PreApproval of Credits for Lane Changes (SRSEA)
Teacher Name:
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Department:
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Teacher Email:
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example@example.com
College Course or Local Credit?
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College
Local Credit
College, University or Sponsor:
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Course Title:
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Date(s) of Course/Training Program:
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Credit Unit Type:
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Semester
Quarter
Local Credit Clock Hours
Number of Credits
Course or Program Description:
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Upload any supporting documents relevant to the course or program:
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Explain the value of this course or program to MSA's Educational Program:
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I affirm that the above information is correct and hereby request that this credit be approved for utilization in accordance with the labor agreement between the State of Minnesota and the State Residential Schools Education Association. (Please sign in box below)
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Date
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