ࡱ> hkefg bjbj _   ''''';;;8s';;> y)y)y)y)-4.s/\#%%%%%%ĕf`%'/K-@-//%''y)y) 7 7 7/X'y)'y)# 7/# 7 7b$oy)B;'0X?VȒ0Ƙ0ƘoƘ'o// 7/////%% 7///////Ƙ///////// :  TRANSCRIPT EVALUATIONAn official academic transcript must be forwarded directly from the applicants college/university to the Office of Human Resources or Office of Chair or Director. A copy of the transcript, necessary certificate(s), license(s), etc., being evaluated must be attached to this form. Signatures on this form indicate that all documents attached have been evaluated, including a portfolio, if Alternative Credentialing is requested.Applicant  FORMTEXT      ID or SSN  FORMTEXT      Supervising Chairperson/Director  FORMTEXT       Institution Name(s) Degree(s)Major(s)Date Awarded FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      COURSES THE APPLICANT IS QUALIFIED TO TEACH:  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Teaching Discipline 1 (Name)  FORMTEXT      Teaching Discipline 2 (Name)  FORMTEXT      Teaching Discipline 3 (Name)  FORMTEXT      CourseQtr HrsSem HrsCourseQtr HrsSem HrsCourseQtr HrsSem Hrs FORMTEXT   FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       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p5CJOJQJU^JaJmHnHu,jh{he5CJOJQJU^JaJ2j&h{he5CJOJQJU^JaJ@h02V~ʋ>ڌ$<$Ifa$gd8N$<$Ifa$gd8N$<$Ifa$gdq$<$Ifa$gdK-+ <$Ifgd8NFf ($Ifgd8NFf XT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Total Quarter Hrs FORMTEXT       FORMTEXT      Total Quarter Hrs FORMTEXT       FORMTEXT      Total Quarter Hrs FORMTEXT       FORMTEXT      X 2/3=Equiv Sem Hrs FORMTEXT      X 2/3=Equiv Sem Hrs FORMTEXT      X 2/3=Equiv Sem Hrs FORMTEXT      Total Semester Hrs or equivalent  FORMTEXT      Total Semester Hrs or equivalent FORMTEXT      Total Semester Hrs or equivalent FORMTEXT      Additional Specialization (Licenses, Certifications) - Describe below and attach copies. For additional teaching disciplines, use additional forms.  FORMTEXT        FORMTEXT      Chair/DirectorName  FORMTEXT      Signature DateInterim Provost/ Vice President Academic Affairs Name Edward T. Bonahue Signature DateOR Vice President Academic Affairs DesigneeName Curtis JeffersonSignatureDateDistribution: Original - To Human Resources Copy - To Director/ChairHR ProcessedBy:Date: FCOC TRANSMITTAL LETTER Date: FORMTEXT       To: Faculty Credential Oversight Committee From:  FORMTEXT      Chair/Director Subject: Request for Credentialing Use one of the following appropriate options listed below:  FORMCHECKBOX  The applicant explicitly meets the credentialing requirements set forth in the appropriate section of the Credentialing Manual based on review of the official transcript and/or other required supporting documentation.  FORMCHECKBOX  The applicant meets degree and course work guidelines based on review of results of evaluation of his/her foreign credentials by a foreign credentials evaluation service and other supporting documentation.  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