Master of Education in Organizational Leadership PROGRAM APPLICATION
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1 Master of Education in Organizational Leadership PROGRAM APPLICATION Application Submission Process: Submit the following to the Center for Educational Leadership office by Friday, March 30, 2012: o Program application o Experience Verification form o Two Professional letters of recommendation o Unofficial copies of transcripts o Essay responses o Resume Program application and other materials should be ed to center_edleadership@csuohio.edu, faxed to (216) , or mailed to: Masters in Organizational Leadership Center for Educational Leadership Cleveland State University 2121 Euclid Avenue, JH 275 Cleveland, OH Upon review of your application materials and transcripts, the Acceptance Committee will select applicants to interview for the Masters of Organizational Leadership program. Acceptance decisions into the program will be made by a representative group of CSU Faculty. Notification of your status into the program will be ed and mailed by the Center. Upon acceptance into the Master of Education in Organizational Leadership Program, you will be recommended for admission into the College of Graduate Studies. Further information on how to apply to the College of Graduate Studies will be provided. 1
2 Master of Education in Organizational Leadership PROGRAM APPLICATION Applicant Profile Cohort 6 First Name: Preferred Name: Last Name: Maiden Name: Birthday: Title/Position: Number of years in current position: School/Organization: School/Organization Address: City: State: Postal Code: Business Phone: Primary Address: Home Address: Business Fax: City: State: Postal Code: Home Phone: Previous Job Title: Number of years in previous position: Number of years teaching: Number of years in administration: Cell Phone: Middle Initial: As a matter of policy, Cleveland State University does not discriminate among applicants of participants on the basis of race, religion, gender, national origin, or handicap. Supplying the following information is optional. African American Latino/a Female Asian American Native American Male Caucasian Other 2
3 Please answer the following questions regarding your academic experience. Education (Please list most recent first.) Undergraduate: *Graduate: Are you currently enrolled in CSU? Yes No If ever enrolled, what is your CSU ID? 3
4 Other Academic Information Have you taken either the GRE or MAT exams? Yes No Score: Are you licensed to be a school teacher? Yes No Other: Have you ever applied to CSU s College of Graduate Studies? Yes No Accepted Additional Information? Is there anything else you would like to tell us about your academic background or license? How did you hear about this program? 4
5 Essay Questions: Please answer the following questions using a separate document and include your name on each page. 1. Describe your school or work organization (i.e. programs, educational values, school improvement plans, etc.). 2. a. Why did you become an educator in the first place? b. What do you stand for as a leader? c. What legacy do you want to leave? 3. List any professional organizations to which you currently belong or institutes you have attended during the past year. 4. List all current licensure you hold as well as any licensure that has expired and any licensure you are currently in the process of receiving. 5. Describe how your leadership work or capabilities aligns to the one of the following Interstate School Leaders Licensure Consortium (ISLLC) standards or competencies for principal performance. Standard 1: Vision An education leader promotes the success of every student by facilitating the development, articulation, implementation, and stewardship of a vision of learning that is shared and supported by all stakeholders. Standard 2: Instruction An education leader promotes the success of every student by advocating, nurturing and sustaining a school culture and instructional program conducive to student learning and staff professional growth. Standard 3: Resources/Safety An education leader promotes the success of every student by ensuring management of the organization, operation, and resources for a safe, efficient, and effective learning environment. Standard 4: Community An education leader promotes the success of every student by collaborating with faculty and community members, responding to diverse community interests and needs, and mobilizing community resources. Standard 5: Ethics/Integrity An education leader promotes the success of every student by acting with integrity, fairness, and in an ethical manner. Standard 6: Educational Context - An education leader promotes the success of every student by understanding, responding to, and influencing the political, social, economic, legal, and cultural context. Center for Educational Leadership College of Education and Human Services Cleveland State University 2121 Euclid Avenue, Julka Hall 275 Cleveland, Ohio (216) Fax (216)
6 ORGANIZATIONAL LEADERSHIP AND INSPIRED LEADERS EXPERIENCE VERIFICATION FORM Candidates for Principal Licensure must hold a master s degree and have two years of experience in a school setting at the age levels for which the principal license is sought. Name: CSU ID: Please complete the following: License(s) you are seeking: Principal Grades PK-6 Principal Grades 4-9 Principal Grades 5-12 Do you hold a valid Ohio provisional, professional, or permanent license or certificate? Yes No If yes, please state the credential(s) you hold: Employment History (list most current employer first, use additional paper if needed): Employer: Position Held: Grade Level(s) Served in this Position: Number of Years at Position: Position Start Date: Position End Date: ****************************************************************************** Employer: Position Held: Grade Level(s) Served in this Position: Number of Years at Position: Position Start Date: Position End Date: ****************************************************************************** 6
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