APPLICATION DEADLINES FALL ENROLLMENT JULY 1 SPRING ENROLLMENT NOVEMBER 15 SUMMER ENROLLMENT APRIL 15

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2 APPLICATION DEADLINES FALL ENROLLMENT JULY 1 SPRING ENROLLMENT NOVEMBER 15 SUMMER ENROLLMENT APRIL 15 Special Education School of Education Thank you for inquiring about Kentucky State University s (KSU) Online Master of Arts in Special Education with a Certification in Learning and Behavior Disorders (MA-LBD, P-12). This packet provides introductory information about the program. The KSU Catalogue and the Special Education Program Policies provide greater detail. The School of Education (SOE) at KSU offers the program. The intent of this program, which is referred to as the ESP program, is to increase the diminished supply of special education teachers by targeting qualified college graduates, including those whose degrees are in fields other than education, and guiding them to move expeditiously through an intensive training and internship experience, become certified special education teachers, and obtain a master s degree. It is designed specifically to lead to teacher certification in the area of Learning and Behavior Disorders (LBD, P-12.) Individuals who are not certified teachers may seek initial teaching certification in LBD and those who are certified in another area may seek an add on certification in LBD. When successful graduates are employed as teachers in the Commonwealth of Kentucky, they are classified and compensated as Rank II. The ESP program is founded on personal student support, high expectations, relevant and practical experiences, and distance learning technology. Candidates are mentored, from the very beginning, in how to succeed in an electronic educational environment and they are provided 24/7/365 support in accessing course content, instructors, and colleagues from wherever a telephone or Internet service is available. This is an accelerated program in which there will be two courses offered per 8-week session during the regular university schedule and two courses offered over the summer semester. It is quite possible to complete the program within 18 months. (See Course Sequencing Chart) PROGRAM DESCRIPTION The ESP program was created for three groups of individuals: those who currently are employed as teachers in P-12, those who have been employed recently as teachers in P-12, and those who never have taught students in P-12. The coursework for all students is the same, unless a student transfers courses from another regionally accredited, post-secondary institution. The only difference in requirements for students with varying experiential backgrounds is the capstone course. Individuals with teaching experience complete a culminating practicum and individuals who have not taught complete student teaching. The two program options are formalized in two Tracks. Track I is designed for students who are or have been teachers of record in accredited schools. With the approval of the Education Graduate Committee, candidates in Track I complete all coursework and then a one-term, capstone practicum course, either ESP 573 (3 credit hours) or ESP 574 (6 credit Hours). The practicum must be completed during fall or spring semester (not summer) and it cannot be completed via independent study. ESP 573 is offered for candidates who currently are full-time teachers of record in classrooms (P-12) that include students with Individual Educations Plans (IEPs). ESP 574 is offered for candidates who currently are not teachers of record and yet have taught full-time for at least three of the past five years in P-12 classes that have included students with IEPs.. Track II is designed for candidates who have little or no full-time teaching experience in accredited schools. It requires the completion of a full-semester, capstone student teaching course, ESP 575 (12 credit hours), in an accredited school and in a classroom (P-12) that includes students with IEPs in the area of LBD. Candidates enrolled in ESP 575 may not be

3 employed in any position that could interfere with their full-time student teaching experience. **Applications must be received by July 1 for the fall semester; by November 15 for the spring semester; and by April 15 for the summer session.** To apply online, please see the links below: Graduate Application (Complete for US Citizen and Residents) *Note, please print application and mail when finished. Graduate Application for Foreign Students (Complete for International Students) *Note, please print application and mail when finished. Reference Forms (reference forms only) A. ADMISSION TO GRADUATE SCHOOL For admission to the program, candidates must apply and meet stipulated criteria set forth by Kentucky State University Graduate Studies Office and the School of Education. The Criteria include, but not limited to: Graduate Application Form Supplemental Form Goal and Career objectives statement Resume Official Transcripts sent to KSU Undergraduate Grade Point Average (GPA) greater than or equal to Three letters of reference one of which must come from the applicant s most recent employer. Verification that the applicant has completed designated, online training needed to complete online coursework successfully An essay that addresses his or her motivation for becoming a teacher of special education (LBD, P-12) and includes related experiences. The essay is judged as satisfactory or unsatisfactory by the Education Graduate Committee. An ESP program applicant who wishes to transfer graduate course credit to KSU must provide all required documentation of the relevant course(s) upon application. A maximum of six graduate credit hours in the field of special education may be transferred from a regionally accredited post-secondary institution. The applicant must have