SUMMARY OF FACULTY CREDENTIALS

Status: _____ Full Time   _____ Adjunct

PART I: Faculty Information

Name, Discipline, and Course(s) Rubrics & Number (BIOL 1408 or All BIOL) Teaching for Angelina College, Education, Licensure and Certifications

Last Name: 

First Name:

Discipline:

Courses Teaching:

EDUCATION: List degree(s) with the highest earned first.

Year

Major Field

Degree

Institution

Regionally Accredited  Y or N

Primary Teaching Field:

Specific Applicable Courses, if needed:

No. of Graduate Hours:

Secondary Teaching Field:

Specific Applicable Courses, if needed:

No. of Graduate Hours:

Career and Technical/Workforce Faculty ONLY

Experience in field/industry, in full-time equivalent years: 

Years in an additional technical field:

Licensure (if applicable, list type):

Licensure Number:

Expiration Date:

Year Received:

Dates Valid, if applicable:

Certifications:

Certification Number, if applicable:

Expiration Date:

Year Received

Dates Valid, if applicable:

Honors and Awards (if applicable):

Other demonstrated competencies, please describe:

PART II: Official Transcripts

on file or date ordered: ____________________

Official Transcripts not on file. Faculty have been informed to submit official transcripts directly from conferring institution to Vice President of Academic Affairs:  _______ (initials)

Foreign Transcript   _____ Yes  ______ No

If a foreign transcript, it must be evaluated by a Foreign Credential Evaluator (SPANTRAN, Educational Credentials Evaluators, Inc., World Education Services, Inc., or Foreign Credential Evaluation Services) 

______ Yes   ______ No

PART III Criteria

______ meets qualifications by degree or graduate hours in the discipline

_______ meets qualifications through justification. Copy of interpretation documentation for justification must be attached. This may include certifications, resume, awards, etc.

Academic Transfer (ACGM) Courses 

Meets Criteria:  

____ Yes  ____ No

Technical Programs (WECM) Courses 

Meets Criteria:

 _____ Yes  _____ No

Developmental Courses 

Meets Criteria:  

___ Yes  ____ No

APPROVALS:

Dean Signature: 

Date:

VP of Academic Affairs Signature:

Date: