Application for graduate courses

NUTLEY PUBLIC SCHOOLS

Nutley, New Jersey

APPLICATION FOR GRADUATE COURSES

NON-TENURED TEACHERS ONLY
DIRECTIONS: Read Article XXI, Section C, Third Paragraph of the Agreement between

the Nutley Board of Education/Education Association of Nutley.
PLEASE NOTE: Applications to be submitted to the Superintendent of Schools within

two weeks prior to taking course. After completion of course, please

submit grade.

NAME______________________________________________________________________
POSITION HELD (School, Dept., Grade/Subj. Area)_________________________________
COURSE NUMBER AND TITLE____________________________________________­­­­­____

____________________________________________________________________________

INSTITUTION WHERE GIVEN_________________________________________________
CATALOG DESCRIPTION OF COURSE_________________________________________
____________________________________________________________________________

REASON FOR TAKING COURSE (i.e.: certification, advanced degree, other)____________

____________________________________________________________________________
DATES OF COURSE__________________________________________________________

From To

WILL GRADUATE CREDIT BE GIVEN __________yes _________no
NUMBER OF CREDITS____________
HAVE YOU EVER TAKEN THIS COURSE BEFORE ________yes ________no
WILL COMPLETION OF THESE CREDITS QUALIFY YOU FOR TRAINING LEVEL CHANGE? _______yes _______no ___________new level

APPLICANT’S SIGNATURE__________________________________DATE____________

APPROVAL IS GRANTED_____________APPROVAL IS NOT GRANTED_______­­­­_____

______________________________________ ________________________

Superintendent of Schools Date