earned a grade of B or above for course to be accepted. ESP program applicants who meet all entry requirements are granted regular admission status by the Education Graduate Committee. Applicants who do not meet all entry requirements may not be admitted into the program or they may be granted provisional or probationary admission status by the Education Graduate Committee, according to definitions regarding graduate admissions. Applicants should read the KSU catalogue for more detailed explanations. Any and all requirements not satisfied by graduate students admitted under provisional or probationary status must be met prior to admission to the SOE Graduate Teacher Education Program (TEP, Checkpoint 1). B. ADMISSION REQUIREMENTS TO THE SCHOOL OF EDUCATION GRADUATE TEACHER EDUCATION PROGRAM Graduate students in the ESP program must be admitted to the TEP before they are permitted to enroll in ESP 510, ESP 515, ESP 524, ESP 525, ESP 526, or ESP 573/ESP 574/ESP 575. Graduate students who were granted provisional admission into the ESP program must provide all necessary documentation and meet all entrance criteria at a level commensurate with regular admission status to be considered for admission to the TEP. A TEP applicant must prepare her or his own application and clearly reference any resources used. Applications are reviewed by the TEP admission/data coordinator or designee and then, if found complete and satisfactory, they are submitted to the KSU Teacher Education Committee (TEC) for action. Approval by the TEC is given only when all requirements are satisfied.

4 Graduate students must pass 12 graduate credit hours of required ESP courses, with a GPA of at least 3.00, no more than two course grades of C, and no course grade below C. This applies to all graduate students, including those who are admitted on probationary status. A TEP applicant must submit a letter of recommendation and a completed Disposition Instrument from one of his or her KSU instructors in ESP. A TEP applicant must submit a satisfactory, initial electronic portfolio, with all required artifacts, as listed in the Teacher Education Handbook. Graduate students who are admitted into the TEP are raised to the status of candidates in the ESP program. C. ADMISSION REQUIREMENTS TO PRACTIUM (ESP 573 OR 574) OR STUDENT TEACHING (ESP 575) Graduate students must be candidates (i.e., admitted to the TEP) and must be in good academic standing for admission to the practicum or student teaching. Candidates should plan ahead for their practicum or student teaching experiences with the understanding that neither is offered during the summer semester. A candidate must submit a complete application for admission to practicum/student teaching, including all supporting evidence, by the deadline of the semester prior to the semester he or she wishes to complete the practicum or student teaching. A candidate who applies for the practicum rather than student teaching must submit a formal, written request to enroll in either ESP 573 or ESP 574 and must provide all evidence required to verify his or her current and/or previous teaching experience. A candidate who applies for ESP 573 must verify that he or she currently is a teacher of record and that he or she will continue teaching during the entire practicum. His or her school (P-12) must be accredited and the class(es) must include students with IEPs. A candidate who applies for ESP 574 is not a teacher of record during the practicum. He or she must verify that he or she was the teacher of record during three of the past five years. He or she must verify that the school (P-12) was accredited and the classes(es) included students with IEPs. A candidate who applies for ESP 573 or ESP 574 must provide a comprehensive description of the site at which he or she wishes to complete the practicum by submitted the Teaching and Learning Context (Section 1) of the KSU Teacher Work Sample. A candidate must complete or must be in the final semester of completing all coursework prior to applying for the practicum/student teaching and she or he must complete all coursework prior to beginning the practicum or student teaching. A candidate must pass all Praxis II exams required for LBD certification in Kentucky or must submit one or more Praxis II score reports that verify at least one completed attempt to pass all required exams. A candidate must submit a satisfactory, intermediate electronic portfolio, with all required artifacts, as listed in the Teacher Education Handbook. A candidate must prepare his or her own application for practicum/student teaching and clearly reference any resources used. Applications are reviewed by the Coordinator of Student Teaching or designee and then, if found complete and satisfactory, they are submitted to the KSU Teacher Education Committee (TEC) for action. Approval by the TEC is given only when all requirements are satisfied. Moreover, verification of successful completion of any and all coursework in progress must be received by the Education Graduate Committee prior to a candidate beginning the Practicum or Student Teaching. D. REQUIREMNTS FOR PROGRAM COMPLETION A candidate must be in good academic standing per all KSU Graduate Program requirements. A candidate must complete all required ESP coursework for the Masters Degree, with a cumulative GPA of at least 3.00, no more than two course grades of C, and no course grade below C. A candidate must complete and submit a self-report Disposition Instrument, in addition to those completed by the Cooperating Teacher(s) and University Supervisor. A candidate must pass all Praxis II exams at the levels required for LBD certification in Kentucky. A candidate must submit a satisfactory, final electronic portfolio, with all required artifacts, as listed in the Teacher Education Handbook.

