Application Packet For

Size: px
Start display at page:

Download "Application Packet For"

Transcription

1 Application Packet For Designated Subjects Credential Adult Education Career Technical Education Special Subjects Contact: Education Credential Programs Phone: (951) or (951) University of California, Riverside Extension Education Credentials Office 1200 University Avenue Riverside, CA 92507

2 Welcome! Thank you for your interest in UCR Extension s Career Technical Education and Special Subjects program. In this document you will find the application form and a checklist to assist you in completing your application packet. The application fee of $50.00 can only be submitted by debit/credit card, please do not send cash or check. Please contact Student Services at (951) and refer to Certificate Fee-CTE- Career Technical Education and Special Subjects to make this payment. In an effort to ensure your application is complete when received, we recommend when ordering your university transcripts to have them mailed to yourself, do not open them and submit them sealed with the application as one packet. We are committed to the highest possible level of customer service, and will review your application, once it is complete, within 10 business days 1. At that time a decision letter will be mailed to your home address. At any time during this process you are welcome to contact us with any questions or to check on the status of your application. Once you have received your acceptance letter, please contact us to mail you the Preliminary Credential paperwork. We look forward to working with you! 1 Please note that submission of a completed application does not imply automatic acceptance into the program.

3 Applicants must possess: ADMISSION REQUIREMENTS 1. A High School Diploma or GED 2. Job offer or current teaching position requiring the credential 3. Three (3) years of work experience directly related to each industry sector to be named on the credential (CTE only). APPLICATION CHECKLIST A complete application packet includes all of the following: 1. Completed application form 2. Non-Refundable Application fee - $50 (Please call Student Services (951) refer to Certificate Fee-CTE-Career Technical Education and Special Subjects when paying) 3. Copy of High School Diploma/GED or Official, Sealed college/university transcript (required when verifying US Constitution or Health course) 4. Verification of Current Teaching Position or Offer of Employment form (DS 5-13) 5. Intent to Complete All Requirements to Clear My Preliminary Designated Subjects Credential form (DS 6-13) Not required for clear MS/SS Credential Holders Additional Requirements for Bridge Clear MS/SS Credentials holders: 6. Copy of valid CA clear MS or SS credential 7. Verification of appropriate EL Authorization 8. Intent to Complete and Clear All Credential Requirements for Bridge Clear MS/SS credential holders (DS 10-14) Please return as one packet to: UCR Extension c/o Education Credentials Office 1200 University Ave. Riverside, CA Once you have been accepted to the program please contact the Credentials Office at for instructions regarding applying for your preliminary credential.

4 Credentials Office Use Only Date application fee paid Order number Verified by: Appropriate valid CA Credential Date verified Verified by: Approved Not approved: Needs further review Approved by Director of Ed. Not approved by Director of Ed. Date Received: APPLICATION FORM Designated Subjects Credential Program University of California, Riverside Extension * Required Information *Name: (First) (Middle) (Last) Previous or maiden name: *Date of Birth *Social Security Number: _ * address you check on a daily basis: Home address: Number and Street City Zip Code ( )_ Area Code Phone Number Mailing address if different from home address: Please send all mailed correspondence to this address Number and Street City Zip Code

5 Employer Information: School/Site Name: Supervisor/Principal Name: School District & County Professional Experience: (Chronologically, current assignment first) District School Assignment Dates of Employment Supervisor District School Assignment Dates of Employment Supervisor District School Assignment Dates of Employment Supervisor Personal Information: Ethnicity- Please circle one (Responses are kept confidential and used for program quality purposes only): C= American Indian or Alaskan Native A= Black/African American E= Mexican/Mexican American/Chicano L= Latino/Other Spanish F= Caucasian/White/Non- B= Japanese/ Japanese American American Hispanic D= Chinese/ Chinese American M= Pacific Islander Y= Other Asian K= Filipino/Filipino American G= Decline to state X= Korean/ Korean American R= East Indian/ Pakistani D= Other

6 Academic Background: High School Major/Minor Degree & Date College Major/Minor Degree & Date College Major/Minor Degree & Date Designated Subject Program: Please check which program you wish to enter: References: Adult Education Career Technical Education (CTE) Career Technical Education (CTE) Bridge for Clear MS/SS Credential holders Special Subjects Please list name of the past employer(s) from whom you will be requesting verification of experience. (CTE only) Name Title Name Title Name Title I verify that all of the information above is true and correct Signature of Applicant Date Thank you!

7 Verification of Teaching Position and New Teacher Support (Please print) This form must be completed by an employing agency when a Designated Subjects Adult Education, CTE or Special Subjects Preliminary credential is being requested. After this from is completed the teacher must provide it to UCR Extension in order to apply to the Designate Subjects Adult Education, CTE, or Special Subjects credential programs. Employing Agency: (Name of school district) Name of Applicant: Type of credential requested: CTE Special Subjects Adult Education As the authorized representative of the employing agency listed above: (Initial) I certify that the above individual is currently employed or has an offer of employment to teach for the district. (Initial) I certify that supervisors and support providers of the beginning teacher are experienced in teaching, trained in supervision and support, and evaluated on their service to beginning teachers. Signature: Name and Title: Contact Phone Number: Note: For a district or county office of education, this form must be signed by the district or county superintendent or his or her designee. For programs sponsored by a private K-12 school, non-public, non-sectarian school or agency, charter school, or a school operated under the direction of a California state agency, the individual legally authorized to sign documents on behalf of the organization or a designee will be responsible for signing this form. DS 5-13

