INDIANA UNIVERSITY – SCHOOL OF EDUCATION
COURSE REVALIDATION FORM
(M.S. Ed, Ed.S and Ed.D Only – Ph.D. paper forms no longer accepted)
Student Information
Major/
Program
Name
Department
Degree (Please
circle one)
ID Number
M.S.Ed
Ed.S.
Ed.D
Course Requiring Revalidation
Semester/
Year
Course Number & Title
Credit Hours
Grade
Approved Methods for Course Revalidation: Please select 1 method which you will use.
Passing an examination specifically covering the course material
Passing a qualifying examination which includes the course content (2 course limit) (Include qual date)
Passing a more advanced course in the same area (Please include date of course and grade received)
Teaching a comparable course- Attached CV required
Scholarly publication which demonstrates knowledge of course content - Attached CV required
Professional Experience in which course content was required, applied or demonstrated - Attached CV required
Rationale of Revalidation: Describe how your chosen method demonstrates current knowledge of course
material.
Student’s Signature
Date
Completion of Revalidation
The student has successfully completed all the requirements set out in the above/attached plan.
Revalidator’s Signature
Printed Name
Date
Committee Chair/ Advisor (M.S.) Signature
Printed Name
Date
Associate Dean of Graduate Studies Signature
Printed Name
Date
Page 1 of 2
Revised: March 29, 2016
INDIANA UNIVERSITY – SCHOOL OF EDUCATION
* ORIGINGAL SIGNATURES ONLY
* COMPLETED FORMS ARE TO BE SUBMITTED TO THE OFFICE MANAGER OF YOUR MAJOR DEPARTMENT.
E-mail as Official IU Communication
The university reserves the right to send official communications to students by e-mail with the full expectation students will
receive and read these messages in a timely fashion. Official university e-mail accounts are available for all registered students.
Official university communications will be sent to students’ official university e-mail addresses.
You are expected to check your e-mail frequently and consistently to stay current with university-related communications. In
addition to monitoring your university e-mail account, you may want to check the Graduate Enrollment Management System
(GEMS). The same user ID and passphrase is used for GEMS and the university e-mail system.
Page 2 of 2
Revised: March 29, 2016