5 E. NON-DEGREE SEEKING CANDIDATES Candidates who want to take graduate special education courses for personal or professional development and who possess a bachelor s degree may, at the discretion of the Chair of the School of Education, be permitted to register for undergraduate or graduate-level course work as nondegree graduate candidates. Graduate work taken as a non-degree student carries full graduate credit, but does not necessarily apply toward a degree at Kentucky State University. No more than 6 hours of graduate-level coursework taken as a non-degree student may be applied toward a graduate degree or certificate. Non-degree graduate credit falls under the same ruling as transfer graduate credit from other institutions; thus, a limit of 6 semester hours including nondegree credits, may be applied toward fulfillment of degree requirements. A non-degree candidate has no guarantee that work completed in this category will be accepted, and if interested in becoming a degree candidate, the student should make certain that all necessary credentials, including test scores, are submitted as soon as possible. A listing of the Special Education classes and their descriptions is attached along with Curriculum Contracts I & II, Application for Admission to Practicum or Student Teaching, Cooperating Teacher/Principal Data and Agreement Form, Course Sequences and Scholarship information. Kentucky State Financial Aid Office can be reached at Or you may go to Please inquire at Financial Aid ASAP as the process does take some time. If you have any further questions or concerns, please contact the KSU Graduate Office at: (502) or (502) cedric.cunningham@kysu.edu Send faxes to (502) School of Education/Special Education Exum Center, Room 226 Kentucky State University 400 E. Main Street Frankfort, Kentucky Graduate Studies Office Academic Services Building, Suite 256 Kentucky State University 400 E. Main Street Frankfort, KY 40601

6 The instructions that follow will guide you on how to access courses though the Kentucky State University Blackboard system: 1. Go to 2. ON-LINE 3. CAMPUS Future Students Parents Alumni & Friends KSU Students Faculty & Staff Visitors You will see these Links in the middle of the KSU home page. Click KSU Students 4. You will then see two columns of choices for links. 5. Under Academic Information choose BLACKBOARD 6. You will be at the Login Screen. Follow the instructions there to set up your Blackboard account. General Instructions What's My Blackboard Student User Name? [first initial of first name] + [entire last name] + [last 3 digits of KSU-assigned Student ID Number] For example: jdoe123 If you do not know your SID number, follow the instructions in the "What is your KSU-assigned Student ID number?" module on this login page. If all else fails, contact the KSU Registrar's Office. What's My Blackboard Student Password? By default, your password is the entire 8 digits of your KSU-assigned Student ID Number, typed without hyphens. If you forgot your password, click the link under the password text box. After logging in, within the Tools Panel on the left, click "Personal Information" > "Change Password." It is important to you change this password the first time you log in. Verify Your Address - (extremely important) Within the Tools Panel on the left, click "Personal Information" > "Edit Personal Information." What is your KSU-assigned Student ID number? To locate your KSU-assigned Student ID number, go to the KSU home page ( and click on "KSU Students" (under the picture). At the next screen, click on "WIRED" (the acronym for the Web-version of our Student Information System, which stands for "Web Information. Really Easy and Direct"). Then click on the word "WIRED" (in the "Log on to WIRED" line). In the WIRED "Student ID" box, type your Social Security number, without hyphens. Move the cursor to the next box by pressing "TAB." Your initial WIRED "PIN" is your birthdate in the form of mmddyy. For example, a birthdate of February 3, 1971, would be entered as Then click the "Login" button. On the next screen, you will see "Your new Login ID:" WRITE DOWN and MEMORIZE THIS 8-DIGIT NUMBER. It is your KSU-assigned SID# (which you will use as your Blackboard password).