8 University of California, Riverside Extension Designated Subjects Credential Program Intent to Complete and Clear All Credential Requirements I agree that I will inform UCR Extension if I change my address. I agree that I will have daily access to a computer and . I agree that I have computer literacy skills including the ability to utilize the internet as well as download, print and create PDF documents. (If not, it is recommended that you do not enroll in the program or submit the credential application at this time.) I hereby promise to enroll and complete the Early Orientation within thirty (30) days of obtaining my teaching position. I understand it is my responsibility to enroll in all the required classes. I understand classes can be found in the quarterly catalog or at I certify that I understand the requirements that I must complete in order to clear the Preliminary Designated Subjects credential within the 3 year (5 year for special subjects) preliminary period as outlined below. I understand that the course work must started during the first available quarter after receiving my Preliminary Designated Subjects Credential recommendation. Credential Program Coursework Requirements: EDUC Orientation: Career Technical Education (non-credit) EDUC X CTE Early Orientation (2 units) EDUC X Classroom/Laboratory Management & Safety (2 units) EDUC X CTE Curriculum & Instruction (4 units) EDUC X Assessing Student Learning (3 units) EDUC X Teaching English Learners & Students with Special Needs (3 units) EDUC X CTE Foundations and Professional Legal/Ethical Responsibility (1.5 units) EDUC X Culmination Portfolio (1.5 units) Health Education Requirement: EDUC X Implementation of Health Instruction Framework for CA Schools CPR card covering Adults, Child, and Infant (no online CPR classes accepted) U.S. Constitution Requirement: EDUC 850 U.S. Constitution Exam course or approved university course Teaching Requirement: Two (2) years of successful teaching on the basis of the Preliminary DS Teaching Credential in the industry sector(s) listed on the credential. Supervision and Mentoring Requirements: Candidates must be provided continuous advisement and support throughout the CTE credential program by their employer supervisor. Candidates must be observed and provided feedback at least once per course as a requirement of EDUC X X using Observation Rubrics provided in each course. DS 6-13 Name (please print) Signature of Preliminary Credential Applicant Name (please print) Signature of Supervisor or HR Representative Date Date Phone # and

9 University of California, Riverside Extension Designated Subjects Credential Program Intent to Complete and Clear All Credential Requirements for Bridge CLEAR MS/SS credential holders I agree that I will inform UCR Extension if I change my address. I agree that I will have daily access to a computer and . I agree that I have computer literacy skills including the ability to utilize the internet as well as download, print and create PDF documents. (If not, it is recommended that you do not enroll in the program or submit the credential application at this time.) I understand it is my responsibility to enroll in all the required courses. I understand courses can be found in the quarterly catalog or at I certify that I understand the requirements that I must complete in order to clear the Preliminary Designated Subjects credential within the 3 year preliminary period as outlined below. Credential Program Coursework Requirements: EDUC Orientation: Career Technical Education (non-credit) EDUC X DS Career Technical Education Core for Single/Multiple Subject Teachers Health Education Requirement: EDUC x Implementation of Health Instruction Framework for CA Schools or approved university course CPR card covering Adults, Child, and Infant (cannot be expired) U.S. Constitution Requirement: EDUC 850 U.S. Constitution Exam course or approved university course Teaching Requirement: Two (2) years of successful teaching on the basis of the Preliminary DS Teaching Credential in the industry sector(s) listed on the credential. Supervision and Mentoring Requirements: Candidates must be provided continuous advisement and support throughout the CTE credential program by their employer supervisor. Candidates must be observed and provided feedback at least once as a requirement of EDUC X using the Observation Rubrics provided. Name (please print) Signature of Preliminary Credential Applicant Name (please print) Signature of Supervisor or HR Representative Date Date Phone # and DS 10-14

10 SAMPLE WORK VERIFICATION LETTER * * * * S A M P L E O N L Y* * * * Company Letterhead Date: State of California Commission on Teacher Credentialing PO Box Sacramento CA, To Whom It May Concern: Please let this letter serve as verification of employment of Candidate s Name at Name of Company during the period of month/day/year to month/day/year. During the above period, Candidate s Name was employed Full-time or Part-time as a Job Title for an average of ## hours per week. In this regard, the nature of his/her duties and responsibilities were as follows: Sincerely, (Signature) Please physically sign, no computer generated signatures will be accepted. Name of Company Representative Title Phone Note: A job description can be attached to the letter. * * * * S A M P L E O N L Y* * * *

Added Authorization: Early Childhood Special Education

Added Authorization: Early Childhood Special Education Application Packet for Added Authorization: Early Childhood Special Education Contact: Education Credential Programs Email: credentials@ucx.ucr.edu Phone: (951) 827-1661 or (951) 827-1654 University of

More information

Clear Credential Program

Clear Credential Program Application Packet For Clear Credential Program Contact: Education Credential Programs Email: credentials@ucx.ucr.edu Phone: (951) 827-1661 or (951) 827-1654 University of California, Riverside Extension

More information

Pupil Personnel Services: School Counseling Emphasis

Pupil Personnel Services: School Counseling Emphasis Application Packet For Pupil Personnel Services: School Counseling Emphasis Contact: Education Credential Programs Email: credentials@ucx.ucr.edu Phone: (951) 827-1661 or (951) 827-1654 University of California,

More information

University of California, San Diego Extension

University of California, San Diego Extension University of California, San Diego Extension Clear Credential Program to Clear a Preliminary Single or Multiple Subject California Teaching Credential Site-Based Mentor Application and Guidelines Revised

More information

WHITTIER COLLEGE. Application for Admission Teacher Credential Program. Department of Education & Child Development

WHITTIER COLLEGE. Application for Admission Teacher Credential Program. Department of Education & Child Development WHITTIER COLLEGE Department of Education & Child Development Application for Admission Teacher Credential Program 13406 E. Philadelphia Street P.O. Box 634 Whittier, CA 90608 562-907- 4248 Fax: 562-464-

More information

University of California, Irvine Extension Preliminary Administrative Services Credential. Student Handbook

