Two- and Four-Year Post- Secondary Institutions – Articulation agreement

U.S. Department of Labor
Employment and Training Administration
Office of Apprenticeship
OMB Approval No. 1205-0512
Expiration Date: 8/31/2016

Registered Apprenticeship-College Consortium (RACC)
Application for Two- and Four-Year Post-Secondary Institution Membership
Name of Institution___________________________________________________________________________________
Address of Institution (Street)__________________________________________________________________________
City_________________

State ________

Zip code __________________

Website that best describes program __________________________________________

Phone ______________

Members of the RACC may be entire institutions or appropriate subdivisions (schools or major
divisions). Select and complete appropriate response:
Membership applies to the entire institution ______________________________________________
Membership is limited to (colleges, schools, major divisions) _________________________________
Membership excludes (colleges, schools, major divisions) ___________________________________

INSTITUTIONAL INFORMATION
Type of Institution:
Public

Institution accredited by the following regional accrediting organization:
_______________________________________________________________

Private non-profit

_______________________________________________________________

Private for-profit

Institution offers
Apprenticeship-related instruction
Credit format
Non-credit format

Institution offers the following awards
Associate’s Degree

Credit System:

Semester

Quarter

Bachelor’s Degree

Certificates/credentials

Trimester

States in which approved degree programs are operated: _____________________________________________________

Do you provide related instruction to any Registered Apprenticeship programs?
(Additional fields are provided for more than one program)

Yes

No

If yes, please complete the information below:
Apprenticeship Program name _________________________________________________________________________
Program contact (name with phone and e-mail) _____________________________________________________________
Program address_____________________________________________________________________________________
Program occupation__________________________________________________________________________________
List the courses that the institution offers to the Registered Apprenticeship program________________________________

Do these courses count towards an Associate’s of Bachelor’s degree? Yes

No

Articulation Agreement with Registered Apprenticeship:
Yes
No
(Additional fields are provided if the applicant has more than one articulation agreement)
If yes, what occupations (list) ___________________________________________________________________________

If yes, please complete the information about each Registered Apprenticeship sponsor
Apprenticeship program name _________________________________________________________________________
Program contact (name with phone and e-mail) _____________________________________________________________
Program address_____________________________________________________________________________________
Program occupation__________________________________________________________________________________
How many credits do you articulate to college credit for completing a Registered Apprenticeship certificate? ____________
In the context of Registered Apprenticeship, do you articulate any credentials or industry certificates towards
college credit? (Only include credentials that are part of Registered Apprenticeship.)
Yes
No
If yes, what credentials or certificates and how much credit: ___________________________________________________

Do you award college credit to apprentices who do not complete the Registered Apprenticeship program?
Yes
No
Case by case basis

UNDERGRADUATE ADMISSIONS/PLACEMENT TESTS
What undergraduate admissions/placement tests, if any, are required by your institution for apprentices seeking a degree?
SAT
ACT
ACCUPLACER
ASSET
COMPASS
CPAt
TABE
no tests required
Other (a particular test may be required for a course but not for admission to the institution)
____________________________
Comments:__________________________________________________________________________________________

NON-TRADITIONAL CREDIT INFORMATION
Maximum credit institution will award for nationally-recognized credit-by-examination programs (CLEP, DSST, ECE,
etc.):
No maximum
or ____________ percent of credits required for degree program or____________ credit hours
Or, Other, explain____________________________________________________________________________________

___________________________________________________________________________________________________

Maximum credit institution will award for all forms of non-traditional learning (including exam programs above):
No maximum

or ____________ percent of credits required for degree program or____________ credit hours

Or, Other, explain_____________________________________________________________________________________
___________________________________________________________________________________________________

Examinations—Check Appropriate Response. Unanswered items will default to NONE.
From the following sources, the institution Awards Credit For:
ALL

SOME

NONE

NO SET POLICY

CLEP Examinations
DSST Examinations
Excelsior College Examinations (ECE)
College Board Advanced Placement Exams
Professional Certification Exams in ACE’s National
Guide to College Credit for Workforce Training
Other Training and Experience—Check Appropriate Responses. Unanswered items will default to NONE.
From the following sources, institution will Award Credit For:
ALL

SOME

NONE

NO SET POLICY

Training courses in ACE’s National Guide to College
Credit for Workforce Training
Experiential learning (portfolio method)

POINTS-OF-CONTACT
RACC Institutional Representative
This policy-level administrator is responsible for implementing and overseeing the institution’s compliance with the RACC
Consortium Principles and Criteria:
Name__________________________________________________________________________________________Address ________________________________________________________________________________________
(If other than institution's)___________________________________________________________________________
Phone__________________________________________________________________________________________
E-mail___________________________________________________________________________________________

This point-of-contact is involved in the operation of the Registered Apprenticeship program and/or delivery of services to
apprentices and journey workers (those who have completed a Registered Apprenticeship program) as school certifying
official (could include official from Registrar’s Office, Admissions, Program Office, etc.).
Name______________________________________________________________________________________________
Position ____________________________________________________________________________________________

Address (please include city, state, zip)

(If other than institution's) ______________________________________________________________________________
Phone______________________________________________________________________________________________
E-mail______________________________________________________________________________________________

(The RACC framework will be on the Pathways to Success homepage).
AFFIRMATION OF COMPLIANCE WITH RACC PRINCIPLES AND CRITERIA
This application has been reviewed and authorized by the institution’s President or Chancellor. The institution agrees that it
or its designated subdivisions will comply with the 2011-2013 RACC Principles and Criteria.

Signature of President, Chancellor, or other senior administrator authorized by President or Chancellor to make this
commitment and date

Name______________________________________________________________________________________________
Position ____________________________________________________________________________________________
Phone _____________________________________________________________________________________________
E-mail _____________________________________________________________________________________________

Public reporting burden for this collection of information, which is voluntary, is estimated to average 10 minutes to enter information and 5
minutes per articulation agreement, including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, and completing and reviewing the information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Employment and Training
Administration, Office of Apprenticeship, Room C-5317, Washington, D.C. 20210 (Paperwork Reduction Project 1205-0512).