CSU GRADUATE APPLICATION REQUIREMENTS FOR ADMISSION

SINGLE SUBJECT CREDENTIAL PROGRAM GENERAL INFORMATION FALL DEADLINE: February 15 SPRING DEADLINE: Nvember 15 Please nte that the applicatin prcess requires TWO separate applicatins, ne t the Credential Prgram and ne t SF State. Bth the Credential Prgram Applicatin and the CSU Graduate Applicatin are due n the abve deadline. If the deadline falls n a weekend, prgram applicatins will be accepted the next wrking day fllwing the deadline. Please nte that CSU Graduate applicatins must be submitted nline n r befre the deadline regardless f what day the deadline falls. ATTEND AN INFORMATION MEETING Meetings are held regularly by the Credential Services Office. Visit ur website: https://ce.sfsu.edu/eventsview/all fr the schedule and hw t reserve a seat. Meetings are designed t infrm prspective students f the best pssible way t meet the requirements fr admissin t a credential prgram. Explanatin f the requirements, a descriptin f the prgram, and timelines are discussed. All applicants are strngly encuraged t attend an infrmatin meeting. Fr infrmatin n the Intern Prgram please visit: http://ce.sfsu.edu/cstpc/intern. REQUIREMENTS FOR THE SINGLE SUBJECT CREDENTIAL PROGRAM University Requirements Online Graduate Applicatin Applicatin fee $55.00 Official transcripts frm all clleges r universities attended Single Subject Credential Prgram Requirements Prgram applicatin Applicatin fee $25.00 (nn-refundable) Official transcripts frm all clleges r universities attended Bachelr s Degree must be psted befre starting the prgram GPA: 2.67 verall r 2.75 in last 60 semester units Statement f Purpse Resume r Curriculum Vitae Early Field Experience in a public classrm setting Letters f recmmendatin (minimum f three) Fulfill Subject Matter Cmpetency Requirement Fulfill Basic Skills Requirement Fulfill Secnd Language Requirement Fingerprint Clearance Negative TB test (must be valid fr at least six mnths at time f prgram start) ADMISSION PROCEDURES Faculty will interview applicants with cmplete applicatins wh meet minimum qualificatins and prgram expectatins. If selected fr an interview, applicants will be ntified by mail 2 t 3 weeks after the applicatin deadline. Applicants wh will be recmmended fr admissin will be ntified by mail 2 t 3 weeks after the interview. There will be a mandatry rientatin in April fr applicants wh are recmmended fr admissin. Rev 04-15-15 (Basic Skills Optin) 1

CSU GRADUATE APPLICATION REQUIREMENTS FOR ADMISSION 1. UNIVERSITY APPLICATION: Apply t San Francisc State University s Graduate Divisin (415-338-2234, ADM 250), using the Graduate/Pst-baccalaureate applicatin t The Califrnia State University. Applicatin infrmatin can be fund n the Graduate Divisin webpage www.sfsu.edu/~gradstdy. The applicatin can be filled ut nline at www.csumentr.edu. Yu can als check the status f yur applicatin at www.sfsu.edu/nline/appstat.htm. When filling ut the nline applicatin: Chse the Majr/Prgram Objective -- Cred Only (Single Subject: yur subject area) [CREDCERT] Chse the Degree Objective -- nne Chse the Credential Objective -- Single Subject (yur subject) The applicatin must be submitted nline by department deadlines 2. FEE: There is a $55.00 fee fr this applicatin. Yu can pay nline at the time f the applicatin submissin r yu can pay Graduate Admissins after yu have submitted yur applicatin. 3. TRANSCRIPTS: Submit ne fficial set f sealed transcripts frm every cllege r university attended t the SFSU Graduate Admissins, ADM 250, 1600 Hllway Avenue, San Francisc, CA 94132. Transcripts shuld be sent t yu and submitted either in persn r by mail as ne packet. If yu have previusly attended SFSU, yu may nt need t send transcripts. Please check with Graduate Admissins regarding their plicies. 