University of California, Irvine Extension Preliminary Administrative Services Credential. Student Handbook University of California, Irvine Extension Preliminary Administrative Services Credential Student Handbook 1 Table of Contents Overview Page 3 Program Requirements Page 3 Admission Process Page 3 Quarterly

More information

Illinois Restaurant Association Educational Foundation 2015-16 Scholarship Application. Application Deadline: 4/29/2016

Illinois Restaurant Association Educational Foundation 2015-16 Scholarship Application. Application Deadline: 4/29/2016 Illinois Restaurant Association Educational Foundation 2015-16 Scholarship Application Application Deadline: 4/29/2016 Applications RECEIVED after this date will not be considered. Applicant Qualifications

More information

EDUCATIONAL LEADERSHIP and ADMINISTRATION PROGRAM With an MA in EDUCATION APPLICATION PACKET

EDUCATIONAL LEADERSHIP and ADMINISTRATION PROGRAM With an MA in EDUCATION APPLICATION PACKET California State University, Chico Chico, California 95929-0222 530-898-6421 EDUCATIONAL LEADERSHIP and ADMINISTRATION PROGRAM With an MA in EDUCATION APPLICATION PACKET Well-qualified professional school

More information

T.E.A.C.H. Early Childhood TEXAS Bachelor Degree Scholarship Program Application Early Childhood/Child Development/ Family and Child Studies

T.E.A.C.H. Early Childhood TEXAS Bachelor Degree Scholarship Program Application Early Childhood/Child Development/ Family and Child Studies Bachelor Degree Scholarship Early Childhood/Child Development/ Family and Child Studies Date: Name Address City, State, Zip County Phone Number SSN Email Date of Birth Gender Home: (mm/dd/yyyy) Work: Employment

More information

Career Lattice Initial Application

Career Lattice Initial Application Practitioners can use the Pathways Career Lattice to chart a course for their own career development and receive recognition for education and professional achievements. Pathways was designed to encourage

More information

Verification of current tuberculosis clearance and current CPR.

Verification of current tuberculosis clearance and current CPR. CSU, Chico School of Education Application Packet for the Education Specialist Internship Program for Mild/Moderate or Moderate/Severe Disabilities Name: Credential Application Packets may be hand delivered

More information

Early Childhood Rhode Island Scholarship Application

Early Childhood Rhode Island Scholarship Application Page 1 of 9 T.E.A.C.H. Early Childhood Rhode Island Scholarship Application Associate s Degree Employed Directors and Owner/Operator Directors AED/AO Models Date: 1. Name: 2. Address: County: City: State:

More information

Continuing Education. Online Program: M.S. in Educational Leadership. Dear Colleague:

Continuing Education. Online Program: M.S. in Educational Leadership. Dear Colleague: Continuing Education Online Program: M.S. in Educational Leadership Dear Colleague: We are very pleased that you are interested in becoming an educational leader! California has a great need for bold,

More information

Education. University Induction Clear Credential Program 2014-2015. explore. experience. expand.

Education. University Induction Clear Credential Program 2014-2015. explore. experience. expand. Education University Induction Clear Credential Program 2014-2015 explore. experience. expand. Table of Contents Welcome... 3 Important dates... 4 Program costs... 4 Program options... 5 Coursework...

More information

T.E.A.C.H. Early Childhood North Carolina Master s Degree/Emphasis in Early Childhood Leadership and Management Scholarship Application

T.E.A.C.H. Early Childhood North Carolina Master s Degree/Emphasis in Early Childhood Leadership and Management Scholarship Application T.E.A.C.H. Early Childhood North Carolina Master s Degree/Emphasis in Early Childhood Leadership and Management Scholarship Application Section I: Demographics for all applicants Date Social Security #

More information

Dear Accelerated BSN Applicant:

Dear Accelerated BSN Applicant: Dear Accelerated BSN Applicant: Thank you for your interest in our accelerated BSN program. I commend you for your decision to further your education, advance your career, and prepare yourself for leadership

More information

Bachelor s Degree Scholarship Application Checklist

Bachelor s Degree Scholarship Application Checklist Bachelor s Degree Scholarship Application Checklist Please submit all of the following information with your completed application. Complete application (all sections completed) Copy of child care center/family

More information

Graduate Programs in Early Childhood Education

Graduate Programs in Early Childhood Education Graduate Programs in Early Childhood Education Program Advisor: Johanna Filp-Hanke, Ph.D. 707-664-2280 johanna.filp@sonoma.edu Why should I get a Master of Arts degree in Early Childhood Education? The

More information

Preparing for the future.

Preparing for the future. Health IT Workforce Program Application Return completed Application via US Mail or In Person to: East Los Angeles College 1301 Avenida Cesar Chavez Building G1 Room # 204 Monterey Park, CA. 91754 Attn:

More information

UNIVERSITY OF THE PACIFIC GLADYS L. BENERD SCHOOL OF EDUCATION. CREDENTIAL PACKET FOR Teacher in Residence Programs BATTI

UNIVERSITY OF THE PACIFIC GLADYS L. BENERD SCHOOL OF EDUCATION. CREDENTIAL PACKET FOR Teacher in Residence Programs BATTI UNIVERSITY OF THE PACIFIC GLADYS L. BENERD SCHOOL OF EDUCATION CREDENTIAL PACKET FOR Teacher in Residence Programs BATTI Dear BATTI Resident, Welcome to the University of the Pacific and the Benerd School

More information

T.E.A.C.H. Early Childhood ALABAMA Bachelor Degree Scholarship Application for Child Care Center/Preschool Teachers

T.E.A.C.H. Early Childhood ALABAMA Bachelor Degree Scholarship Application for Child Care Center/Preschool Teachers GENERAL INFORMATION: Social Security Number: - - Date: Name: Address: Apt #: City: State: Zip: County: Phone: Home: ( ) Cell: ( ) Work: ( ) Email Address: Date of Birth (mm/dd/yyyy): / / Gender: Female

More information

Instructions for Applicants: Leadership in Health Care Systems Masters Program Health Promotion, Education & Technology

Instructions for Applicants: Leadership in Health Care Systems Masters Program Health Promotion, Education & Technology Instructions for Applicants: Leadership in Health Care Systems Masters Program Health Promotion, Education & Technology The University of Rochester, School of Nursing uses a self-managed application process

More information

INSTRUCTIONS for the Tulane Interdisciplinary PhD Program in Aging Studies application.

