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1 California State University, Los Angeles is accepting applications for Cohort 4 of the Doctor of Education (Ed.D.) degree program in Educational Leadership, PreK-12 Specialization. Supplemental Application Packet for Graduate Admission to the Doctorate of Education (Ed.D.) in Educational Leadership California State University, Los Angeles for Fall 2013 Included in this packet: Two-page supplemental application with prompts for professional statements and information about additional required documents. A checklist of the materials that are part of the application process and the required application documents Two-page letter of recommendation form Additional copies of the application packet are available online at:

2 Doctorate of Education (Ed.D.) in Educational Leadership California State University, Los Angeles Supplemental Application for Graduate Admission Name Address Home Phone Cell Phone Last First Middle Initial Work Phone address Master s Degree College or University Field Year Other CSU campus(es) to which you are applying for Ed.D. program (list all): Emphasis/Interest Area: This is an area of study in which you wish to concentrate and should correspond with your professional leadership goals. Please indicate your primary emphasis/interest area. Students' Special Needs, Supports and Services System and School Redesign Urban Teaching and Learning Part I. Education. List all four-year colleges and universities attended. Official transcripts in sealed envelopes should be included with your application materials. CSULA unofficial transcripts will be accepted. Four-year college or university Time period attended Degree earned Major/field Part II. Personal Information (optional) A. Your gender Male Female B. Your ethnic identity African American American Indian Asian/Asian American Filipino Mexican American/Chicano(a) Other Hispanic/Latino(a) Pacific Islander White (Non-Latino) Other Decline to State 1

3 Part III. Professional Statement. Please provide a response of no longer than one page to each of the following. A. A statement of career purpose that describes your reasons for pursuing doctoral study and that reflects your understanding of the challenges facing PK-12 public schools in California. B. What are three accomplishments that demonstrate your leadership potential and skills for participating in education reform? You may consider successful achievements in school, in postsecondary institutions, in your community, and/or more generally in reform and education/social policy leadership. C. Discuss experiences and characteristics that demonstrate your ability to succeed in a rigorous program of doctoral studies in education. Include discussion that provides specific evidence concerning (a) your previous academic study (b) your problem-solving ability and (c) your interest in critically assessing and improving educational policies and practices. Part IV. Additional Documentation. Please submit: A. Your professional resume. B. A writing sample authored solely by you, not to exceed 20 pages, such as a portion of a thesis or project, course paper, academic report or journal article. 2

4 Checklist of Required Application Documents You are required to submit online to CSU Mentor at Completed CSU Graduate/Post-baccalaureate Application for Admission You are required to submit to the Ed.D. Program Office on the campus(es) to which you are applying: 2 sets of official transcripts for each college or university attended 3 letters of recommendation (recommendation forms are available at: Letters of recommendation should speak to the leadership and scholarship potential of the applicant. One letter must be from a university faculty member who is familiar with the applicant s work. One letter must be from a person who has supervised the applicant in an employment setting and the final letter must address the applicant s fit for the EdD program. Official Graduate Record Examination (GRE) General Test scores no more than five years old (Note: scores from all three sections of the GRE General Test are required) The completed CSU Supplemental Ed.D. Application Form (this form), accompanied by: A professional statement with responses to A, B, and C as described in Part III on page 2 of the application; A professional resume; and A writing sample as described in Part IV on page 2 in the application. CSULA Ed.D. Program Office Contact: Division of Applied and Advanced Studies in Education Charter College of Education California State University Los Angeles 5151 State University Drive King Hall C2098 Los Angeles, CA Phone:

5 Doctorate of Education (Ed.D.) in Educational Leadership California State University, Los Angeles Letter of Recommendation Applicant completes this section Name Address Last First Middle Initial Street City State ZIP Code Applicant for term beginning Month Year Campus Specialization in PreK-12 Educational Leadership with an Emphasis in: Students' Special Needs, Supports and Services System and School Redesign Urban Teaching and Learning APPLICANTS WAIVER OF ACCESS STATEMENT: I understand this letter of evaluation is to be received and maintained in confidence by the Ed.D. Program, for admission consideration for graduate status. I hereby expressly waive any and all rights I might have of access to this evaluation under the Family Education Rights and Privacy Act of 1974, the California Information Practices Act of 1977, and any or all other laws, regulations or policies. I understand that the rights I am waiving include, but are not limited to, the right to inspect and review this letter, the right to have a copy of this letter made for my use; and the right to request an amendment of this letter. Yes, I waive the right to view this letter of recommendation. No, I do not agree to waive this right. I wish to retain the right to view this letter of recommendation. Signature of Applicant Date Recommender completes this section Please write candidly about the applicant s educational leadership potential and skills, academic qualifications, ability to succeed in a rigorous program of doctoral study, problem-solving ability, interest in critically assessing and bringing about improvements in educational policies and practices, leadership in the profession, and technology proficiency. Descriptions of significant actions, accomplishments, and personal qualities related to educational leadership are particularly helpful. You may attach your response on a separate page. 4

6 Recommender completes this section How long have you known this applicant? In what capacity? Please rate the applicant on the qualities listed below: Candidate Characteristic Depth of experience in urban public education Demonstration of educational leadership roles, skills, and potential Successful collaboration with peers Academic ability Problem-solving ability Communication skills: Oral Communication skills: Writing Interest in critically assessing educational practices Commitment to bringing about improvements in education Understanding of challenges facing California education Technology proficiency Overall leadership and scholarship potential Exceptional Top 5% Outstanding Top 15% Above Average Top 25% Average Mid 25% Below Average Lowest 50% Admission to the Ed.D. Program is: Strongly recommended Recommended Recommended with reservations Not recommended Name of Recommender Signature of Recommender Date Title Institution address Phone Address Are you willing to respond to additional questions by phone or ? Yes No Please mail to: Division of Applied and Advanced Studies in Education Charter College of Education California State University Los Angeles 5151 State University Drive Los Angeles, CA

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