4. TOEFL: If yu are an internatinal student r if yu have a bachelr s degree frm utside the United States, please cntact the Graduate Admissins directly. There may be additinal admissin requirements fr admissin, such as the Test f English as a Freign Language (TOEFL). CREDENTIAL PROGRAM REQUIREMENTS FOR ADMISSION 1. CREDENTIAL PROGRAM APPLICATION: Cmplete the Single Subject Credential Prgram Applicatin. 2. PROCESSING FEE: There is a $25.00 nn-refundable fee fr this applicatin. This can be paid at the Bursar s Office prir t submitting the prgram applicatin. The Bursar will stamp the payment slip included in the prgram applicatin. If yu cannt pay in persn, a check r mney rder payable t SFSU can be attached t the filled ut fee slip. 3. TRANSCRIPTS: Submit ne fficial set f sealed transcripts frm every cllege r university attended. This is in additin t transcripts fr the CSU Graduate applicatin. Yu shuld cllect all fficial transcripts and submit them with the applicatin. SFSU transcripts can be unfficial cpies frm MySFSU. Freign transcripts must be evaluated by a state apprved agency. Visit the CTC website fr a list f agencies: http://www.ctc.ca.gv/credentials/leaflets/cl635.pdf. 4. DEGREE: Applicants must have earned a bachelr s degree r higher, except in prfessinal educatin (i.e., secndary educatin), frm a reginally accredited cllege r university. Applicants with degrees frm utside the United States must have the equivalent f a bachelr s degree frm a US reginally accredited institutin. The degree must be awarded befre enrlling in the credential prgram. If the degree is nt awarded at the time f the applicatin deadline, applicants must prvide transcripts at the time f applicatin and updated transcripts nce the degree has been awarded. 5. GPA: Applicants fr admissin shuld have attained a grade pint average f at least 2.67 in all baccalaureate and pst baccalaureate cursewrk r a grade pint average f at least 2.75 in the last 60 semester units r 90 quarter units. 6. STATEMENT OF PURPOSE: Submit a typed essay (1-3 pages duble spaced). Sme questins t cnsider when frmulating yur essay: Why d yu want t be a teacher? What experiences have prepared yu t teach in a linguistically diverse, urban setting? What persnal qualities d yu pssess and what experiences have yu had that have prepared yu t wrk in a cllabrative envirnment such as a high schl r a chrt in the Single Subject Prgram? 7. EARLY FIELD EXPERIENCE: Applicants must demnstrate that they have fulfilled a minimum requirement f 45 hurs f Early Field Experience prir t applying t the Single Subject Credential Prgram. This Early Field Experience requirement can be met by vlunteering, substitute teaching, r wrking in a Single Subject, regular educatin classrm in a Califrnia public schl, in an apprpriate subject area. The classrm shuld be culturally and linguistically diverse, meaning that at least ne third f the students are English Language Learners. This includes Ebnics speakers. The intentin is fr applicants t gain sme expsure t and familiarity with the rle f the teacher, the student age grup, the current curriculum standards, and the public schl envirnment. The experience shuld be within the last 5 years. Experiences in private schls, pre-schls, special educatin, higher educatin, religius educatin, after schl prgrams r utside the U.S. will nt meet this requirement. A letter f recmmendatin frm the teacher r supervising site administratr must verify this experience. The letter shuld briefly describe the classrm cmpsitin, including the cultural backgrund f the students, and the classrm envirnment, including grade level and subject(s) taught. The letter shuld als state hw the applicant was invlved in the classrm, including qualitative cmments abut the applicant s perfrmance in the classrm, especially nting the applicant s effectiveness in a linguistically and culturally diverse classrm. The letter must be n letterhead and have an riginal signature. A sample letter is attached n Page 8. This letter als cunts as ne f the three required letters f recmmendatin. Agencies that can assist yu in finding field experience lcatins are the San Francisc Schl Vlunteers (www.sfedfund.rg) r Pacifica Schl Vlunteers (http://pacificaschlvlunteers.rg). Yu may als call yur lcal schl district fr mre ptins. The Teacher Preparatin Center has a mre cmplete list f vlunteer placement prgrams. 2

