Form 1
Form 1
Eric Hills
Dragon ID No.
Mailing Address
Ka9010pn
Eden Prairie
MN
55344
City
State
Zip
Street Address
E-mail Address
[email protected]
Telephone No.
Program/Emphasi
K-12 Principal License
s
Expected date for completion of graduate work (Semester/Year)
651-329-0571
Plan A
Plan B
Spring 2018
Complete in consultation with advisor and list proposed courses for completion of degree. This form should
be completed at the beginning of your program. Submit the Course Substitution Form for any transfer courses
or changes made subsequent to submitting this form.
Dept.
No.
Title
Cr.
EECE
642
ED
717
Adult Learners
ED
780
Instructional Models
ED
789
ED
793
ED
794
Elementary Practicum
ED
794
Secondary Practicum
ED
635
ED
636
ED
638
ED
639
ED
643
ED
634
ED
799
ED
788
ED
695
Plan requested by
Transfer From
_______________________________
_______________________________
_____________
Signature
Date
_______________________________
_______________________________
_____________
Signature
Date
Date
_____________
Date
_________________________________________________________________
_____________
Date
(Return signed original to Graduate Studies Office. Make file photocopies prior to submitting.)
06/13