INSTRUCTIONS for the Tulane Interdisciplinary PhD Program in Aging Studies application. INSTRUCTIONS for the Tulane Interdisciplinary PhD Program in Aging Studies application. Your application package must be complete before you mail it to the Program. It should include all of the following

More information

Professional Technical Teacher Education Bachelor of Applied Science Program

Professional Technical Teacher Education Bachelor of Applied Science Program Professional Technical Teacher Education Bachelor of Applied Science Program APPLICATION FOR ADMISSION FALL 2016 1 st Review Due Date: May 13, 2016 Applications received after the first review will be

More information

I. General Information

I. General Information SAN DIEGO STATE UNIVERSITY COLLEGE OF HEALTH AND HUMAN SERVICES SCHOOL OF NURSING LVN- RN 30- Unit Option Fall 2014/Spring 2015 I. General Information The LVN- RN 30- Unit Option is designed as a career

More information

Date: Employment Status. What is your current job title? Family Based Professional Non-Teaching Professional Staff Non-Teaching Support Staff

Date: Employment Status. What is your current job title? Family Based Professional Non-Teaching Professional Staff Non-Teaching Support Staff T.E.A.C.H. Early Childhood WASHINGTON, DC Associate/Bachelor s Degree Scholarship Program Application Return this application and all supporting documentation to: NBCDI Attn: T.E.A.C.H. 1313 L Street,

More information

PRACTITIONER REGISTRY APPLICATION

PRACTITIONER REGISTRY APPLICATION Pract Application Rev 06/23/2014 Page 1 PRACTITIONER REGISTRY APPLICATION The Registry verifies trainers, registers training, and tracks the professional development of both practitioners and trainers.

More information

Associate Degree Scholarship Application Checklist Family Home Provider

Associate Degree Scholarship Application Checklist Family Home Provider Associate Degree Scholarship Application Checklist Family Home Provider Please submit all of the following information with your completed application. Complete application (all sections completed) Copy

More information

T.E.A.C.H. Early Childhood MISSISSIPPI Associate Degree Scholarship Application for Child Care Center Teachers

T.E.A.C.H. Early Childhood MISSISSIPPI Associate Degree Scholarship Application for Child Care Center Teachers GENERAL INFORMATION: Social Security Number: - - Date: Name: Address: Apt #: City: State: Zip: County: Phone: Home: ( ) Cell: ( ) Work: ( ) Email Address: Date of Birth (mm/dd/yyyy): / / Gender: Female

More information

Jump-Start/Final Step Scholarship Application Checklist Teachers and Directors of Centers

Jump-Start/Final Step Scholarship Application Checklist Teachers and Directors of Centers Checklist Teachers and Directors of Centers Please submit all of the following information with your completed application. Complete application (all sections completed) Copy of child care center/family

More information

University of Illinois College of Veterinary Medicine Coordinated Degree Program Application Package Augustana College 2015

University of Illinois College of Veterinary Medicine Coordinated Degree Program Application Package Augustana College 2015 Augustana College and University of Illinois Coordinated Degree Program Baccalaureate of Arts/Doctorate of Veterinary Medicine (BA/DVM) (version 8/28/2015) Augustana College and the College of Veterinary

More information

General Education Clear Teaching Credential Program for Catholic School Teachers

General Education Clear Teaching Credential Program for Catholic School Teachers 1 General Education Clear Teaching Credential Program for Catholic School Teachers In addition to the online application, statement of purpose, letters of recommendation, official transcripts, resume or

More information

T.E.A.C.H. Early Childhood TEXAS Associate Degree Scholarship Program Application Early Childhood Education/Child Development

T.E.A.C.H. Early Childhood TEXAS Associate Degree Scholarship Program Application Early Childhood Education/Child Development Associate Degree Scholarship Program Early Childhood Education/Child Development Date: Name Address City, State, Zip County Phone Number Home: Work: SSN Email Date of Birth (mm/dd/yyyy) Gender Employment

More information

Associate Degree Scholarship Application Checklist

Associate Degree Scholarship Application Checklist Associate Degree Scholarship Application Checklist Please submit all of the following information with your completed application. Complete application (all sections completed) Copy of child care center/family

More information

Ensure Educator Excellence:

Ensure Educator Excellence: State of Rhode Island and Providence Plantations Department of Elementary and Secondary Education Educator Certification Career and Technical Education Preliminary Certificate and School Nurse Teacher

More information

Application for Graduate Admission

Application for Graduate Admission Application for Graduate Admission Application Process St. John Fisher College operates on a rolling admission basis. Applications are reviewed as they are received and admission decisions are made within

More information

CHECKLIST. January 1 For Summer Admission September 1 For Spring Admission April 1 For Fall Admission

CHECKLIST. January 1 For Summer Admission September 1 For Spring Admission April 1 For Fall Admission ND/DNP Admission Procedures Use this application if you have a MS in nursing from a NLN or CCNE accredited institution and a ND degree from the College of Nursing. CHECKLIST University of Colorado Denver

More information

Nursing Application. Admission Packets must include the following: (use this as your check list)

Nursing Application. Admission Packets must include the following: (use this as your check list) Nursing Application Thank you for your interest in Health Science Programs. Because acceptance to the Nursing program is selective, a complete application packet must be submitted in order to be considered