8. LETTERS OF RECOMMENDATION: A minimum f three (3) letters is required. The Early Field Experience letter can cunt as ne f the three letters. Letters shuld address the applicant s character, aptitude fr teaching, wrk ethic, r academic ability, et cetera. Additinal letters will als be accepted t augment the applicatin. Letters must be n letterhead and have riginal signatures. Letters frm relatives and letters mre than five years ld will nt be accepted. Applicants shuld cllect all letters and include them in the applicaint paket. 9. SUBJECT MATTER COMPETENCY: The Credential Prgram des nt prvide further preparatin in a subject area. Knwledge f the subject shuld be mastered befre beginning a credential prgram. There are tw ways applicants can prve their cmpetency: Pass the required CSET exams. All parts f the exam fr yur subject must be taken befre the applicatin deadline. Thse with nly partial passing scres will nt be admitted. Phtcpies f all exam scres shuld be included with the Prgram Applicatin, even if yu have requested the scres sent t SFSU by the testing cmpany. Exams vary by subject. Fr infrmatin and registratin g t: www.ctcexams.nesinc.cm. All CSET scres are valid fr five years. Yu must earn yur credential befre these tests expire. OR Cmplete an Apprved Subject Matter Cmpetency Prgram. T have yur cursewrk assessed, please cnsult the list f Subject Matter Cmpetency Advisrs n Page 14 and make an appintment. The frm the advisr needs t cmplete is n Page 15. Yu must cmplete 100% f subject matter cmpetency cursewrk at a Califrnia State University (CSU) campus t be admitted and begin the credential prgram. Per CSU Executive Order 1077 under Sectin III, a cmparisn and analysis f student transcripts frm a nn-csu, nn CTC-apprved subject matter prgram shall nt satisfy the CSU requirement fr certifying subject matter cmpetence. NOTE We will accept unfficial printuts f grades t verify cmpletin f the Subject Matter Prgram fr admissin purpses nly. Yu MUST submit an fficial transcript (SFSU excepted) t be recmmended fr a credential. If yu have cmpleted a subject matter cmpetency prgram at anther CSU campus, we must have an fficial, riginal frm r letter with a Cmmissin n Teacher Credentialing-apprved signature verifying that yu have met all subject matter prgram requirements in a prgram apprved by the CTC. If yur subject area is nt listed n the advisr list prvided, then SFSU des nt have an apprved subject matter cmpetency prgram fr that area. Subject Matter Prgram evaluatins can nly be dne by SFSU r anther CSU campus. Fr mre infrmatin abut the CSU Executive Order, please g t the fllwing link: http://www.calstate.edu/e/eo- 1077.html. 10. BASIC SKILLS REQUIREMENT: Chse ne f the fllwing ptins t fulfill this requirement. A. CBEST (Califrnia Basic Skills Examinatin) Submit a phtcpy f the results. Fr infrmatin and registratin g t: www.ctcexams.nesinc.cm. B. Out-f-State Basic Skills Exam. Submit a phtcpy f the results. Nt all states Basic Skills Exams have been apprved by the CTC. Cntact the Teacher Preparatin Center t find ut if the test yu tk is apprved. Fr mre infrmatin n specific tests, cntact the apprpriate Department f Educatin fr the state in which the test is given. C. CSET: Multiple Subjects Plus Writing Skills. Submit a phtcpy f the results. Fr infrmatin and registratin g t: www.ctcexams.nesinc.cm. Nt recmmended fr Single Subject