7 Course Descriptions ESP 502: Legal and Parental Issues in Special Education Course Description: This course reviews pertinent legislation concerning human and constitutional right and parental issues related to special persons. Teachers specific responsibilities and liabilities are described and related to current requirements for development of appropriate educational programs. Emphasis is given to how, through active parent participation, teachers can facilitate each student s developmental progress. The resources and methods for dealing with the problems confronted by parents of exceptional children are considered, 10 Hours of field work required. ESP 504: Theories of Reading & Educational Practices P-12 Course Description: This course will concentrate on the best practices for teaching reading to students with learning and behavioral difficulties. Candidates will conduct research on literacy problems in the United States and examine reading approaches for students with reading difficulties. Understanding of best practice strategies for teaching of reading will be applied through a research paper project, 10 hours of field work required. ESP 505: Teaching Mathematics to Children and Youth with Learning & Behavior Disorders Course Description: The primary focus of this course is on teaching of mathematics to children and youth with learning and behavior disorders. The overall context in which these teaching approaches are considered are the national curricular reforms in mathematics. Clearly, this course primarily attends to the domains of pedagogy, pedagogy and its relationship to subject matter, curriculum, and pedagogical content knowledge. Given that, the learner must always be considered and that the general context of instruction in the school, the domains of the learners and schools are emphasized, however to a lesser degree in this course. Specific attention is provided in this course to the teaching that responds to the reform recommendations identified by National Council of Teachers of Mathematics (NCTM) and higher standards in mathematics education present in KERA, 10 hours of field work required. ESP 507: Introduction to Special Education Course Description: This course will provide information and knowledge on legislation and litigation in special education. A historical overview of the field of special education will be presented. Characteristics of children and youth with disabilities, especially learning disabilities and behavior disorders, will be presented, 10 hours of field work required. ESP 510: Curriculum and Methods in Learning and Behavior Disorders Course Description: This course is designed to provide an opportunity to explore the variety of teaching methods, technology, media, resources, and materials that may be used for effective teaching in the classroom. Major focuses are given to the area of constructing unit lessons, lesson presentations, and evaluation of student progress. Candidates are expected to develop lesson plans that accommodate the needs of learners with disabilities. Designing instructional strategies for diversity in culture and in learning styles, adapting commercial and teacher made materials, assessing learners progress, and using technology to enhance instruction are presented, 10 hours of field work required. ESP 511: Methods/Strategies Behavior Management Course Description: This course is designed to provide candidates with knowledge and understanding of behavioral assessment and intervention strategies based on operant conditioning and applied behavior management techniques. Students will learn to: (a) identify and assess problem behavior; (b) design and implement behavioral interventions; (c) design learning environments that will prevent problem behaviors; and (d) apply behavioral procedures in educational settings, 10 hours of field work required. ESP 515: Research in Special Education Course Description: A review of studies from a variety of disciplines that have relevance to special education populations. Special emphasis will be given to those skills (understanding, assumption, reading, and abstracting articles, interpreting data, and evaluating results) needed to understand the relationship between research strategies and problems in special education, 10 hours of field work required.

