California State University, Chico ••School of Education
CREDENTIAL PROGRAM COURSE EQUIVALENCY FORM
Transcripts of courses taken, as well as the course catalog descriptions or syllabi, must be attached to this form. You will be contacted once a
decision has been made. Please compare the description of the course completed to our course catalog description
(http://catalog.csuchico.edu/viewer/home) and check for similarity before requesting an equivalency. Please email the completed form and
documentation to acnichols@csuchico.edu, or bring to Tehama 101.
Name: ________________________________ _______ Date of Application: ____________________________
Chico State ID #: ______________________________ Phone: ________________________________ _______
Em
ail: ________________________________ _______
Pl
ease indicate the corresponding courses for which you are requesting substitutions. Attac
h supporting documents:
1) Detailed course descriptions and/or
course syllabi
2) Unofficial transcripts
Substitution of Credential Prerequisites and Additional Courses:
Substitute Course Number & Title Grade University & Semester Initials
CMST 131
________________________________ ____ _____ _________________________
___ accepted
____
denied
EDTE 255
________________________________ ____ _____ _________________________
___ accepted
____
denied
EDTE 302
________________________________ ____ _____ _________________________
___ accepted
____
denied
EDTE 520
________________________________ ____ _____ _________________________
___
____
deniedaccepted
EDTE 530
________________________________ ____ _____ _________________________
___
____
denied accepted
EDTE 534
________________________________ ____ _____ _________________________
___
____
denied accepted
EDTE 450
________________________________ ____ _____ _________________________
___ accepted
____
denied
EDTE 451
________________________________ ____ _____ _________________________
___ accepted
____
denied
EDTE 570
________________________________ ____ _____ _________________________
___ accepted
____
denied
EDTE 580
________________________________ ____ _____ _________________________
___ accepted
____
denied
ENGL 471
________________________________ ____ _____ _________________________
___ accepted
____
denied
POLS 155
________________________________ ____ _____ _________________________
___ accepted
____
denied
PSYC 414
________________________________ ____ _____ _________________________
___ accepted
____
denied
SPED 343
________________________________ ____ _____ _________________________
___ accepted
____
denied
SPED 564
________________________________ ____
_____ _________________________
___ accepted
____
denied
SPED 569
________________________________ ____
_____ _________________________
___ accepted
____
denied
SPED 580
________________________________ ____
_____ _________________________
___ accepted
____
denied
________
________________________________ ____
_____ _________________________
___ accepted
____
denied
________
________________________________ ____
_____ _________________________
___ accepted
____
denied
________
________________________________ ____
_____ _________________________
___ accepted
____
denied
________
________________________________ ____
_____ _________________________
___ accepted
____
denied
_______
_ ________________________________ ____
_____ _________________________
___ accepted
____
denied
Recommended by: _____________________________________________ ______________________________
Advisor/Coordinator Date
Approved by: __________________________________________________________
_________________
Sc
hool of Education Director Date