Applicants. D. Other Optins fr Satisfying the Basic Skills Requirement (see chart belw) Examinatin English Scre Requirement Math Scre Requirement CSU Early Assessment Prgram CSU Placement Exams (EPT and ELM) Cllege Ready r Exempt Scre f 151 r abve Cllege Ready r Exempt Scre f 50 r abve Cllege Bard SAT Scre f 500 r abve Scre f 550 r abve ACT Scre f 22 r abve Scre f 23 r abve Cllege Bard Advanced Placement Examinatins (AP) Scre f 3 r abve n ne f the fllwing: AP English Language and Cmpsitin AP English Literature and Cmpsitin Scre f 3 r abve n ne f the fllwing: AP Calculus AB AP Calculus BC AP Statistics Since the EAP and the EPT/ELM examinatins are linked fr CSU admissin and placement, the Cmmissin will accept a cmbinatin f scres frm the EAP and the EPT/ELM examinatins t meet the Basic Skills Requirement as lng as the individual passes a sectin f English and a sectin fr Mathematics. Fr example, an individual may pass the Mathematics EAP and the EPT examinatin t satisfy the Basic Skills Requirement. 3

11. SECOND LANGUAGE REQUIREMENT: Shw verificatin f experience learning a secnd language. See Page 7 fr fulfillment ptins. 12. CERTIFICATE OF CLEARANCE: In accrdance with Califrnia state law and Educatin cde, all teaching credential applicants must g thrugh a backgrund check. All applicants must apply fr a Certificate f Clearance with the Cmmissin n Teacher Credentialing (CTC) OR submit prf f prir cmpletin f the clearance. Acceptable dcumentatin in lieu f a Certificate f Clearance: Valid credentials r permits issued by the CTC, including substitute, pre-intern permits, shrt term staff permits, clear r preliminary, r Child Develpment permits. District r ther jb related clearance is nt acceptable. Submit a print-ut frm the CTC website. Fr instructins n applying fr the Certificate f Clearance see page 9. Fr student teaching placement purpses districts may require additinal finger printing clearance. 13. TB TEST: (interns are exempt frm this requirement) TB test verificatin shuld be a phtcpy f a nte r card frm a dctr. A negative skin test r a clear chest x-ray is acceptable. Verificatin shuld be valid at least six mnths at prgram start date. The term f validity is fr a negative skin test is ne year and five years fr the clear chest x-ray. ADDITIONAL CREDENTIAL REQUIREMENTS These can be cmpleted after admissin, befre earning yu credential. Cmpletin f U. S. Cnstitutin curse r exam. Yu must meet the U.S. Cnstitutin requirement either by curse wrk r examinatin. Thse wh earned a B.A. frm a CSU campus have already met this requirement. Check with the Teacher Preparatin Center t see if yu have met this requirement. See the TPC website fr test site lcatins: http://ce.sfsu.edu/cstpc/us-cnstitutin-requirement. Interns must cmplete this requirement befre applying fr the Intern Credential. CPR. Yu must have current training in administering CPR t adults, children and infants at the time f applicatin t the Cmmissin n Teacher Credentialing. Perfrmance Assessment fr Califrnia Teachers (PACT). All Single Subject credential candidates are required t pass the Perfrmance Assessment fr Califrnia Teachers knwn as the PACT. Instructins and details regarding the PACT are prvided upn admissin t the prgram. Infrmatin regarding this requirement can als be lcated at the fllwing web site: http://www.pacttpa.rg/_main/hub.php?pagename=hme MA IN SECONDARY EDUCATION The Department f Secndary Educatin ffers an MA in Secndary Educatin. T be eligible fr this prgram yu must have the fllwing: A Preliminary r Clear Single Subject Credential Fr a list f ther requirements please cntact the Department f Secndary Ed. SFSU COLLEGE OF EDUCATION CREDENTIAL PROGRAM FILE USE AND STORAGE POLICY All materials submitted t San Francisc State University (SFSU) becme the prperty f SFSU and will nt be returned. SFSU will nt make phtcpies r therwise