NAME. Desired Certification Content Area. Desired Grade Level

EDUCATION DEPARTMENT 817-598-6446 Alternative Teacher Certification Program Weatherford College (WC) offers individuals with content appropriate backgrounds an opportunity to complete requirements for Texas Teacher Standard Certification. These candidates must hold a Bachelor s degree with at least an overall 2.5 GPA and a subject area (for the subject that they plan to teach) of 2.5 and meet all other requirements of the program. The WC Alternative Teacher Certification Program (TCP) is approved by the State Board for Educator Certification. www.sbec.state.tx.us NAME Desired Certification Content Area Desired Grade Level YES NO Have you ever been accepted into another alternative certification program (ACP), or taken a TExES exam? If yes, please give program name and year of activity. Please include daytime phone number and email. In order to successfully participate in this study program, You must have: A valid e-mail address, and Regular access to a computer, and Access to high speed Internet service. Email Contact Phone Number Program Cost The cost of the training is usually $3500 for any certification area. The Pedagogy & Professional Responsibilities tuition of $800 must be paid in full at the time of registration. The remaining $2700 may be paid at the beginning of each class. Once you are accepted into the program, you have up to three years to complete all required coursework. *Troops to Teachers and Military Spouse Career Advancement grants may be available to qualified applicants. Rev 4/26/2012

WC TCP APPLICATION CHECKLIST q Application (completed and signed) q Application Fee - $50.00 Make check or money order payable to Weatherford College. q Certified, Official College Transcripts (from all colleges and universities attended) Bring them sealed or have your schools send them directly to this department: Weatherford College Teacher Certification Program 225 College Park Dr, BUSI 210 Weatherford, TX, 76086 q Signed Authorization for Release of Personal Information for Background Check q THEA or COMPASS Scores, or Accuplacer/SAT/ACT/GRE scores. These scores are usually included in your bachelor s degree transcripts. All pre-service educators in the State of Texas must document proficiency in reading, writing and math. After consulting with the program director, if you need to take the quick THEA or COMPASS, you may call the WC Testing Center at 817-598-6488 to schedule. q Three Reference Forms Please give these forms to your professional references and they may mail them to us or fax them to 817-598-6371. q Formal interview with director. q Critical Thinking Appraisal to be administered in the WC Testing Center. q A secure practice content exam may be provided by this office in your desired discipline. q Pre-Service Field Experience You will be required to record 30 hours of field experience. Ask for a journal from this office at the time of your interview.

TEACHER CERTIFICATION PROGRAM APPLICATION Please Print Social Security Number Date Name Last First Middle Other name(s) by which you have been known Current Address / / Street City, State Zip (9 digit) County Date of birth Gender: Male Female Daytime (cell) Phone Home Phone E-mail address Driver s License Number State Exp. Date Have you ever been convicted of a felony or offense involving moral turpitude (including, but not limited to theft, rape, murder, and indecency with a minor) and/or received probation or deferred adjudication? No Yes If yes, please explain on a separate sheet. Indicate the method by which you will insure competency in reading, writing, and math. Attach scores. THEA score is included COMPASS/SAT/ACT/GRE scores * ALL OUT-OF-COUNTRY APPLICANTS are required by SBEC to take the TOEFL-iBT (Test of English as a Foreign Language ) test. See information at www.ets.org/toefl/nextgen. Check One (Optional) For reporting purposes to provide statistical information requested by various state and federal agencies: * Ethnicity: 03 Hispanic/Latino of any race * Race: 01 White (non-hispanic) 02 African American (Black, non-hispanic) 04 Asian 05 Native American Indian or Alaskan Native 06 Native Hawaiian or other Pacific Islander 07 Two or more races * Weatherford College does not discriminate on the basis of age, sex, race, color, creed, religion, national or ethnic origin, disability, or veteran status in the administration of its employment practices, educational or admission policies, scholarships or loan programs, athletic or other school-administered programs.

