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Dakota College at Bottineau CDA C.A.P. Procedures(CDA to College Credit Articulation Program)Application for Attached CreditCaregiver Services - Child

Today's Date

Last Name  

First Name  

MI

Former Name, if applicable

Daytime Phone

E-Mail Address

Male   Female

Connect ND Student Emp ID# or *Social Security Number

*Disclosure of your SocialSecurity number is voluntary. Social Security numbers are used asindividual identification numbers for record keeping andadministrative purposes. Failure to provide either a Social Securitynumber or Connect ND student EMP ID # may delay administrativeservices and processing.

ND University System campus at which you are enrolled:

CDA completion (check one):

been completed.
CDA has been started but not yet complete.

Documentation of ModuleCompletion: A copy of your current CDA certificate should be mailed to:

Caregiver Program, 105 Simrall BLVD, Bottineau, ND 58318

Fee Payment: Students applyingfor articulated credit for classes in the Child Caregiver Servicesprogram must pay an attached credit fee of per credit by the FeePayment date listed on the campus Academic Calendar.

Mail checks or moneyorders to:

Business Office, MSU-Bottineau,105 Simrall Blvd, Bottineau, ND 58318.

To pay by credit card,call 701-228-5430 or pay online using Connect ND > Student SelfService.

Course Credit: Students applying for attached credits will be registered for 9 credits. College credit through MSU-Bottineau will be awarded for EC 210 Intro to Early Childhood Education (3 cr), EC 211 Pre-Professional Experience (2 cr.), EC 236 Social & Emotional Development and Guidance (3cr) at the end of the semester contingent upon receipt of current CDA certificate and satisfactory completion of each course's exam.

Course Assessment & Grading: Students must complete a course-related assessment from Dakota College at Bottineau before the end of semester. This assessment will be used to calculate a grade for the course.

*Signature:    Bychecking this box, you have created an electronic signature aslegally binding as your hand-written signature. Also, by checkingthis box, you acknowledge that you understand the attached creditfee payment policy, course completion expectations, anddrop/withdraw policies. You MUST check this box for the applicationform to be completed. If you have not received confirmation of yourregistration within three business days, please call StudentServices at 1-800-542-6866.

 

 

 
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© 2013 Dakota College at Bottineau / 105 Simrall Blvd. / Bottineau, ND 58318 / 1-800-542-6866 /701-228-5488 / Fax 701-228-5499 / Copyright Act