Records Office

Credit Evaluation Request - Teaching

Bachelor of Science in Education

Date	NUID
First Name	Last Name
Middle Name	Maiden Name
City	Street Address
State	Zip
Telephone
CSC Advisor	Anticipated CSC Graduation Date
Date you entered or plan to enter CSC(Semester and Year)
College Transferred From	Number of Hours Completed
College Transferred From	Number of Hours Completed
College Transferred From	Number of Hours Completed
I will have an Associate of -- Arts Science Applied Science Other before transferring to CSC? -- Yes No
If yes, from what college/university?
COMPLETE ONE OF THE FOLLOWING SECTIONS USING EXACT PROGRAM TITLES AND PAGE NUMBERS STATED IN YOUR CATALOG.
Catalog -- 07-09 09-11 11-13
Elementary Education (One Minor or an Endorsement Required) Endorsement: Page #: Minor:             Page #:
Endorsement: Page #: Minor:            Page #:
Secondary Education (One Endorsement Required)
Field: Page #: Subject: Page #:
Field: Page #: Subject: Page #:
Are you seeking a supplemental endorsement in Coaching? -- Yes No