Placement Reciprocity Request Form

Use this form to request equivalent placement into pre-college and college-level classes based on placement at another Washington state Community or Technical College. The following conditions must be met for the placement assessment to be considered:

The placement recommendation must have been made within the last 12 months.
If credit was granted for a class, then placement will be based on that class (a transcript is needed).
The student must provide a copy of placement results and a document that provides specific placement recommendation information from the sending institution.

Student Information

Full Name*

First Name

Last Name

What is/was your primary campus?

Wenatchee Omak

Former Name(s)

WVC ID *

Date of Birth*

Email*

Phone

Placement Information

Instructions:

Before enrolling in classes, submit completed form to the Placement staff.
Attach placement results from another Washington state Community or Technical College.
Attach documentation of specific placement recommendation information from the sending institution.

Name of Instituion submitting your placement records*

Placement Results Documentation

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Specific Placement Recommendation Information Documentation

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I give Wenatchee Valley College permission to release my placement records to the recipient(s) mentioned above. I authorize communication with said institution/person.

Signature*

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Use your mouse or finger to draw your signature above

Date*

Wenatchee Valley College is committed to a policy of equal opportunity in employment and student enrollment. All programs are free from discrimination and harassment against any person because of race, creed, color, national or ethnic origin, sex, sexual orientation, gender identity or expression, the presence of any sensory, mental, or physical disability, or the use of a service animal by a person with a disability, age, parental status or families with children, marital status, religion, genetic information, honorably discharged veteran or military status or any other prohibited basis per RCW 49.60.030, 040 and other federal and state laws and regulations, or participation in the complaint process.

The following persons have been designated to handle inquiries regarding the non-discrimination policies and Title IX compliance for both the Wenatchee and Omak campuses:

To report discrimination or harassment: Title IX Coordinator, Wenatchi Hall 2322M, (509) 682-6445, title9@wvc.edu.
To request disability accommodations: Student Access Manager, Wenatchi Hall 2131, (509) 682-6854, TTY/TTD: dial 711, sas@wvc.edu.