Section A – Date Check Hours Completed Independent Study (IS) Courses Professional Development Series (PDS) Certificate Independent Study (IS) Course 100 – Independent Study (IS) Course 200 – Independent Study (IS) Course 700 – Independent Study (IS) Course 701 – Independent Study (IS) Course 702 – Independent Study (IS) Course 703 – Independent Study (IS) Course 704 – Independent Study (IS) Course 706 – Independent Study (IS) Course 800 – Section B – Classroom Courses Initial Certification must have 50 hours of classroom Place Date hours. Hours Check Completed Recertification must have 42 of classroom hours. 3 or more subject areas. (Note: please fill out and attach Course “Other Submission Form” if necessary to meet the minimum requirement.) ICS Classroom Course 300 ICS Classroom Course 400
Section – A Independent Study (IS) Courses Check Date Completed Hours Professional Development Series (PDS) Certificate Independent Study (IS) Course – 100 Independent Study (IS) Course – 200 Independent Study (IS) Course – 700 Independent Study (IS) Course – 701 Independent Study (IS) Course – 702 Independent Study (IS) Course – 703 Independent Study (IS) Course – 704 Independent Study (IS) Course – 706 Independent Study (IS) Course – 800 Section – B Classroom Courses Initial Certification must have 50 hours of classroom hours. Recertification must have 42 of classroom hours. 3 or more subject areas. (Note: please fill out and attach “Other Course Submission Form” if necessary to meet the minimum requirement.) Place Check Date Completed Hours ICS Classroom Course 300 ICS Classroom Course 400
nmcem_application_2014.docx