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.