95-08 Dual Credit - Psychology Verification Form - Part I to IV

Oct 10, 2026

Dual Credit: Psychology Verification Form is used by applicants and higher education institutions to verify completion of the Dual Credit endorsement requirement for Psychology. The form outlines requirements under the Illinois Dual Credit Quality Act for educator licensing in Grades 11–12 and specifies how applicants submit Part I to the hiring institution and forward completed Sections to the Regional Office of Education (ROE) or Intermediate Service Center (ISC). It also details faculty qualification validation, transcript analysis expectations, and coursework criteria including total semester hours, acceptable grades, and direct relevance to the endorsement content.

LanguageEnglish

CategoryExam

FormatPDF

Pages3

Reading Time8 min

AccessFree to download

Part I - To Be Completed by Applicant

Applicant information and submission instructions

Part II - To Be Completed by Hiring Institution of Higher Education

Directions and authorized official sign-off

Part III - To Be Completed by Hiring Institution of Higher Education

Faculty credential standards and coursework verification

Part IV - To Be Completed by ROE/ISC (CPS Talent Office for Chicago Applicants)

ROE/ISC directions, signature, and ELIS upload

!95-08 DUAL CREDIT: PSYCHOLOGY VERIFICATION FORM 100 North First Street , E-240 Springfield, Illinois 62777-0001 EDUCATOR EFFECTIVENESS DEPARTMENT PART I of IV – TO BE COMPLETED BY APPLICANT This form should only be completed by individuals seeking a Dual Credit endorsement in Psychology. Individuals seeking another content area should complete the form applicable to the specific content area. A Dual Credit endorsement, as designated in 110 ILCS 27/Dual Credit Quality Act, is an endorsement valid for Grades 11-12 to be placed on the Professional Educator License at the request of an instructor who meets the appropriate credential standards. An applicant applying for a Dual Credit endorsement who has completed a qualified master’s degree or content-specific coursework in graduate disciplines outside a qualified master’s degree shall use this form to verify completion of the Dual Credit endorsement requirement. An applicant must apply for the applicable endorsement in their Educator Licensure Information System (ELIS) account and complete the top portion of this form. The applicant should provide all information requested in Part I of this form and forward it to the hiring institution of higher education so Parts ll and lll can be completed. Please request that the college/university mail or email the completed form to your Regional Office of Education (ROE) or Intermediate Service Center (ISC) or the Talent/Hiring office at CPS for Chicago Public Schools. Forms submitted to the ROE by the applicant will not be honored. Find your local ROE or ISC here. ROEs/ISCs will complete Part IV of the form after they receive it and upload it to the applicant’s ELIS account. | APPLICANT’S NAME (Last, First, Middle, Maiden) | IEIN | BIRTHDATE | | --- | --- | --- | | ADDRESS (Street, City, State, ZIP Code) | TELEPHONE (Include Area Code) | EMAIL | | NAME OF REGIONAL OFFICE OF EDUCATION | ADDRESS (Street, City, State, ZIP Code) | | --- | --- | | ROE EMAIL | TELEPHONE (Include Area Code) | PART II of IV – TO BE COMPLETED BY THE HIRING INSTITUTION OF HIGHER EDUCATION DIRECTIONS: Please complete the information below, date it, and have the authorized official sign it. Proceed to Part III to verify completion of Dual Credit endorsement requirements. Then mail or email this form to the ROE listed by the applicant in Part I. Forms returned to the educator will not be honored. | NAME OF COLLEGE/UNIVERSITY | TELEPHONE (INCLUDE AREA CODE) | | DATE OF EMAIL RECEIVED | | --- | --- | --- | --- | | NAME OF CHIEF ACADEMIC OFFICER OR PROVOST | | TITLE | | PART III of IV – TO BE COMPLETED BY THE HIRING INSTITUTION OF HIGHER EDUCATION An instructor of dual credit courses shall meet the faculty credential standards specified by the Higher Learning Commission, 23 Illinois Administrative Code 1009.30(a)(2)(A) , or Administrative Rule 23 Ill. Adm. Code Section 1501.303 to determine minimally qualified faculty. Colleges and universities must complete a thorough analysis of faculty transcriptsin order to validate the minimum qualifications to teach prior to signing off on the endorsement area. | Dual Credit Endorsement | Qualified Master’s Degree | | Content-Specific
Graduate Coursework* | Semester Hours | | --- | --- | --- | --- | --- | | Psychology | □ QMD: Psychology | | Counseling Clinical Psychology Experimental Psychology | | | A. When reviewing official transcripts for applicable coursework, use the box to the right to indicate the following information for each course honored toward the endorsement.
(1) The course prefix
(2) The course number
(3) Semester hours earned
(4) Name of the institution that awarded credit
B. Coursework must total 18 semester hours. Convert quarter hours to semester hours , as necessary.
C. Coursework must be completed with a grade of “C”or higher. | | Use the following format:
COM 506 (3 s.h.) -ISU | | | *Content-specific graduate coursework outside the qualifying M

FAQs

Who should complete Part I of the Dual Credit Psychology Verification Form?

Part I must be completed by individuals seeking a Dual Credit endorsement in Psychology.

What are the hiring institution’s responsibilities in Part II and Part III?

The hiring institution must complete and date the form, have an authorized official sign it, and verify completion of Dual Credit endorsement requirements through faculty credential standards and transcript/coursework analysis.

What coursework criteria must be met for the endorsement to be verified?

Coursework must total 18 semester hours, meet the required grade threshold of “C” or higher, and content-specific graduate coursework outside the qualifying master’s discipline may count for no more than nine hours while remaining directly related to the endorsement content.

Oct 10, 2026

Uploaded by Nguyễn Văn Học