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After evaluating information at our web site, if you wish to request an exploratory transcript assessment, please print, complete and include this cover sheet with your transcripts (legible unofficial or official, non-internet) from all universities and colleges attended, and mail or fax to:
Post Baccalaureate Academic Advisor, Center for Student Services
421 EHS Building, Central Michigan University
Mount Pleasant, MI 48859Phone: (989) 774-3309 Fax: (989) 774-3624
(or scan form and attachments, and email to dehar1pa@cmich.edu)
You will be contacted by the Center for Student Services via (phone or e-mail) when this exploratory REVIEW is ready for discussion and you will be asked to arrange a telephone appointment for advising and discussion of the program.
Last Name: First Name:
Other Names :
E-Mail:
Telephone(s) with area code: # and Ext (circle) Cell Work Home
Complete mailing address:
Undergrad Degree/GPA:
College where Degree issued:
Undergraduate Major(s) and Minor(s)
Certification Desired: (circle one)
Elementary Secondary Elementary Special Education Secondary Special Education
Intended Teaching Major(s):
Intended Teaching Minor(s):
Applicant's Signature: _____________________________________________
Date of Request: _________________________________________________