More information

APPLICATION TO RN TO BSN PROGRAM

APPLICATION TO RN TO BSN PROGRAM School of Nursing APPLICATION TO RN TO BSN PROGRAM Fall Nursing Application Filing Period March 1 st to April 30 th Space is limited and applicants will be admitted in the order in which the application

More information

Please complete this form and send it in with your completed Application Form and supporting credentials. Signature Date

Please complete this form and send it in with your completed Application Form and supporting credentials. Signature Date Superintendent Letter of Eligibility Summary of Submission Please complete this form and send it in with your completed Application Form and supporting credentials. 1. Application for Admission 2. Three

More information

WHAT YOU TO BECOME T E A C H E R MUST KNOW EDUCATION

WHAT YOU TO BECOME T E A C H E R MUST KNOW EDUCATION WHAT YOU MUST KNOW TO BECOME A SPECIAL EDUCATION T E A C H E R NATIONAL UNIVERSITY SCHOOL OF EDUCATION TM The University of Values NATIONAL UNIVERSITY OFFERS SPECIAL EDUCATION TEACHING CREDENTIALS IN MILD/MODERATE

More information

Online Executive MBA Program Application for Admission

Online Executive MBA Program Application for Admission Online Executive MBA Program Application for Admission Overview Congratulations on your decision to apply to the Online Executive MBA program at Rochester Institute of Technology. The following guide is

More information

APPLICATION TO RN TO BSN PROGRAM

APPLICATION TO RN TO BSN PROGRAM School of Nursing Applications are being accepted NOW for Fall 2010! APPLICATION TO RN TO BSN PROGRAM Fall Nursing Application Filing Period Is NOW for Fall 2010 Space is limited and applicants will be

More information

T.E.A.C.H. Early Childhood Rhode Island Scholarship Application Associate s Degree

T.E.A.C.H. Early Childhood Rhode Island Scholarship Application Associate s Degree Page 1 of 9 T.E.A.C.H. Early Childhood Rhode Island Scholarship Application Associate s Degree Employed Directors or Employed Assistant Directors AED Model Owner/Operator Directors AO Model Date: 1. Name:

More information

Sustainable Building Science Technology

Sustainable Building Science Technology Sustainable Building Science Technology Bachelor of Applied Science Program APPLICATION FOR ADMISSION FALL 2016 1 st Review Due Date: May 13, 2016 Applications received after the first review will be accepted

More information

University of Pikeville Elizabeth Akers Elliott Nursing Program

University of Pikeville Elizabeth Akers Elliott Nursing Program Elizabeth Akers Elliott Nursing Program Application The Elizabeth Akers Elliott nursing program is a twoyear (four semester program) leading to an Associate of Science Degree, with a major in nursing.

More information

FNRE Scholarship Application

FNRE Scholarship Application East Holly Avenue, Box 56! Pitman, New Jersey 08071-0056 (856)256-2343 FAX (856)589-7463 FNRE Scholarship Application Foundation for Neonatal Research and Education (FNRE) (Instructions--please read prior

More information

Internship Teacher Preparation Program

Internship Teacher Preparation Program Introduction California State University, Chico School of Education Internship Teacher Preparation Program For Education Specialist, Multiple Subject, or Single Subject Credentials The Internship Teacher

More information

MASTERS OF ARTS IN EDUCATION - CURRICULUM & INSTRUCTION (C&I) APPLICANT CHECKLIST

MASTERS OF ARTS IN EDUCATION - CURRICULUM & INSTRUCTION (C&I) APPLICANT CHECKLIST California State University, Bakersfield EXTENDED UNIVERSITY DEGREE PROGRAMS 9001 Stockdale Highway 30BDC Bakersfield, California 93311-1022 Phone 661.654.6271 Fax 661.654.2447 www.csub.edu/eudegrees MASTERS

More information

APPLICATION TO RN TO BSN PROGRAM

APPLICATION TO RN TO BSN PROGRAM School of Nursing ONE UNIVERSITY CIRCLE TURLOCK, CALIFORNIA 95382 WWW.CSUSTAN.EDU PHONE (209) 667-3141 FAX (209) 667-3690 APPLICATION TO RN TO BSN PROGRAM Fall Nursing Application Filing Period February

More information

MODESTO JUNIOR COLLEGE RESPIRATORY CARE PROGRAM APPLICATION GUIDELINES. Fall 2015 Application Period for Spring 2016

MODESTO JUNIOR COLLEGE RESPIRATORY CARE PROGRAM APPLICATION GUIDELINES. Fall 2015 Application Period for Spring 2016 MODESTO JUNIOR COLLEGE RESPIRATORY CARE PROGRAM APPLICATION GUIDELINES Fall 2015 Application Period for Spring 2016 Please read all application guidelines carefully. It is the applicant s responsibility

More information

How To Get A Masters Degree In Science

How To Get A Masters Degree In Science California State University, Bakersfield EXTENDED UNIVERSITY DEGREE PROGRAMS 9001 Stockdale Highway 30BDC Bakersfield, California 93311-1022 Phone 661.654.6271 Fax 661.654.2447 www.csub.edu/eudegrees MASTERS

More information

MASTERS OF ARTS IN EDUCATION - CURRICULUM & INSTRUCTION (C&I) REGIONAL AND ONLINE DEGREE PROGRAMS APPLICANT CHECKLIST

MASTERS OF ARTS IN EDUCATION - CURRICULUM & INSTRUCTION (C&I) REGIONAL AND ONLINE DEGREE PROGRAMS APPLICANT CHECKLIST California State University, Bakersfield REGIONAL AND ONLINE DEGREE PROGRAMS 9001 Stockdale Highway 30BDC Bakersfield, California 93311-1022 Phone 661.654.6271 Fax 661.654.2447 www.csub.edu/regional MASTERS

