Course Information

select one... 1 (1-0) 2 (2-0) 3 (3-0) 4 (4-0) other      (view credit hour requirements)

If other, please specify: 

select one... EDU 508 EAD 592 other     (view course designator guidelines)

If other, please specify: 

Course References

Reference 1:  

Reference 2:  

Reference 3:  

Reference 4:  

Reference 5:  

Reference 6:  

Add more references

Submit to your district's CMU client services representative:  select one... Amy Hodges Sharon Horgan Mary Kay Maas K Schmittler

Click here to view and print your completed form.  **Please print a copy of this