Two- and Four-Year Post- Secondary Institutions – RACC Applications

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

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 _____ Bachelor’s Degree _____ Certificates/credentials
_____

Credit System:

Semester_____

Quarter_____

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

SOME
SOME
SOME
SOME

NONE
NONE
NONE
NONE

NO SET POLICY
NO SET POLICY
NO SET POLICY
NO SET POLICY

SOME

NONE

NO SET POLICY

Other Training and Experience—Circle Appropriate Responses. Unanswered items will default to NONE.
From the following sources, institution will Award Credit For:
Training courses in ACE’s National Guide to College
Credit for Workforce Training
ALL
SOME
NONE
NO SET POLICY
Experiential learning (portfolio method)
ALL
SOME
NONE
NO SET POLICY

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 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 N-5311, Washington, D.C. 20210 (Paperwork Reduction Project 1205-0512).