OFFICE OF PROFESSIONAL PREPARATION & LICENSURE
PURDUE UNIVERSITY
BEERING HALL OF LIBERAL ARTS & EDUCATION, ROOM 3229
100 NORTH UNIVERSITY STREET
WEST LAFAYETTE, IN 47907-2098
Phone: (765)494-5486 Fax: (765)494-0587
E-Mail: licensure@purdue.edu http://www.teach.purdue.edu/

PLEASE READ COMPLETELY BEFORE REQUESTING AN EVALUATION FOR A TEACHER EDUCATION
PROGRAM.
A. Who should complete this application?
Graduates of Purdue University or another accredited institution who are interested in completing a teacher education program at
Purdue University West Lafayette (whether they are seeking original licensing, an addition to an existing license, or a professional license) should complete this form. Note: If you are interested in the "Transition to Teaching" program, please visit the Office of Professional Preparation and Licensure website at http://www.teach.purdue.edu/ for admission requirements.
Non-U.S. Graduates: You must obtain an official evaluation report which translates your non-U.S. coursework into U.S. equivalents. Contact the Educational Credential Evaluators (http://www.ece.org) or World Education Services
(http://www.wes.org) to obtain a course-by-course report. Please provide the original report with this request form. The
Office of Professional Preparation and Licensure cannot evaluate your credentials without this report.
B.
Who should not complete this application?
Graduates who wish to obtain a second baccalaureate degree or did not meet the required minimum overall grade point average
(GPA) at the time the degree (BA, BS, MA, or MS) was completed should not complete this form. If you are seeking a second baccalaureate degree, or if the overall GPA requirements are not met, contact the Office of Admissions at (765) 494-1776.
Coursework may not be taken or repeated after earning the degree in order to raise the overall GPA.
C. When does one request an evaluation?
Evaluation requests are accepted at any time during the calendar year. Individuals seeking admission to the Purdue University
Graduate School for an advanced degree or to complete graduate coursework should submit all materials to the Office of
Professional Preparation and Licensure prior to June 1 for the Spring Semester and prior to November 1 for the Summer and Fall
Semesters in order to meet Office of Graduate Studies deadlines .
D.
What happens to the request form once it has been submitted to the Office of Professional Preparation and
Licensure?
When the items below have been submitted, the transcript evaluation will be conducted by a Licensing Advisor.
After all materials have been reviewed, a letter will be issued citing the coursework required for program completion and licensure. This evaluation is valid for one year. If courses are not initiated within this one-year period, the evaluation is considered void. ( A student taking coursework before an evaluation is received does so at his/her own risk.
Please note prerequisites, corequisites, and the sequence of professional education classes in course catalogs.) There is a three to four week processing period following the receipt of all materials.
E.
Whom do I contact if I have questions regarding completing this evaluation form?
Contact the Office of Professional Preparation and Licensure at (765) 494-5486 or licensure@purdue.edu.
F. Where should the completed request form be returned?
Office of Professional Preparation and Licensure, Beering Hall of Liberal Arts & Education, Room 3229,
100 North University Street, West Lafayette, IN 47907-2098
Please include the following items in your evaluation request packet:
1. Official transcripts from all institutions attended, including Purdue University (West Lafayette, Calumet or North Central), if coursework pertains to the program area. Please request that the transcript be sent to you, and then enclose it with this packet. Note: You may wish to order an additional set of transcripts to use at the time of enrollment.
2. A cashier's check or signed money order made payable to Purdue University for the amount due. There is a $35.00 charge for each program area evaluated.
See page four. No personal checks or cash will be accepted.
3. The completed evaluation request form.
4. Verification of teaching experience. See #11 on page two.
5. Non-Purdue graduates should complete the self-assessment form. Please follow the order of courses as they appear on the approved program sheets.
6. Attach a course description from a course catalog or a syllabus for each course that you wish to substitute for a Purdue course. Grades received from courses not taken at Purdue must be a grade of “C” or higher.
NOTE: * Return all items listed above in one mailing. Incomplete application packets will be returned.
* An academic or faculty advisor is unable to officially advise a student for licensure until the Office of Professional Preparation and Licensure has completed an evaluation.
* If an evaluation is not requested before coursework is completed for licensure, the individual will be charged the evaluation fee before the license application will be processed.
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Transcript Evaluation Request for Purdue University Teacher Education Programs
Please type or print (in ink).
Date of request
1. Name (include all names ever held)
Date received by office
Last
Maiden/Other Name
First Middle Name
2. Purdue ID Number (if assigned) SSN #
3. Telephone Number (______) _________________ E-mail Address
4. Current Address
______
______
5. List degree earned, date, university, and grade point average (GPA). In order to be eligible for an evaluation, an overall GPA of 2.50/4.00 or 4.50/6.00 (2.67/4.00 or 4.67/6.00 for World languages
education; 2.80/4.00 or 4.80/6.00 for Early Childhood Education, Elementary Education, and
Special Education; 3.00/4.00 or 5.00/6.00 for Social Studies) at the time of graduation is required.
Coursework may not be taken or repeated after earning the degree in order to raise the overall GPA.
