Request to Add a Certification to the Approved List

Request to Add a Certification to the Approved List Thursday, February 12, 2015

Employee Date

Department Job Title Unit/College

Phone # E-Mail Grade

Please complete the following five (5) sections of the form. The more detailed the information, the better we can accurately judge the rigor of the certification. Please complete each one.

I.  Formal Education/Level of Knowledge:

Is there a requirement that an awarded degree must be achieved before the applicant can take the classes, program, and certification?

YES NO If YES – what is it? Is a degree plus years of experience? Explain.

Is there a level of knowledge the applicant must possess to take the class or participate in the program? It is not “If you have a degree or years of experience” it is “You need to have a degree or previous experience” to participate/qualify.

YES NO If YES - explain. Be specific.

II.  Professional Experience:

Is there a requirement that a specific number of years of experience be attained before the applicant can take the classes, program, and certification?

YES NO If YES – what are those requirements?

Would it be possible to participate if you just walked in off the street? Is there an assumed level of experience to understand the coursework or to complete the entry level tasks to qualify for the program?

Please explain.

III.  Continuing Education Units (CEU) or Professional Development Units (PDU) Requirements:

Continuing Education Units (CEUs) and Professional Education Units (PDUs) are nationally recognized and respected methods of granting non-degree credit and offering professional development opportunities. What if any CEU or PDU requirements do this certification have?

IV.  Range of Knowledge:

Is this a single area of knowledge or do multiple subjects or concepts need to be mastered to complete this certificate? Multiple areas of knowledge? Single? Please list.

V.  Testing Requirements:

Is there a final test, project, or other form of measure at the end of the training?

YES single subject/single test. YES multi-parts/multi-tests. YES -testing measures are built into the coursework. If YES - provide details. NO testing.

Please remember you must provide all the necessary information so we can accurately judge the rigor of the certification. You may provide URLs, a synopsis of the work involved, the time involved to complete the program– whatever information that may help us make an informed decision.

If we do not have the information, we cannot award points. We will not do the research for you.

Can we view this Certification program online? Please list specific URLs.

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Applicant’s Signature Date

Please submit one (1) digital copy of this form and any supporting paperwork, URLs, etc., to the MAT Compensation for Certification Chair, Trisha Brazda: or any Committee member: Randall Stapley @ / Kim Olson @ / John Austin @ .

The Committee meets as needed to provide timely consideration and response to each applicant.