EDUCATIONAL BACKGROUND: List all Colleges and Universities attended Degree Awarded Major Last Date Attended WORK EXPERIENCE: From: mm/yy To: mm/yy Employer (Begin with most current) Position Have you worked as a substitute or a teacher on emergency permit? Yes If yes, please give following information: No Substitute District Year(s) What type of interaction have you had with children in grades 4-12? Are you fluent in a language other than English? If yes, what language? on Checklist APPLICATION CHECKLIST: Application completed and signed Official transcripts (Send sealed and directly to Teacher Certification Program at Weatherford College) Verification of basic skills in reading, writing, and math sent to TCP office Reference forms sent to 3 individuals Application fee of $50.00 included If accepted, I agree to abide by the policies, procedures, rules, and regulations of Weatherford College Education Department and Teacher Certification Program. Signature Date

Office Use Only RQST CLR Mailed Last Name First Name MI Birth Date Previous/Maiden Name SEX: Male Female Mailing Address City ST ZIP Email Address Daytime Phone Number Please indicate which applies at this time: PPR Student EDUC 1301 Student TECA Student INTERN/Clinical Teacher EDUC 2301 Student CDEC Student Decatur EDUC Decatur TECA DPS Computerized Criminal History (CCH) Verification (Weatherford College Education Department adapted DPS AGENCY COPY) I,, have been notified that a computerized criminal Name of WC student applying for observation clearance history (CCH) verification will be performed by accessing the Texas Department of Public Safety Secure Website and will be based on name and date of birth (DOB) information I supply. Because the name based information is not an exact search and only fingerprint record searches represent true identification to criminal history, the organization (as listed above) conducting the criminal history check is not allowed to discuss any information obtained using this method, therefore the agency may offer the opportunity to have a fingerprint search performed to clear any misidentification based on the name search, if the search provides a criminal report I know could not be mine. For the fingerprinting process I will be required to submit a full and complete set of my fingerprints for analysis through the Texas Department of Public Safety AFIS (automated fingerprint identification system). I have been made aware that in order to complete this process I must have the correct fingerprinting (FAST) form from this agency, make an online appointment, submit a full and complete set of my fingerprints, and pay a fee to the fingerprinting services company, L1 Enrollment Services. Once this process is completed and the agency receives the data from DPS, the information on my fingerprint criminal history may be discussed with me. (This copy must remain on file by the Weatherford College Education Department. Required for future DPS Audits.) Signature of Student Date Weatherford College Education Department Dr. Joyce Melton Pagés, Director 817-598- 6245 jpages@wc.edu 225 College Park Dr, BUSI 210 Weatherford, TX 76086 FAX: 817-598-6371 Purpose of CCH: Education students considering working with children in the various settings of early child care centers and public school systems need to complete observations hours in connection with their coursework in TECA, CDEC, EDUC, PPR and CE classes. The WC Catalog advises students pursuing the Associate of Arts in Teaching that the background check is required and that the State Board for Educator Certification may refuse to issue a teaching certificate based on criminal history. Weatherford College (WC) Education Department policy requires that persons observing in local schools must complete our procedures before arranging observation hours. Our students complete a criminal history check authorization form and give to this office. This information is sensitive and is kept confidential. CCH Report Printed: yes no initial

Teacher Certification Program Weatherford College 225 College Park Dr. BUSI 210 Weatherford, TX 76086 Office 817-598-6446 FAX 817-598-6371 PROFESSIONAL REFERENCE FORM has made application to the Weatherford College Teacher Certification Program. Please give your candid and objective appraisal of this applicant by checking the proper columns and answering the questions below. Thank you for your cooperation. This information will be considered strictly confidential. Check appropriate column for each item below: Ability to Present Ideas Work Habits Superior Above Average Average Fair Poor Do Not Know Comments Judgment Adaptability Resourcefulness Enthusiasm and Energy Professional Attitude Interpersonal Skills Cooperation Overall Ranking 1. Professional relationship to the applicant? 2. Was the applicant employed in your company/school? Yes No 3. Was the applicant asked (directly or indirectly) to leave your company? Yes No 4. Would you employ (or re-employ) this person? Yes No 5. Would you want this person to teach your children? Yes No 6. How long have you known the applicant? Please attach any additional comments. Name Date Company Title Address Phone Signature Please return this recommendation by mail or FAX as soon as possible. Thank you.