8 ESP 523: The Individual with LD: Learning and Development Through the Lifespan Course Description: This course will provide information focusing on the identification, instruction, and assessment of individuals with specific learning disabilities and learning differences. Special emphasis will be placed on the characteristics (academic, social, organizational, and behavioral) of individuals who learn differently. Participants will learn information that will help them better prepare lessons, settings, and evaluations that enable success for their learners. For more information, see Purposes of the Course within this syllabus, 10 hours of field work required. ESP 524: Instructional Assessment Methods Course Description: This course will provide participants with an understanding and informed use of assessment data. It focuses on policies and procedures involved in the screening, diagnosis, and placement of individuals with emotional/behavioral disorders including academic and social behaviors. The primary research project will involve the assessment of appropriate and problematic social behaviors of individuals with E\BD, 10 hours of field work required. ESP 525: Inclusion, Collaboration and Advocacy Course Description: This course addresses inclusion, collaboration, and advocacy approaches to working with children and youth with disabilities. Approaches for differentiating instruction in an inclusive classroom are presented. Procedures for working with parents and educators in collaborative settings are addressed. Related and transitional services are discussed, 10 hours of field work required. ESP 526: Prescriptive Teaching Course Description: This course will explore strategies for teaching skills and content areas, such as reading, mathematics, oral and written language, and social and study skills, to students with learning and behavior disorders. The course will provide participants with the opportunity to incorporate previous course knowledge and various approaches to learning and teaching to design IEPs that meet the needs of their students. This course will require a 10-hour field experience component, 10 hours of field work required. Track I is designed for students who are or have been teachers of record in accredited schools. With the approval of the Education Graduate Committee, candidates in Track I complete all coursework and then a one-term, capstone practicum course. Either ESP 573 (3 credit hours) or ESP 574 (6 credit hours) ESP 573 Practicum in Special Education Course Description: The practicum must be completed during fall or spring semester (not summer) and it cannot be completed via independent study. ESP 573 is offered for candidates who currently are fulltime teachers of record in classrooms (P-12) that include students with Individual Educations Plans (IEPs). ESP 574 Practicum in Special Education Course Description: (6 credit Hours). Track I ESP 574 is offered for candidates who currently are not teachers of record and yet have taught full-time for at least three of the past five years in P-12 classes that have included students with IEPs. ESP 575: Supervised Student Teaching Course Description: Track II is designed for candidates who have little or no full-time teaching experience in accredited schools It requires the completion of a full-semester, capstone student teaching course, ESP 575 (12 credit hours), in an accredited school and in a classroom (P-12) that includes students with IEPs in the area of LBD. Candidates enrolled in ESP 575 may not be employed in any position that could interfere with their full-time student teaching experience.

9 KENTUCKY STATE UNIVERSITY SPECIAL EDUCATION GRADUATE STUDIES MASTER OF ARTS IN SPECIAL EDUCATION WITH CERTIFICATION (LBD, P-12) Curriculum Contract (Track I) Track I requires the completion of a practicum (ESP 573 or ESP 574). An ESP 573 student is a candidate who is a teacher of record in a classroom (P-12), which contains students with Individual Education Plans (IEPs) in the area of Learning and Behavior Disorders (LBD), of an accredited school. An ESP 574 student is a candidate who is not a teacher of record but who has at least three years teaching experience in accredited schools (P-12) and receives course approval from the MA ESP Graduate Committee. Name Home Phone ( ) Advisor Address Business Ph. ( ) City Student ID# Entry Term State ZIP Anticipated Date of M.Ed./Certificate MASTER OF ARTS IN SPECIAL EDUCATION WITH CERTIFICATION (LBD, P-12) PROGRAM SPECIFICATIONS (Course(s) checked by your advisor become requirements unless approved program changes are attached) Course Requirements Credit Grade University Date Pre-requisites Course