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1 A Collaborative Framework for Change Master of Education (M.Ed.) OR Principal Licensure Checklist for Application 900 Dayton Street Yellow Springs, Ohio midwest.antioch.edu Application Form Application Fee A non-refundable fee of $75 in U.S. funds, payable to Antioch University Midwest, should accompany all applications. Educational Goals Statement Refer to the instructions on completing your educational goals statement. Transcripts from all colleges and universities previously attended. Include transcripts for programs for which no degree was awarded. (Students of the Teacher Licensure program will not be required to provide new official transcripts for all which had previously been received in support of that application. See your enrollment services officer for details.) Transcripts should be sent directly from the institution to the address below. Indicate the name of the program to which you are applying. If you attended a college or university outside the U.S., please check with the Office of Student Services. Alert the Office of Student Services of any transcripts in a former name. Skills Assessment - Contact Vicky Cook at (937) Refer to the following page for instructions on completing your skills assessment. Résumé The resume should include both educational and professional background and any volunteer or certificate training programs, especially as they relate to the teaching field. Fingerprints - Contact Vicky Cook at (937) (BCI&I and FBI background checks must be completed in the School of Education at Antioch University Midwest prior to starting classes) (For OPL) Copy of valid teaching license. Applicants are requested to send or deliver all application materials (except transcripts) at the same time and in a single package to: Antioch University Midwest Attn: Office of Student Services 900 Dayton Street Yellow Springs, Ohio Questions or Concerns An enrollment services officer will be glad to answer your questions or direct you to the appropriate person for information. Please don t hesitate to contact us: (937) or

2 OVERVIEW OF ADMISSIONS PROCESS M.Ed. in Educational Leadership Admissions Procedures To be considered an applicant for the M.Ed. program you must clearly demonstrate, through the submission of documentation, the following qualifications: An earned baccalaureate or professional degree from a regionally accredited college or university. A minimum of 2.5 cumulative grade point average in all undergraduate work A minimum of 3.0 cumulative grade point average in all previous relevant graduate work. Recommended you hold a valid Ohio teaching certificate and/or license. Recommended two-years teaching experience. A math, writing, reading, critical thinking and literacy skills assessment (see below), conducted by Antioch University Midwest Teacher Education Program. Important: Your file will not be routed to the Education Admissions Committee for consideration until you have completed your assessments so please call soon to reserve the earliest date. The assessment, while part of the applications process, is used as a tool to assess your skill level. The assessments are factored into your overall application results, but will not be the determining factor of your admissions. The M.Ed. in Educational Leadership admits students to the program twice a year, in the Fall and Summer quarters. Refer to the application, enclosed, for a listing of the required credentials for application to the program. Ohio Principal Licensure Admissions Procedures To be considered an applicant for the Principal Licensure program you must clearly demonstrate, through the submission of documentation, the following qualifications: A minimum of a 2.5 gpa /3.0 gpa in all previous graduate work. A current teaching certificate /license. An earned master s degree from a regionally accredited college or university. Candidates must meet state requirements for licensure. A math, writing, reading, critical thinking and literacy skills assessment (see below), conducted by Antioch University Midwest Teacher Education Program. Important: Your file will not be routed to the Education Admissions Committee for consideration until you have completed your assessments so please call soon to reserve the earliest date. The assessment, while part of the applications process, is used as a tool to assess your skill level. The assessments are factored into your overall application results, but will not be the determining factor of your admissions. The Principal Licensure Program admits students to either the Early Middle Childhood or Adolescent Young Adult program in Winter and Summer quarter only. Refer to the application, enclosed, for a detailed listing of the required credentials for submitting your application to the program. Skills Assessment Schedule Assessment information for applicants to Antioch University Midwest's Teacher and Principal Licensure/Educational Leadership Programs Dates and Times The assessment will take approximately 1 hour. Please contact The School of Education at (937) for scheduling times. Assessment Location The assessment will take place at Antioch University Midwest, 900 Dayton St., Yellow Springs, OH You must contact The School of Education at (937) in order to reserve a spot.

3 educational goals statement Below are the four tenets from the Antioch University Midwest School of Education Conceptual Framework, which characterizes our education programs. 1. Integrator of Theory to Practice 2. Reflective Practitioner 3. Critical Thinker 4. Educator as Change Agent Please select two to three of the tenets and write a goal statement in which you: 1. discuss your personal responses to those elements you chose and; 2. share your thoughts about how they are reflected in your future professional practice as a teacher Your statement should be electronically produced or typed and included in the packet of material you send to the Office of Student Services. Goal statements should be three to four pages in length, written in first person ("I statements") and doublespaced.

4 application form Indicate program to which you are applying: Master of Education Principal Licensure Early/Middle Adolescent Young Adult personal data Name (last) (first) M.I Other name(s) which may appear on documentation Social Security Number: - - Address (street, apt. #) City State Zip County Phone: (work) - - (home) - - (fax) - - Date of Birth Place of Birth (city/state/country) Sex*: Female Male Country of origin, if not U.S. citizen Ethnic background*: African American/Black Asian or Pacific Islander Caucasian/European Hispanic/Latino Native American or Alaskan Native Other/Unknown Indicate your proposed entrance date: Would you like to receive financial aid information? May we include your name and address in a directory? Yes No Yes No How did you learn of this program? What influenced you to apply? (check most influencial) Employer/career movement Friend Faculty Materials Received Reputation of Institution Antioch Alumni Midwest Alumni Campus Visit Website Advertisement Information Session: Date attended: Other (please specify) Employer Information: Employer Name/Address Current Occupation Emergency Contact: Name Phone: (work) - - (home) - - *Antioch University does not discriminate on the basis of race, creed, sex, age, sexual orientation, handicap or national origin. This information is requested in order to assess the effectiveness of our recruitment program, to facilitate selection of a diverse student body, and to meet federal reporting guidelines. Responses related to these questions are optional.

5 application form (continued) Please indicate the level(s) and subject(s) of your current Ohio certification/licensure: Are you presently under suspension or dismissal for academic or disciplinary reasons from any college or university academic program? Yes No If yes, please explain on a separate page. educational data Regardless of whether you earned a degree, please list ALL post-secondary schools which you have attended. If additional space is required, please use a separate sheet. Name of School Degree Earned Dates Attended In applying for admission to Antioch University Midwest, I agree that, if admitted, I will abide by and follow all of the university s policies and practices. I further certify that the information I have provided in this application packet is complete and accurate, and that all the statements and essays are my own work. FILES MAY BE ELECTRONICALLY TRANSMITTED OR OTHERWISE DUPLICATED FOR REVIEW AND USE BY ANY AUTHORIZED ANTIOCH UNIVERSITY PERSONNEL. Signature Date Please be sure to sign the above statement, or your application will not be valid, and we will have to delay its processing. If you have any questions about the application process, call (937)

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