Teacher Certification Program Weatherford College 225 College Park Dr. BUSI 210 Weatherford, TX 76086 Office 817-598-6446 FAX 817-598-6371 PROFESSIONAL REFERENCE FORM has made application to the Weatherford College Teacher Certification Program. Please give your candid and objective appraisal of this applicant by checking the proper columns and answering the questions below. Thank you for your cooperation. This information will be considered strictly confidential. Check appropriate column for each item below: Ability to Present Ideas Work Habits Superior Above Average Average Fair Poor Do Not Know Comments Judgment Adaptability Resourcefulness Enthusiasm and Energy Professional Attitude Interpersonal Skills Cooperation Overall Ranking 7. Professional relationship to the applicant? 8. Was the applicant employed in your company/school? Yes No 9. Was the applicant asked (directly or indirectly) to leave your company? Yes No 10. Would you employ (or re-employ) this person? Yes No 11. Would you want this person to teach your children? Yes No 12. How long have you known the applicant? Please attach any additional comments. Name Date Company Title Address Phone Signature Please return this recommendation by mail or FAX as soon as possible. Thank you.

Teacher Certification Program Weatherford College 225 College Park Dr. BUSI 210 Weatherford, TX 76086 Office 817-598-6446 FAX 817-598-6371 PROFESSIONAL REFERENCE FORM has made application to the Weatherford College Teacher Certification Program. Please give your candid and objective appraisal of this applicant by checking the proper columns and answering the questions below. Thank you for your cooperation. This information will be considered strictly confidential. Check appropriate column for each item below: Ability to Present Ideas Work Habits Superior Above Average Average Fair Poor Do Not Know Comments Judgment Adaptability Resourcefulness Enthusiasm and Energy Professional Attitude Interpersonal Skills Cooperation Overall Ranking 13. Professional relationship to the applicant? 14. Was the applicant employed in your company/school? Yes No 15. Was the applicant asked (directly or indirectly) to leave your company? Yes No 16. Would you employ (or re-employ) this person? Yes No 17. Would you want this person to teach your children? Yes No 18. How long have you known the applicant? Please attach any additional comments. Name Date Company Title Address Phone Signature Please return this recommendation by mail or FAX as soon as possible. Thank you.

Weatherford College Alternative Teacher Certification Program Breakdown and Cost *The cost of the training is usually $3500 for any certification area. Below is the cost by class. The Pedagogy & Professional Responsibilities course must be paid in full at the time of registration regardless of whether or not an intern teaching position has been secured. The remaining $2700 may be paid at the beginning of each class. Once you are accepted into the program, you have up to three years to complete all required coursework including your internship or clinical teaching experience. *Technology Education or Application Certificate Required Coursework Fees Pedagogy & Professional Responsibilities, offered fall, spring, or summer - $800 + books Technology Education, offered in summer- $600 Content Methods, offered in summer- $600 Intern Support, when teaching - $1500 *Special Education Certificate Required Coursework Fees Pedagogy & Professional Responsibilities, offered fall, spring, or summer and School Law - $800 + books School Attuned at Learning Center of North Texas, Please contact Brenda Worley 817-336-0808 for fees and dates. Approximate cost is $1500. Scholarship may be available, ask Brenda. Special Education Internship - $1500 *All other Certification Areas Required Coursework Fees (Ag Science/Technology; Business; ELAR; ELAR/SS; Family/Consumer Science; Health; History; Math; Math/Science; PE; Science, Composite; Science, Life; Science, Physical; Speech; SS) 1. Training tuition (made in three payments):... $2000 o o o Pedagogy & Professional Responsibilities, payment 1 $800= 9 CEU Content Methods Training, payment 2... $600= 4 CEU Intel Teach the Future, payment 3... $600= 4 CEU 2. Internship/Clinical Teaching = 9 CEU... $1500 *Additional Fees (Overall cost to reach standard certification is estimated to be $4200.) Program Application Fee - $50.00 THEA Test - $39.00 Books and Materials - Varies depending on certificate, estimated $135+ State fees: See www.texes.ets.org for late registration fees and other information. $125 Content test and $125 PPR Test See www.sbec.state.tx.us for more information on teaching in Texas. Probationary Certificate - $52.00+ Standard Certificate - $77.00+ For more information see: http://www.sbec.state.tx.us/sbeconline/fp/livescan.asp Fingerprint Applicant Services of Texas (FAST) - $57.00+ ( http://www.l1enrollment.com/) *Fees are subject to change.