Requirements ESP 502 Legal and Parental Issues in Special Education 3 hrs. ESP 507 Introduction to Special Education 3 hrs. Required Courses ESP 504 Theories of Reading & Educational Practices P-12 3 hrs. ESP 505 Teaching Mathematics to Children and Youth with Learning and Behavior Disorders 3 hrs. ESP 510 Curriculum and Methods in Learning and Behavior Disorders 3 hrs. ESP 511 Methods/Strategies Behavior Management 3 hrs. ESP 515 Research in Special Education 3 hrs. ESP 523 The individual with LD: Learning and Development Through the Lifespan 3 hrs. ESP 524 Instructional Assessment Methods 3 hrs. ESP 525 Inclusion, Collaboration and Advocacy 3 hrs. ESP 526 Prescriptive Teaching 3 hrs. ESP 573 Practicum (teacher of record) or 3 hrs. ESP 574 Practicum (not teacher of record) 6 hrs. TOTAL CREDIT HOURS Hours *Students must be Practicum complete and have completed all required coursework before being accepted to the Teacher Education Program (TEP) Admission to Teacher Education Program (TEP) Successful completion of ESP -502 & ESP 507 pre-requisites with G.P.A. of 3.0 or better Successful Completion of 12 hours with 3.0 and less than two grades of C Letter(s) of Recommendation Completed Disposition Instrument on File Active Electronic Portfolio (in progress with required artifacts) **Students wanting to change tracks must complete a new curriculum contract and follow guidelines within teacher education handbook** Program Candidate Date Approved by Graduate Advisor Date

10 KENTUCKY STATE UNIVERSITY SPECIAL EDUCATION GRADUATE STUDIES MASTER OF ARTS IN SPECIAL EDUCATION WITH CERTIFICATION (LBD, P-12) Curriculum Contract (Track II) Track II requires the completion of student teaching (ESP-575) for one semester in a classroom (P-12), which includes students with Individual Education Plans (IEPs) in the area of Learning and Behavior Disorders (LBD), of an accredited school. Candidates enrolled in ESP-575 cannot be employed by a school district but must hold a bachelor s degree with little or no teacher preparation coursework. Name Home Phone ( ) Advisor Address Business Ph. ( ) City Student ID# Entry Term State ZIP Anticipated Date of M.Ed./Certificate MASTER OF ARTS IN SPECIAL EDUCATION WITH CERTIFICATION (LBD, P-12) PROGRAM SPECIFICATIONS (Course(s) checked by your advisor become requirements unless approved program changes are attached) Course Requirements Credit Grade University Date Pre-requisites Course Requirements ESP 502 Legal and Parental Issues in Special Education 3 hrs. ESP 507 Introduction to Special Education 3 hrs. Required Courses ESP 504 Theories of Reading & Educational Practices P-12 3 hrs. ESP 505 Teaching Mathematics to Children and Youth with Learning and Behavior Disorders 3 hrs. ESP 510 Curriculum and Methods in Learning and Behavior Disorders 3 hrs. ESP 511 Methods/Strategies Behavior Management 3 hrs. ESP 515 Research in Special Education 3 hrs. ESP 523 The individual with LD: Learning and Development Through the Lifespan 3 hrs. ESP 524 Instructional Assessment Methods 3 hrs. ESP 525 Inclusion, Collaboration and Advocacy 3 hrs. ESP 526 Prescriptive Teaching 3 hrs. ESP 575 Supervised Student Teaching in Special Education 12 hrs. TOTAL CREDIT HOURS 45 Hours *Students must be Practicum complete and have completed all required coursework before being accepted to the Teacher Education Program (TEP) Admission to Teacher Education Program (TEP) Successful completion of ESP -502 & ESP 507 pre-requisites with G.P.A. of 3.0 or better Successful Completion of 12 hours with 3.0 and less than two grades of C Letter(s) of Recommendation Completed Disposition Instrument on File Active Electronic Portfolio (in progress with required artifacts) **Students wanting to change tracks must complete a new curriculum contract and follow guidelines within teacher education handbook** Program Candidate Date Approved by Graduate Advisor Date

11 Application for Admission to Practicum or Student Teaching The application process must be initiated in the semester (not summer) after admission to the Teacher Education Program (TEP) and submitted during the semester (not summer) of coursework prior to the practicum or student teaching. Failure to submit this application in a timely manner as stated above will result in a delay in the practicum or student teaching until the following semester. Directions: Provide evidence as listed below for admission to the Practicum or Student Teaching and submit to the Coordinator of Supervised teaching by the date. Check one of the options: I am applying for ESP 573 Practicum: Complete Sections A and C below NOTE: To qualify for ESP 573 you must currently be the teacher of record in a classroom (P-12) of