DETROIT PUBLIC SCHOOLS Office of Professional Development REQUEST FOR SB-CEU TRANSCRIPT

Please fill out this form in its entirety and fax to 866-3811 (no coversheet please). Please allow a minimum of 10 business days for processing.

Today’s Date:______

Requester’s Name:

Social Security Number (Non-DPS Employees):

File Number:

Work Location:

Work Phone:

Work Fax:

HOW WOULD YOU LIKE TO RECEIVE YOUR TRANSCRIPT? Please check all that apply: OFFICIAL TRANSCRIPT – signed by SB-CEU UNOFFICIAL TRANSCRIPT – not signed, coordinator, for submission to Certification Dept. for your records only.

( ) Please call when ready to be picked up ( ) Fax to ______

( ) Please mail via Board Pickup ( ) Please call when ready to be picked up

( ) Please mail via Board Pickup

PLEASE NOTE:  Not all Professional Development sessions receive SB-CEU credit  Sponsoring department must have applied for SB-CEU credit prior to the session  Program offering must have met all state-mandated requirements  An official transcript must be signed in ink color other than blue or black per Sate requirements  SB-CEUs are valid for only 5 years  This transcript contains information for workshops which took place prior to 2010  Transcript can be picked up at the Office of Professional Development, Harris Building, 3700 Pulford, at Mack and Mt. Elliott, or can be mailed to your work location via Board mail

Questions, call 866-3796 revised 4-4-13