| Type | 1 Year Extension for Lapsed Certificate |
|---|---|
| Issue Date | 3/21/2012 |
| Expire Date | 7/1/2013 |
| Baccalaureate of Science - Northern State University (MAJOR: Physical Education) |
| Baccalaureate of Science - Northern State University (MINOR: Coaching Endorsement) |
| 223 - K-12 Education |
| 632 - K-12 Physical Education |
| 7011 - Basketball |
| 7012 - Football |
| 7014 - Gymnastics |
| 7019 - Wrestling |
| 7021 - 7-12 Assistant Varsity Coach |
| 7022 - Middle School/Junior High Coach |
| 7023 - K-8 Elementary Coach |
| Test | Date Taken |
| 0091 - Physical Education Content Knowledge | 11/19/2005 |
| 0524 - Principles of Learning Grades 7-12 | 3/4/2006 |