students with IEPs in the area of LBD. (I.e. Learning and Behavior Disorders or Mild to Moderate Disabilities) ESP 574 Practicum: Complete Sections A and C below NOTE: To qualify for ESP 574 you must not currently be the teacher of record in any school, but you must have had at least 3 years of teaching experience out of the last 5 years in an accredited school and with students with IEPs. ESP 575 Student Teaching: Complete Sections B and C below NOTE: To qualify for ESP 575 you must not be employed by a school district, but you must hold a bachelor s degree that did not include teacher preparation coursework. This course requires that you be placed for one complete semester in a classroom which includes students with IEPs in the area of LBD. Section A School of Employment (Complete below for both ESP 573 and 574) (Complete Below For ESP 574 Only) School Name ESP 574 Practicum School: School District School Name Address School District City State Zip Address City State Documentation verifying employment with above school: (Upload copy to E-portfolio) Zip Code Teacher of record Assignment with students with IEPs. Upload the following to the E-portfolio for ESP 574 : LBD (Learning/Behavior Disorders, Mild to Moderate 1. KSU TWS Learning Context narrative Disabilities), 2. Principal/Cooperating Teacher Data Sheet. Other Accredited school Dates of employment: From to Section B Student Teaching Placement (Complete below for ESP 575) School Name School District Address City State Zip Cooperating Teacher/Principal Data and Statements of Agreement Form 1. School Principal. 2. Cooperating Teacher.. Note: All Section C requirements must be uploaded to the E-portfolio by the application deadline date. Section C - General Requirements for Admittance to ESP 573, 574, 575: 1. Admitted to TEP: Upload Letter of Acceptance 2. Minimum Cumulative GPA of 3.0: Upload copy of KSU transcript 3. Completion of all ESP coursework : Upload copy of KSU transcript 4. Pass Praxis II (0353 and 0542) and PLT: Upload copy of score report 5. Completion of E-Portfolio Requirements (Electronic Signature of Reviewer) 6. Two Letters of Recommendation (Upload 2 letters) 1. A Current Professional Special Education Teacher: 2. ESP Faculty Member: 7. KSU Registrar s Application For Degree (Electronic signature by KSU registrar) Practicum/Student Teaching Approval: Supervised Teaching Coordinator Date School of Education Chair Date Cooperating Teacher/Principal Data and Agreement Form

12 Each cooperating teacher and principal is required to complete one of these forms electronically on the KSU Student Teaching (ESP 575) or Practicum (ESP 573, 574) course site. Please ask the KSU graduate student which of the ESP courses is the appropriate course. The data will be used to prepare the stipend payments and for state and national teacher education program accreditation. COMPLETE ITEMS 1-13 BELOW FOR STUDENTS IN ESP 573, 574, or KSU Graduate Student s Name: Course: ESP 2. School Name of Student Teaching or Practicum Site: 3. This School is a Preschool, Elementary School, Middle School, High School 4. School Address: Street City, State 5. Semester of Student Teaching or Practicum: Fall Spring, Year: Principal or Cooperating Teacher Data: Please check one: I will serve as the Cooperating Teacher Principal 1. Name (Print) Last: First 2. Social Security Number: (for payroll purposes): 3. Home Address: 4. City: State: 5. Home Phone No.: 0ther Phone No. 6. address (es): ; 7. Current teaching and/or administrative assignment: 8. Do you meet state requirements for serving as a supervisor of a student teacher? Yes No 9. Teaching and/or Administrative Certificates Held: 10. Highest Degree Earned: BA, BS Masters Terminal Type Area(s) of Certification Expiration Date 11. Number of total years as a public school teacher and/or administrator: 12. Have you completed a graduate course in supervision? Yes No 13. Number of student teachers (including current one) you have supervised in your career: FOR ESP 575 ONLY: READ and SIGN the appropriate agreement below. Principal s Statement of Agreement: I hereby agree to permit the above named Kentucky State University graduate student to perform the requirements of the student teaching or practicum in the area of special education in the school listed above where I serve as the principal. Signature Date Cooperating Teacher s Statement of Agreement: I hereby agree to serve as the classroom supervisor/mentor for the above named Kentucky State University graduate student in the fulfillment of the requirements for the student teaching or practicum in the area of LBD special education and to complete all requirements of evaluation of the student s performance. Signature Date

