Maryland Uniform Credentialing Form

Tennessee Uniform Credentialing Form

Section 2 of 8: Education and Training
Undergraduate School(s)

Provide the appropriate information for the school that issued your undergraduate degree and all schools attended.
Official Name of Undergraduate School:
Address:
City:
State:
Zip Code:
Country:
Auto field for Country Code 1:
Country Code 1:
No entry needed auto populated from from:
Telephone Number:
Fax Number:
Please enter a valid phone number.
Start Date:
MM/YYYY
End Date:
MM/YYYY
Degree Awarded:
Did you complete your undergraduate education at this school?

YesNo

Tennessee Uniform Credentialing Form

Section 2 of 8: Education and Training
Professional School(s):

Provide the appropriate information for the school that issued your professional degree.
Graduate Type:

U.S. or Canadian GraduateNon-U.S./Canadian GraduateFith Pathway Graduate
U.S. or Canadian School:
What graduate school did you graduate from?
Order goes by US State and then Canada is all the way at bottom of list.
Auto field for School Code 1:
School Code 1:
No entry needed auto populated from from:
Start Date:
MM/YYYY
End Date:
MM/YYYY
Degree Awarded:
Did you complete your undergraduate education at this school?

YesNo
NON - U.S. or Canadian School:
Official Name of NON- U.S./Canadian School:
Address:
City:
Country:
Auto field for Country Code 2:
Country Code 2:
No entry needed auto populated from from:
Postal Code:
Start Date:
MM/YYYY
End Date:
MM/YYYY
Degree Awarded:
Did you complete your undergraduate education at this school?

YesNo

Tennessee Uniform Credentialing Form