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Click ‘Get Form’ to open it in the editor.
Begin by entering your NAME, including your last name, first name, and middle initial in the designated field.
Input your EMPLOYEE ID number accurately to ensure proper identification.
List the SCHOOL and DISTRICT you are currently associated with.
Select the TYPE OF REQUEST by checking the appropriate box for Reclassification, Certification, or Other.
If applicable, provide details under RECLASSIFICATION and attach legible official transcripts for verification.
For CERTIFICATION requests, include transcripts showing completion of the DOE's Driver Education Program.
Document any ACADEMIC CREDITS earned from accredited institutions that are not previously posted along with necessary transcripts.
Fill in SESSION/SEMESTER/YEAR for each course taken as per your transcripts.
Complete COURSE ALPHA & NO., COLLEGE/UNIVERSITY NAME, TITLE OF COURSE, and SEMESTER CREDIT fields accurately.
Indicate 'YES' or 'NO' under STRATEGIC PLAN ALIGNED and have it initialed by your principal.
Finally, sign and date the form before submitting it to ensure all information is complete and accurate.

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