4/24/2019
California State University, Long Beach
College of Education
Teacher Preparation Advising Center (TPAC) EED-67
www.csulb.edu/mscp
MULTIPLE SUBJECT CREDENTIAL PROGRAM
PETITION FOR EXCEPTION TO PROGRAM POLICY
Date CSULB ID #
Name
Last First M.I.
Address
Street Apt. # City Zip
Phone Email
WHICH MSCP POLICY ARE YOU PETITIONING?
INSTRUCTIONS:
Submit the following with this cover sheet to TPAC in EED-67:
Your type-written petition explaining what you are petitioning and why you are asking for an
exception to the program policy, no more than 1-2 pages
A current print-out of your unofficial CSULB transcript
Any documents that support your particular petition, such as test scores, letters, etc. These
documents will vary depending on the reasons for your petition.
Submit your petition and all supporting documents to the Teacher Preparation Advising Center (TPAC)
in EED-Room 67. Your petition will be reviewed by the Program Coordinator and the Admissions and
Standards Committee. Results of the petition will be emailed to you within 10-14 days of submitting
your petition.
FOR OFFICE USE ONLY
Date: Action Taken: Grant Deny Delay
Comments:
MSCP Program Coordinator Signature: