Request to Change Graduate Program in Education and/or Add an Advanced Credential/Certificate

Fresno State and Kremen School of Education and Human Development logo with form title and fields for semester, name, student ID, current program, program change, and advanced credential or certificate request

Semester __________________
Last Name First Name Middle Initial Student ID
Current Program (must be classified): _____________________________________________
Request program change to: _______________________________________________________
Request adding Advanced Credential/Certificate: ______________________________________
1. Unofficial transcripts
2. Minimum GPA of 3.0
3. Statement of Justification
Program specific requirements (in addition to requirements 1-3)
● MA Teaching – reflection or TPA, PACT, FAST scores and valid teaching credential or private
Requirements for advanced credential (in addition to requirements 1-3)
● CBEST – all credential programs
● Valid teaching credential - all credential programs
Please print application packet and include all required documents as detailed above. Bring
the completed application packet to the Education Student Services Center, ED 100 or mail to:
Request to Change Graduate Program in Education
and/or Add an Advanced Credential/Certificate
Application Requirements
Kremen School of Education and Human Development
Attn: Graduate Admissions Analyst
5005 North Maple Ave. M/S 301
Fresno, CA 93740-8025
school employee - must be in a classroom

Justification for Program Change page with name fields and large blank area for written justification

Last Name First Name Middle Initial
Justification for Program Change
In the space provided below (or an attached page), provide relevant information about yourself including goals, objectives, and
experiences related to the master’s degree and/or advanced credential/certificate program to which you are applying. Please focus
primarily on your short-term and long-term professional goals. You may attach additional pages. (1-2 pages maximum)

Student Data Sheet page with semester, current program, request fields, student information, office use only section, requirements checkboxes, and faculty review notes

Current Program (must be classified): ______________________________________________
Request program change to: _________________________________________________________
Request adding Advanced Credential/ Certificate: _______________________________________
Last Name First Name Middle Initial Student ID
1. Unofficial transcripts
2. GPA Minimum 3.0: UGRD Cumulative________
PBAC Cumulative ________
Fresno State PBAC _______
Last 60 units______
3. Statement of Justification
Additional Requirements for Advanced Credential
CBEST
Valid Teaching Credential
Student Data Sheet
Semester__________________
FOR OFFICE USE ONLY
Master’s Program: Admit Deny
Credential/Certificate Program: Admit Deny
Admit Conditions: ___________________________________
__________________________________________________
__________________________________________________
Reasons Denial: ____________________________________
__________________________________________________
__________________________________________________
Coordinator______________________________ Date______
Faculty Review Notes

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