More information

TRANSFER STUDENT APPLICATION

TRANSFER STUDENT APPLICATION TRANSFER STUDENT APPLICATION HOW TO APPLY TO WESLEYAN COLLEGE This application may be used by transfer students to apply for the undergraduate degree program at Wesleyan College. Applications are accepted

More information

William K. Schubert Minority Nursing Scholarship Program

William K. Schubert Minority Nursing Scholarship Program William K. Schubert Minority Nursing Scholarship Program Objective: The goal of the William K. Schubert Minority Nursing Scholarship Program is to increase the diversity of registered nurses at Cincinnati

More information

University Of Rochester School of Nursing. Leadership in Health Care Systems Masters Program Clinical Nurse Leader

University Of Rochester School of Nursing. Leadership in Health Care Systems Masters Program Clinical Nurse Leader University Of Rochester School of Nursing Leadership in Health Care Systems Masters Program Clinical Nurse Leader Thank you for your interest in the University of Rochester School of Nursing Clinical Nurse

More information

MS in Genetic Counseling Application Procedure

MS in Genetic Counseling Application Procedure MS in Genetic Counseling Application Procedure MS in Genetic Counseling Completed application packets must be submitted by January 15, 2014 for the Fall 2014 term. Since class size is limited, early applications

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing.

More information

Application for Admission Master of Health Sciences in Clinical Leadership Program Duke University School of Medicine

Application for Admission Master of Health Sciences in Clinical Leadership Program Duke University School of Medicine Application for Admission Master of Health Sciences in Clinical Leadership Program Duke University School of Medicine Duke University is an Equal Opportunity institution. Duke University offers equal opportunity

More information

T.E.A.C.H. Early Childhood North Carolina Bachelor s Practicum Only Scholarship Program Application

T.E.A.C.H. Early Childhood North Carolina Bachelor s Practicum Only Scholarship Program Application T.E.A.C.H. Early Childhood North Carolina Bachelor s Practicum Only Scholarship Program Application Date Social Security # Name Address City, State, Zip County Phone Number Home: ( ) Work: ( ) Email Date

More information

SCHOOL OF NURSING APPLICATION PACKET

SCHOOL OF NURSING APPLICATION PACKET SCHOOL OF NURSING APPLICATION PACKET REMINGTON COLLEGE SCHOOL OF NURSING Congratulations for taking the first step towards your new career in nursing! As you begin the application process, please be sure

More information

Instructions for Completion of the Applications for Fieldwork in School Counseling and the Paid Internship Credential

Instructions for Completion of the Applications for Fieldwork in School Counseling and the Paid Internship Credential Instructions for Completion of the Applications for Fieldwork in School Counseling and the Paid Internship Credential **This application is to be completed for PAID Internship positions only. Otherwise,

More information

How To Apply To Christian Brothers University

How To Apply To Christian Brothers University for leaders who serve Educational Leadership Program Christian Brothers University m e m p h i s, tennessee A P P L I C AT I O N F O R M Christian Brothers University APPLICATION TO THE Educational Leadership

More information

INFORMATION SESSION PRELIMINARY SINGLE SUBJECT CREDENTIAL PROGRAM

INFORMATION SESSION PRELIMINARY SINGLE SUBJECT CREDENTIAL PROGRAM INFORMATION SESSION PRELIMINARY SINGLE SUBJECT CREDENTIAL PROGRAM MICHAEL D. EISNER COLLEGE OF EDUCATION The California State University Northridge, Michael D. Eisner College of Education is nationally

More information

MT. SAN JACINTO COLLEGE ASSOCIATE DEGREE IN NURSING (LVN-RN) APPLICATION www.msjc.edu/alliedhealth

MT. SAN JACINTO COLLEGE ASSOCIATE DEGREE IN NURSING (LVN-RN) APPLICATION www.msjc.edu/alliedhealth www.msjc.edu/alliedhealth Filing Period: September 1 st September 15 th Office Hours: Monday Thursday 8:00am to 5:00pm and Friday 8:00am to 11:00am It is the student s responsibility to request and ensure

More information

Graduate Program Application for Admission

Graduate Program Application for Admission Graduate Program Application for Admission Graduate Program Division of Education, Supervision and Instruction Tougaloo College Tougaloo, MS 39174 601-977-7744 education@tougaloo.edu SOCIAL SECURITY NUMBER:

More information

A.A.A.S. in Medical Laboratory Technology Requires Shoreline General Education Core Requirements and Science pre-requisites

A.A.A.S. in Medical Laboratory Technology Requires Shoreline General Education Core Requirements and Science pre-requisites Medical Laboratory Technology Program Application: 2015-2016 Professional Year Application available: February 10 th Application DUE: May 10 th Acceptance letters emailed by: June 24 th A.A.A.S. in Medical

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing Nurse Practitioner

More information

ALBERTUS MAGNUS COLLEGE ADVANCED ALTERNATIVE PREPARATION (AAP) for Literacy Specialist in Reading/Language Arts Certification #102

ALBERTUS MAGNUS COLLEGE ADVANCED ALTERNATIVE PREPARATION (AAP) for Literacy Specialist in Reading/Language Arts Certification #102 ALBERTUS MAGNUS COLLEGE ADVANCED ALTERNATIVE PREPARATION (AAP) for Literacy Specialist in Reading/Language Arts Certification #102 APPLICATION FOR ADMISSION Legal Name: Last First Middle Maiden Name or

More information

California State University, Fullerton CSU Scholarship Program for Future Scholars 2013-2014

California State University, Fullerton CSU Scholarship Program for Future Scholars 2013-2014 Application Procedure To apply to the please submit all of the following in one large envelope: 1. Application A complete application including the original and three (3) photocopies of the application,

