Date
State
Active*
Discipline**
* If “No” – Nursing Program Director must evaluate and submit approval to CNM records in writing
** If “Yes” ” – Nursing Program Director must evaluate and submit approval to CNM records in writing
Note: If approved, your officially declared major will be changed based on the classification level you submit:
If your classification level is:
You will receive credit for:
Licensed Practical Nurse
(license must be unrestricted)
NRSG 1015
Your major will be
changed to:
Associate of Applied
Science in Nursing
Please be aware that all licenses and/or certifications will be checked for validity through their corresponding agency.
Incomplete or invalid requests will not be processed. Once complete, please return this form and all required
supporting documentation to the Records Office at Main Campus during normal business hours. Alternately, you may
scan and email this form, supporting documentation, and a copy of your government issued ID to
grad&[email protected].
Student Signature:
Date:
FOR CNM OFFICE USE ONLY
Received and Scanned by:
Date Received:
Processed by:
Date Processed:
mjv 11/30/15