Coursework Review Form

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MES/MEA APPLICATION FOR REVIEW OF COURSEWORK
Date
Name
Address
City
State
Home Phone
Zip
Work Phone
Cell Phone
E-mail address
Undergraduate institution
Major
Other Institution
Graduate institution
Major
You must provide copies of all transcripts listed above with this application
In which area do you hold an Ohio Licensure for grades 7 to 12.
Integrated Science
Life Science
Chemistry
English Language Arts
Students a 2.7 in licensure content is preferred for science and required for ELA
To begin the evaluation process for the Master of Education and Science or Master of Education
and Arts College Credit Plus Qualification track.
 Submit with this form all unofficial transcripts of higher education course work taken at other
institutions, including transcripts of course work completed at UT prior to 1976.
 If you attended UT after 1976, we can print the UT transcripts for you.
 Submit with this form a copy of any teacher certifications you may hold or have held.
This application is NOT an application for graduate school and does NOT insure admission
to a graduate program. Admission to graduate school and beginning a master’s program
will require separate application to the College of Graduate Studies. A typed signature will
be accepted.
Signature
Date
Please return this application and all transcripts to:
College Credit Plus
Judith Herb College of Education
The University of Toledo
2801 W. Bancroft Street, MS# 914
Toledo, Ohio 43606
NOTE: Prospective students should have the course work reviewed 2 weeks prior to the deadline.
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