Fillable Faculty Credentials Approval Form (Motlow State Community College)

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Faculty Credentials Approval Form (Motlow State Community College)

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The Faculty Credentials Approval Form (Motlow State Community College) form is 5 pages long and contains:

  • 3 signatures
  • 31 check-boxes
  • 123 other fields

Country of origin: US
File type: PDF

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Motlow State
Community College
Faculty Credentials Approval Form
Faculty
Name
Employee
ID#
Appointment
Type:
_
Full‐Time
Part‐Time
Date
of
Hire
Department
Teaching Discipline ___________________________________ ________Non‐Transfer Transfer
(Multiple teaching disciplines will require multiple Faculty Credential Approval forms)
INSTRUCTIONS
Part 1 – Identify basis for teaching qualifications.
Part 2 – List specific qualifying credentials.
Part 3 – Designate courses qualified to teach.
Part 4 – Approve instructor’s qualifications through Human Resources.
Part 5 – Approvals
Page 1 of 5
Faculty Credentials Approval Form
Page 2 of 5
Faculty
Name
PART 1. CREDENTIALING REQUIREMENT CHECKLIST
Transferable College‐Level Courses
Master’s degree or higher in the teaching discipline or qualifying field
OR
Master’s degree in any discipline with 18 graduate semester hours in the teaching discipline
or qualifying field.
OR
Alternative credentials with letter of rationale and documentation attached
Non‐Transferable College Level Courses
Bachelor’s degree in the teaching discipline, or associate’s degree and demonstrated
competencies in the teaching discipline.
OR
Alternative credentials with letter of rationale and documentation attached.
Laboratory
Bachelor’s degree or higher in teaching discipline.
OR
Alternative credentials with letter of rationale and documentation attached
Learning Support Courses
Learning Support Mathematics
Bachelor’s degree in Mathematics
OR
Bachelor’s degree in a qualifying field or Bachelor’s degree with 18 graduate or undergraduate
hours in a qualifying field or any combinations of 18 semester hours in the qualifying fields
OR
Master’s degree in Mathematics or a Master’s degree with 18 graduate semester hours in
Mathematics
OR
Alternative credentials with letter of rationale and documentation attached
Faculty Credentials Approval Form
Page 3 of 5
Faculty
Name
Learning Support Reading
Bachelor’s degree in English, Reading, English Education, Adult Education or Reading
Education and 9 semester hours in Reading (graduate, undergraduate or a combination)
OR
Master’s degree in Education and 9 semester hours in Reading (graduate, undergraduate or
a combination)
OR
Master’s degree in Reading
OR
Alternative credentials with letter of rationale and documentation attached
Learning Support Writing
Bachelor’s degree in English or a qualifying field, (English Education, Literature, Technical
Writing) and 18 semester hours in English (graduate, undergraduate or a combination)
OR
Master’s degree in English
OR
Master’s degree with 18 graduate semester hours in English
OR
Alternative credentials with letter of rationale and documentation attached
PART 2. QUALIFYING CREDENTIALS
A. College Degrees
Degrees and transcripts (list highest to lowest). Check box if original transcript is on file.
Transcript
On File
Degree
Institution
Discipline
Year Completed
Page 4 of 5
Faculty Credentials Approval Form
Faculty
Name
B. Semester Credit Hours in Discipline
Complete this section if Master’s degree or higher are not in teaching discipline.
(Semester hours/1.5 = Quarter hours).
Graduate/
Undergrad.
Rubric/Number and Course
Title
Credit Hours
Quarter
(27)
Credit Hours
Semester
(18)
Institution
Total Credit Hours Earned
C. Certificates or Licenses
Copy On
File Description Agency Number
D. Teaching Experience
Discipline Institution # of Years
E. Other Qualifying Work Experience
Faculty Credentials Approval Form
Faculty
Name
Page 5 of 5
PART 3. COURSES QUALIFIED TO TEACH
Courses Credentialed to Teach
Course Rubric & Number
Course Title
Credit Hours
PART 4. VERIFICATION OF TRANSCRIPTS IN HUMAN RESOURCES
All original and official transcripts are on file for all credentials listed under Part 2A above.
Some or all original and official transcripts are missing for the following institutions listed in Part 2A.
Note: These transcripts must be acquired as part of the Transcript Agreement above.
PART 5. APPROVALS
For College Use Only
We have examined appropriate documentation and certify that the above named faculty member meets
credentialing requirements for courses to be taught.
Recommended for years credit toward tenure and promotion.
Justification and rationale documentation are attached.
Curriculum Chair Date Dean Date
Vice President for Academic Affairs Date
0
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Faculty Credentials Approval Form (Motlow State Community College)

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Completed 27 July 2020

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