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MTSU OFFICE OF TEACHER LICENSURE
Request for Transcript Analysis (Traditional)
Thank you for your interest in the Post-Baccalaureate Teacher Preparation Program at Middle Tennessee State University.
In order to determine the licensure requirements for your requested program area, please complete this form and submit it
along with your college transcripts which contain your degree confirmation (please submit only transcripts that
confirm your degree. The transcripts cannot be returned or forwarded to any other department).
When the analysis is complete, you will receive a Program of Study in the form of a letter from the MTSU Office of Teacher
Licensure. The Program of Study will list any courses you will be required to take long with the name and contact
information of your Educational Advisor.
Date: Social Security Number:
MTSU Identifier (M#) if available:
Name:
Street:
City/State/Zip:
Telephone:
Academic degree(s) earned: Bachelor Master Doctorate
Are you licensed in another state? YES NO If yes, please list endorsement area(s):
Are you licensed in Tennessee? YES NO _ If yes, please list endorsement area(s):
*If you hold, or have held a teacher’s license in any state, please include a photocopy of it with this request.
Please fill in the following blanks:
Post-Baccalaureate Initial Licensure Analysis Add-On Endorsement
I understand that my official MTSU transcripts and official transcripts received from other in-state Educator Preparation
Programs (EPPs) will be sent to the TN Department of Education with the recommendation for a teaching license.
Teacher candidates must submit all out-of-state transcripts directly to the TN Department of Education.
I would like an evaluation of my transcript by the MTSU Chair(s) of the related academic department(s) to determine the
necessary program of study required for licensure in:
(Specify the area you want to teach)
Any additional comments:
Signed:
Send to: Middle Tennessee State University
Office of Teacher Licensure
P.O. Box 14, Murfreesboro, TN
37132
Please note: An official student issued set of college transcripts (including MTSU) must accompany this request. It is not necessary to
include Junior College transcripts. It is the applicant’s responsibility to acquire all transcripts (the transcripts cannot be returned or
forwarded to any other department). A photocopied, faxed, emailed or e-script set will not suffice. Rev. 08/18
Email:
