Declaration of Credential Program

Use this form only if you are adding or changing a credential program, or if you are adding the Bilingual Authorization (BILA). If you have any questions, please contact your Faculty Advisor or the Credential Analyst. 

Name*
I am requesting (select one)*
To add a credential program implies that your current program will not change. To change your credential program means that you no longer wish to be enrolled in your current program
Have you already been formally admitted to the BILA Program?*
CURRENT credential program *
Education Specialist Program*
Content Area*
I want to ADD the following credential program(s)*
Education Specialist Program*
Content Area*
Your CURRENT credential program*
Content Area*
Education Specialist Program*
NEW Credential Program Being Requested*
Content Area*
Education Specialist Program*

Final Notes

Faculty Advisor/BILA Review

Faculty Advisor Decision*

Registrar Review

Registrar Decision*
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Confirm