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Credential Program
Updated 9/20/2023
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Student Name
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Matriculated term:
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Program coordinator:
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Preliminary Credential RequirementUnits/Grade/Test DateOutstanding
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Certificate of Clearance or previous credential
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Bachelor’s Degree – institution/date
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 CBEST via exams or
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 coursework (AB130) or course & exam
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Subject Matter Competency: CSET – SS OR- Degree Major
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Valid CPR for adult/child/infant
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U.S. Constitution - course or exam or CSU Grad
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Prereq:TE280 or its approved equivalent
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Prereq: Special Populations: Sped450
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Prereq: Multi-Cultural Edu: ED451
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Prereq: Math 210 only required for Multiple Subject
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Preservice coursework verification (signed by dept. chair)
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Internship Approval Memo (signed by dept. chair)
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Internship Job Offer Letter
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Active MOU on file
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GPA of 3.0 or better in professional preparation
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Credential Application Date:
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Additional Supplementary Request:
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Evaluation Note:
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ISSUANCE DATE:
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