More information

T.E.A.C.H. Early Childhood Alabama Associate Degree Scholarship Application for Family Child Care Home Providers

T.E.A.C.H. Early Childhood Alabama Associate Degree Scholarship Application for Family Child Care Home Providers GENERAL INFORMATION: Social Security Number: - - Date: Name: Address: Apt #: City: State: Zip: County: Phone: Home: ( ) Cell: ( ) Work: ( ) Email Address: Date of Birth (mm/dd/yyyy): / / Gender: Female

More information

Application for Admission

Application for Admission DIVISION OF COMMUNICATION SCIENCES AND DISORDERS GRADUATE PROGRAMS Application for Admission MASTER OF SCIENCE IN AUTISM SPECTRUM DISORDERS (M.S. in ASD) CERTIFICATE OF ADVANCED GRADUATE STUDY IN AUTISM

More information

College of Science and Health. Success in Healthcare is Measured by Degrees. Application for Admission:

College of Science and Health. Success in Healthcare is Measured by Degrees. Application for Admission: CHARLES DREW UNIVERSITY OF MEDICINE AND SCIENCE College of Science and Health Success in Healthcare is Measured by Degrees Application for Admission:! MPH: Master of Public Health! Part-Time! Full-Time!

More information

Marisa A. Lewis. Dear Prospective MSHA Applicant:

Marisa A. Lewis. Dear Prospective MSHA Applicant: Dear Prospective MSHA Applicant: Thank you for your interest in the Master of Science of Health Administration (MSHA) degree program of the Division of Health Care Management, at Florida A&M University.

More information

WHAT YOU A SCHOOL TO BECOME MUST KNOW PSYCHOLOGIST COUNSELOR OR NATIONAL UNIVERSITY SCHOOL OF EDUCATION. The University of Values

WHAT YOU A SCHOOL TO BECOME MUST KNOW PSYCHOLOGIST COUNSELOR OR NATIONAL UNIVERSITY SCHOOL OF EDUCATION. The University of Values WHAT YOU MUST KNOW TO BECOME A SCHOOL COUNSELOR OR PSYCHOLOGIST NATIONAL UNIVERSITY SCHOOL OF EDUCATION The University of Values An Overview of the Credential Process Step One: Getting Started Welcome

More information

Application Instructions for the

Application Instructions for the Graduate and Professional Studies in Education Eureka Hall 401 6000 J Street Sacramento, CA 95819 6079 (916) 278 5942 www.csus.edu/coe Application Instructions for the Masters of Science in Counselor Education

More information

Instructions and Policies/Center Based/General Child Care First Time

Instructions and Policies/Center Based/General Child Care First Time Instructions and Policies/Center Based/General Child Care First Time 1. In order to process your Child Development Permit funding application successfully, please assist us by reading and following all

More information

SEL Credential Candidate Enrollment by Ethnicity and Gender Total Total Total Total

SEL Credential Candidate Enrollment by Ethnicity and Gender Total Total Total Total Notre Dame de Namur University From: School of Education and Leadership Credential Programs Re: HEOA Sec. 201 Amended HEA Title II, Part A Date: October 21, 2014 Section 1 Background: Credential programs

More information

3. Student ID# (Banner ID# or SS #) 4. Gender: Female Male 5. Name (Last) (First) (Middle) (Other)* 6. Current Mailing Address:

3. Student ID# (Banner ID# or SS #) 4. Gender: Female Male 5. Name (Last) (First) (Middle) (Other)* 6. Current Mailing Address: DELTA STATE UNIVERSITY ROBERT E. SMITH SCHOOL OF NURSING MASTER OF SCIENCE IN NURSING PROGRAM APPLICATION 1. Projected entrance into the program for Fall, 20 Year Full-time Part-time 2. Clinical and Functional

More information

Executive MBA Program. Application for Admission

Executive MBA Program. Application for Admission Executive MBA Program Application for Admission Application Instructions ADMISSION To be considered for admission to the E. Philip Saunders College of Business Executive MBA Program, a candidate must:

More information

CERTIFIED NURSING ASSISTANT PROGRAM

CERTIFIED NURSING ASSISTANT PROGRAM P.O. Box 2000 709 S. Old Missouri Rd. Springdale, AR 72765-2000 (479) 751-8824 Ext 116 (479) 750-7272 (FAX) www.nwti.edu CERTIFIED NURSING ASSISTANT PROGRAM APPLICATION PROCESS CNA Application ($10.00

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING. Accelerated Bachelor s Program for Non-Nurses

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING. Accelerated Bachelor s Program for Non-Nurses UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Bachelor s Program for Non-Nurses Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing.

More information

Tennessee Early Childhood Training Alliance

Tennessee Early Childhood Training Alliance March 25, 2016 Tennessee Early Childhood Training Alliance 737 Union Avenue, E-105 Memphis, TN 38103 (901) 333-5541 fax: (901) 333-5750 www.southwest.tn.edu\tecta Dear TECTA Scholarship Recipient, I hope

More information

Millers College of Nursing 2151 Consulate Drive Suite, 10 & 11 Orlando, FL 32837

Millers College of Nursing 2151 Consulate Drive Suite, 10 & 11 Orlando, FL 32837 Congratulations on your decision to pursue your degree in nursing. The Millers College of Nursing offers a career pathway to the Bachelor of Science in Nursing. The pathway provides learning activities

More information

High School Concurrent Enrollment Checklist

High School Concurrent Enrollment Checklist High School Concurrent Enrollment Checklist Enrollment Services Locations: o San Jacinto Campus (SJC) 951-487-3215 1499 N. State St. Bldg. 1150 San Jacinto, CA 92583 o Menifee Valley Campus (MVC) 951-639-5215

More information

Application for Graduate Study

Application for Graduate Study Application for Graduate Study Expected Registration Year: Graduate Program: Name: Maiden: Address: City: County: State: Zip: Are you a U.S. Citizen? Yes No Nation of Citizenship: If no: Green Card Degree

More information

School of Education. School of Education. Preliminary Single Subject Credential Supplemental Application

School of Education. School of Education. Preliminary Single Subject Credential Supplemental Application School of Education School of Education Preliminary Single Subject Credential Supplemental Application Fall 2016 1 Preliminary Single Subject Credential Supplemental Application Thank you for your interest

More information

Executive MBA. California State University Stanislaus. College of Business Administration. Application for Admission

Executive MBA. California State University Stanislaus. College of Business Administration. Application for Admission Executive MBA Promoting a New Generation of Leaders Application for Admission California State University Stanislaus Application Procedure EMBA The following are required for a complete application: 1.

