Subject Matter Expert Application Form

* indicates required field

Applicant Information

Name *

First

Last

Home Street Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Secondary Phone

Primary Email *

Secondary Email

Do you currently receive income (full-time or part-time) from Penn State University? *

(Individuals that receive income from Penn State University are NOT eligible to receive a stipend for this project)

Select the school for which you are a current and active Occupational Advisory Committee Member *

Are you currently an instructor at this or another school? *

If yes, which program?

List the program for which you are a current and active Occupational Advisory Committee Member *

(An active OAC member has served and attended regular school meetings for at least three years)

Do you hire Co-Op students from local career and technical education programs? *

Attach current resume or email the file to elw12@psu.edu

Click or drag a file to this area to upload.

I agree to the terms of the Pennsylvania Cut Score Development Security/Confidentiality Statement. *

SECURITY/CONFIDENTIALITY STATEMENT All documents and information involved in the Pennsylvania Cut Score Development, including assessment review are to be held in absolute confidentiality. Test material, drafts, notes, performance jobs, evaluation criteria, or any other aspect of the Pennsylvania Cut Score Development content are NOT to be shared, copied, or used in any manner outside the scope of the actual project. In addition, all documents and information will be deleted from computers and other electronic devices. To complete your application, please check both statements below.

I understand that, if chosen, I am committing myself to participate in all activities related to this Pennsylvania Cut Score Development process including the mandatory training session. *

Cut Score Committee Application

Applicant Information

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