13 SPECIAL EDUCATION MASTERS PROGRAM NINE SEMESTER SCHEDULE Course Requirements ESP 502 Pre-requisites Course Requirements Legal and Parental Issues in Special Education SPR 2008 Summer 2008 XX X FALL 2008 SPR 2009 FALL 2009 SPR 2010 FALL 2010 SPR 2011 FALL 2011 SPR 2012 ESP 507 Introduction to Special Education X X Required Courses ESP 504 ESP 505 ESP 510 ESP 511 Theories of Reading & Educational Practices P-12 Teaching Mathematics to Children and Youth with Learning and Behavior Disorders Curriculum and Methods in Learning and Behavior Disorders Methods/Strategies Behavior Management XX X XX X X X X ESP 515 Research in Special Education XX ESP 523 The individual with LD: Learning and Development Through the Lifespan X X ESP 524 Instructional Assessment Methods XX ESP 525 Inclusion, Collaboration and Advocacy X X ESP 526 Prescriptive Teaching XX X ESP 573 Practicum (teacher of record) or XX ESP 574 Practicum (not teacher of record) XX ESP 575 Supervised Student Teaching in Special Education XX X = Equals First 8 week courses or 1 st Term XX = Equals Second 8 week courses or 2 nd Term

14 Scholarship Information KENTUCKY STATE UNIVERSITY SCHOOL OF EDUCATION Minority Educator Recruitment and Retention Scholarship - (MERRS) The Minority Educator Recruitment and Retention Scholarship provide financial assistance for minority students enrolled in teacher education programs at Kentucky's public universities and community colleges. If a recipient does not complete the program in the prescribed time or does not render qualified teaching service, the scholarship becomes a loan and the recipient is required to repay the scholarship. Eligibility Requirements: $$ Be a U.S. citizen and a Kentucky resident. $$ Declare Teacher Education as major field of study. $$ Be an undergraduate or graduate student pursuing initial certification. $$ Maintain continuous full-time enrollment OR be a part-time student within 18 semester hours of OR 9 semester hours for Graduate level students, receiving a teacher education degree $$ Maintain 2.5 G.P.A. $$ Complete a teacher education program in the prescribed time. $$ Obtain a Kentucky Teaching Certificate. $$ Teach one semester in Kentucky for each semester or summer term the scholarship is received. The maximum yearly award is five thousand dollars ($5,000). Scholarship Renewal: An application and Promissory Note must be completed for each semester for which a student is seeking to receive the award. For application information contact: School of Education Phone: Fax: address: donna.miller@kysu.edu

15 KHEAA Teacher Scholarship The KHEAA Teacher Scholarship Program provides financial aid to highly qualified Kentucky students pursuing initial teacher certification at participating Kentucky institutions. All applicants must be Kentucky residents enrolled full-time (unless enrolled for the final term of a teacher certification program and less than full-time enrollment is required to complete the program). Applicants must demonstrate financial need and meet their institution's education program GPA requirements to qualify for a KHEAA Teacher Scholarship. As funding allows, juniors, seniors, post-baccalaureate, or graduate students may receive $2,500 for each semester; and $1,250 for summer. Freshmen and sophomores may receive $625 each semester; and $325 for summer. If a recipient does not complete their institution's education program or does not render qualified teaching service at a school certified by the Kentucky Department of Education, the scholarship becomes a loan and the recipient is required to repay the amount disbursed with 6% interest from the date of disbursement. To apply, students must complete a Free Application for Federal Student Aid (FAFSA) and a Teacher Scholarship application. You can obtain up to three paper copies of the FAFSA by calling the Federal Student Aid Information Center toll free at or you can apply online. The KHEAA Teacher Scholarship application will available from January 1, 2008 to May 1, To complete the application, you must register for a Zip Access account. After you register, sign in to Zip Access and select the Teacher Scholarship application. Make sure KHEAA receives your Teacher Scholarship application and the results of your FAFSA need analysis from the Central Processor by May 1, Your college must verify you are in a major that will lead to initial teacher certification or your application will not be considered. KHEAA will notify applicants regarding eligibility in early July Results will also be available on Zip Access at that time. The KHEAA Help Desk can be reached at for problems logging into Zip Access.