More information

Pasadena City College Vocational Nursing Program Information Visit us on the web at: www.pasadena.edu/divisions/health-sciences/vn/

Pasadena City College Vocational Nursing Program Information Visit us on the web at: www.pasadena.edu/divisions/health-sciences/vn/ Pasadena City College Vocational Nursing Program Information Visit us on the web at: www.pasadena.edu/divisions/health-sciences/vn/ Pasadena City College Health Sciences Division B6 303 East Foothill Blvd.

More information

THE SPARX & LORENZO ANTONIO SCHOLARSHIP

THE SPARX & LORENZO ANTONIO SCHOLARSHIP Please print your name Last First THE SPARX & LORENZO ANTONIO SCHOLARSHIP To Benefit New Mexico High School Students Who Plan To Attend in Albuquerque, New Mexico 1 To benefit New Mexico High School Students

More information

X I. Welding Technology. Career and College Promise Program (CCP) for High School Students LEARNING COMES TO LIFE IN PURSUIT OF EXCELLENCE

X I. Welding Technology. Career and College Promise Program (CCP) for High School Students LEARNING COMES TO LIFE IN PURSUIT OF EXCELLENCE HA MUNITY CO LL E GE COM X FA I L Welding Technology Career and College Promise Program (CCP) for High School Students LEARNING COMES TO LIFE IN PURSUIT OF EXCELLENCE Table of Contents Letter to the Parents..............................................................

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING RN to BS Program Web Page Address: www.son.rochester.edu

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING RN to BS Program Web Page Address: www.son.rochester.edu UNIVERSITY OF ROCHESTER SCHOOL OF NURSING RN to BS Program Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing combined RN to BS Program

More information

I. General Information

I. General Information SAN DIEGO STATE UNIVERSITY COLLEGE OF HEALTH AND HUMAN SERVICES SCHOOL OF NURSING UNDERGRADUATE APPLICATION FOR ADMISSION TRANSFER STUDENTS FALL 2015 I. General Information Effective Fall 2013, transfer

More information

Required Attachments for Scholarship Applications (Scholarship applications cannot be processed without the following attachments)

Required Attachments for Scholarship Applications (Scholarship applications cannot be processed without the following attachments) Required Attachments for Scholarship Applications (Scholarship applications cannot be processed without the following attachments) For all Scholarship Applicants (Please attach the following documents)

More information

SA N FELIPE D EL RI O Consolidated Independent School District

SA N FELIPE D EL RI O Consolidated Independent School District SA N FELIPE D EL RI O Consolidated Independent School District P.O. DRAWER 428002 DEL RIO, TEXAS 78842 TO: FROM: RE: San Felipe Del Rio C.I.S.D. Applicant Human Resources Department Important Information

More information

DOCTORAL PROGRAM ADMISSIONS OFFICE 1255 Amsterdam Avenue, Room 919 New York, NY 10027 Telephone: (212) 851-2389

DOCTORAL PROGRAM ADMISSIONS OFFICE 1255 Amsterdam Avenue, Room 919 New York, NY 10027 Telephone: (212) 851-2389 DOCTORAL PROGRAM ADMISSIONS OFFICE 1255 Amsterdam Avenue, Room 919 New York, NY 10027 Telephone: (212) 851-2389 Instructions for Fall 2014 Admissions Application Please consult all enclosed materials prior

More information

Bachelor s And Master s In Nursing DegreeS Online

Bachelor s And Master s In Nursing DegreeS Online Dear Future Student: I am very proud of the online RN to BSN degree program that allows busy registered nurses the opportunity to earn their BSN degree. Offering our courses online provides an opportunity

More information

Name. Address. City, State, Zip County Phone Number Home: Work: SSN Email Date of Birth (mm/dd/yyyy) Gender. Employment Status

Name. Address. City, State, Zip County Phone Number Home: Work: SSN Email Date of Birth (mm/dd/yyyy) Gender. Employment Status Delaware Association for the Education of Young Children (DAEYC) T.E.A.C.H. Early Childhood Delaware (T.E.A.C.H.) Associate Degree Scholarship Application Name Address City, State, Zip County Phone Number

More information

Master of Arts in Child Development. ** Thursday - October 1, 2015 **

Master of Arts in Child Development. ** Thursday - October 1, 2015 ** Department of Graduate & Professional Studies Eureka Hall 401 (916) 278-5942 www.csus.edu/coe Dear Prospective Student: Master of Arts in Child Development Thank you for your interest in the MA programs

More information

APPLICATION FOR A PROVISIONAL (SPECIAL EDUCATION) VIRGINIA LICENSE

APPLICATION FOR A PROVISIONAL (SPECIAL EDUCATION) VIRGINIA LICENSE APPLICATION FOR A PROVISIONAL (SPECIAL EDUCATION) VIRGINIA LICENSE PLEASE NOTE: THIS APPLICATION MUST BE SUBMITTED BY A VIRGINIA PUBLIC SCHOOL OR ACCREDITED NONPUBLIC SCHOOL. Thank you for your interest

More information