Note: Please verify Special Education GPA requirements with the Office of Professional Preparation and Licensure before submitting this evaluation request. Exceptions may be possible for Special
Education.
Degree Date Institution GPA _______
Degree
Degree
Date
Date
Institution
Institution
GPA _______
GPA _______
Degree Date Institution GPA _______
6. Do you wish to obtain a graduate degree or complete graduate courses? Yes ____ No ____
7. Do you plan to apply to the Transition to Teaching program? Yes ____ No ____
(See http://www.teach.purdue.edu/programs/ttt.html
for admission requirements.)
8. Do you plan to apply to the STEM Goes Rural program? Yes____ No____
(See www.purdue.edu/stemgoesrural/ for admission requirements.)
9. If currently enrolled at Purdue, please list School/College of enrollment.
10. Have you requested an evaluation from this office in the past? Yes ____ No____
If so, complete the following: a. Area(s) requested b. Month/Year of evaluation c. Name held when request was made
11. If applicable, list licenses currently held , indicating state and level. Attach a copy of each.
a.
b.
12.
If you have taught during the past ten years, please submit a letter verifying teaching experience on
school corporation letterhead signed by the Superintendent or personnel office. This documentation will
be reviewed as part of the “Professional Education” component for each program.
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Please check the area(s) below in which you are requesting an evaluation.
INSTRUCTIONAL: Please be aware that some programs may not be available at the advanced level. Refer to http://www.teach.purdue.edu/programs/grad_programs.html
.
_____ Generalist: Early Childhood Education/Exceptional Needs: Early Childhood
_____ Generalist: Early and Middle Childhood (Elementary Education)
_____ Generalist: Early and Middle Childhood (Elementary Education) with Exceptional Needs: Mild Intervention (All Grade)
Early Adolescence and Adolescence/Young Adulthood
(Senior High/Junior High/Middle School):
_____ Agriculture
_____
_____
Engineering/Technology Education
English as a New Language (English Language Learners)
_____ Family and Consumer Sciences
_____ Health
_____ Language Arts (English)
_____ Mathematics
_____ Reading (Elementary) *
_____ Reading (Secondary) *
_____ Science (one or more areas):
___ Chemistry
___ Earth/Space Science
___ Life Sciences (Biology Education)
___ Physics
_____ Social Studies:
___ Historical Perspectives/Economics/Government & Citizenship (required)
___ Psychology *
___ Sociology *
___ Historical Perspectives--For Transition to Teaching (see A on page 1),
the Historical Perspectives area may be a stand alone license only if the
candidate has a bachelor’s degree with a history major. All other
individuals interested in Social Studies licensing must complete a
minimum of three Social Studies areas.
_____
Early Childhood, Middle Childhood, Early Adolescence, and
Adolescence/Young Adulthood (All Grade):
Computer Education (Educational Technology) *
_____ Exceptional Needs (Special Education) This program is not available
under Transition to Teaching. See A on page 1.
___ Mild Intervention**
___ Mild and Intense Intervention**
_____
___ Intense Intervention (for those holding a teaching license)**
Fine Arts
___ Visual Arts
___ Visual Arts/Design Emphasis
_____ High Ability (Gifted and Talented) Education *
_____ Interdisciplinary Cooperative Education (ICE) (available only for
Bulletin 400 or Rules 46-47 licenses) *
_____
_____
Physical Education
World Languages
___ French
___ German
___ Spanish
* If not already licensed, major licensure program area must be selected.
** Offered as a graduate program only.
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Fee
$35.00
$35.00
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SCHOOL SERVICES:
_____ Counselor **
ADMINISTRATION:
_____ Building Level Administrator **
_____ District Administrator **:
___ Director of Career/Technical Education
___ Director of Exceptional Needs
___ Superintendent
** Offered as graduate program only.
$35.00
$35.00
$35.00
$35.00
$35.00
$_______
$_______
$_______
$_______
$_______
PROFESSIONALIZATION of Rules 46-47 License or
ACCOMPLISHED PRACTITIONER for Rules 2002 License:
Area(s) on license _______________________________________________ $ 35.00 $_______
TOTAL DUE (money order or cashier’s check made payable to Purdue University)
$_______
The minimum fee for an evaluation is $35.00 per subject area unless otherwise noted.
Please allow three to four weeks processing time once the materials have been received.
By submitting this form, I agree to the conditions of the request(s), understand the information provided, and agree to have this information (including Social Security Number) remain on file in the Office of Professional Preparation and
Licensure for future auditing, reporting, and licensing purposes.
______________________________________ __________________________
Signature Date
Purdue course: Non-Purdue course I would like to substitute:
(subject/number) (subject/number) (title)
University:
(name)
____________ ___________ __________________________________ ____________
____________ ___________ __________________________________ ____________
____________ ___________ __________________________________ ____________
____________ ___________ __________________________________ ____________
____________ ___________ __________________________________ ____________
____________ ___________ __________________________________ ____________
____________ ___________ __________________________________ ____________
____________ ___________ __________________________________ ____________
NOTE: Please include a course description from a course catalog (from the year you attended) or a syllabus for each non-Purdue course that you wish to substitute for a Purdue course. A grade of “C” or higher is required for any non-Purdue course to be substituted for a Purdue course
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