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Career Development & Placement Center
Northern State University
1200 South Jay Street
Aberdeen, SD 57401
(605) 626-2371

 
 Credential File
         
  First Name:  MI: 
  Last Name:  
  Maiden Name:    
         
 Home Address
         
  Address:  
  Address:
  City:  
  State:  
  Zip:  
         
  Phone:  
         
 Permanent Address Same as Home Address
       
  Address:  
  Address:
  City:  
  State:  
  Zip:  
         
  Phone:  
         
 Graduation Information
         
  Graduation Date:  
  Highest Degree:
  Majors:
  Minors:
  Additional Endorsements:
  University Honors:
  University Activities:
         
 Colleges and Universities Attended (begin with the most recent)
   
  Name:      
  City:   From:    
  State:   To:          
  Degree:  (example: B.S., B.A., B.S.Ed., etc.)

 College / University Information
         
 Student Teaching and Field Work Experience (required)
         
  Name:      
  City:   From:      
  State:   To:            
  Grade:
  Subject:
 
 Student Teaching Information
         
 Employement Record -- Related to your Majors or Minors
         
  Name:      
  City:   From:      
  State:   To:            
  Position:
 
 Employement Record
         
 Professional References

Do no include cooperating and supervising teachers from your field work/student
teaching*

List three or more education professionals who can evaluate your preparation and have agreed to
provide references for your credential file.

         
  Employer:      
  First Name:
  Last Name:
  City:   State:    
  Phone:              
  Email:
     
  * These evaluations will be automatically included in the credential file.
     
 Professional References
         
 Undergraduate Course Work (required)
List by course title, not number.
  Courses:
  Applies to:   Course name:   Credits:
     
         
Undergraduate Major Course Work
Undergraduate Minor Course Work
         
         
   Please check if you have any geographic restrictions
        (such as restricted to Aberdeen, Twin Cities or South Dakota).
        Restricted to:  (optional)
         
        Applying for:
Thank You    

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