duplicate materials fr applicants persnal use. Applicants shuld make cpies fr persnal use befre submitting materials t SFSU. Applicants may access their credential file fr viewing r t make cpies at their wn expense during the Teacher Preparatin Center s ffice hurs in Burk Hall 244. Applicants must shw pht ID t access their file. Files f applicants wh were denied entrance t a prgram r wh chse nt t enrll in the prgram the semester fr which they were admitted will be kept fr ne year. Requests t reapply and have previus applicatins recnsidered fr future semesters must be made in writing and submitted accrding t published applicatin deadlines. Upn being recmmended by SFSU t the Cmmissin n Teacher Credentialing fr award f a Preliminary r Clear credential, all materials nt directly related t the applicatin fr the credential r SFSU accreditatin will be destryed. A recrd f the applicatin and recmmendatin fr the Preliminary r Clear credential and supprting dcuments will be stred fr 7 years. Cnsult the SFSU Registrar fr infrmatin abut University transcript plicies. THE SB 2042 CREDENTIAL AND CLAD The Cmmissin n Teacher Credentialing (CTC) gverns teacher certificatin under the authrity granted t it by the Califrnia State Legislature in Senate Bill 2042. SB 2042 includes stipulatins under Assembly Bill 1059, which authrizes yu t teach English Language Learners r what was previusly designated CLAD classrms. This means that yu will NOT have t cmplete a separate (r an additinal) CLAD prgram nr take the CTEL exams. 4

SINGLE-SUBJECT CREDENTIAL COURSE WORK OPTIONS The Single Subject Teaching Credential Prgram is designed t prepare qualified candidates with the curse wrk and field experiences needed t enable them t effectively teach their subject in Califrnia public schls, particularly middle and high schls. The Department f Secndary Educatin prepares candidates t teach in the fllwing subject areas: Art, English, Wrld Languages, Hme Ecnmics, Mathematics, Music, Physical Educatin, Science, and Scial Science. The SFSU Single Subject Credential Prgram is a ne-year, fulltime prgram which starts Fall semester nly. Fr curse descriptins, cnsult the SFSU Bulletin: www.sfsu.edu/~bulletin. Fr class times and lcatins, cnsult the class schedule: www.sfsu.edu/nline/clssch.htm. SINGLE SUBJECT CREDENTIAL PROGRAM OUTLINE TWO SEMESTER PROGRAM FOR FULL-TIME STUDENTS FIRST SEMESTER FALL Curriculum & Instructin 1 discipline-based; see curse numbers belw 3 units Subject Area-Curse Number: English-ENG 713; Mathematics-S ED 759.01; Science-S ED 759.02; Scial Science-SED 759.03; Art-ART 650; Wrld Languages-FL 750; Hme Ecnmics-CFS-699; Music-MUS 760; and P.E.-KIN 750 Curse numbers vary Student Teaching 1 Observatin & Participatin S ED 640 3 unit Scial, Cultural and Histrical Fundatins f Educatin S ED 701 3 units Literacy Acrss Cntent Areas S ED 720 3 units Classrm Envirnment (chrt class must be taken cncurrently with SED 640) S ED 751 3 units Adlescent Develpment S ED 800 3 units Cmputer Fundamentals fr Teachers* ITEC 601 1* unit 18 ttal units SECOND SEMESTER SPRING Curriculum & Instructin 2 discipline-based; see curse numbers belw 3 units Subject Area-Curse Number: English-ENG 714; Mathematics-S ED 769.01; Science-S ED 769.02; Scial Science-SED 769.03; Art-ART 655; Wrld Languages- FL 751; Hme Ecnmics-Nt Required; Music-MUS 761; and P.E.-KIN 751 Curse numbers vary Student Teaching 2 S ED 660 9 units Prfessinal Perspectives & Practices (chrt class must be taken cncurrently with SED 660) S ED 752 3 units Secnd Language Develpment S ED 790 3 units 18 ttal units * ITEC 601 is a Cllege f Extended Learning curse. Cntact the Department f Equity, Leadership Studies and Instructinal Technlgies (ELSIT) at (415) 338-1653 fr further infrmatin. Yu may als g t the fllwing link fr ther ptins t satisfy the technlgy requirement <http://ce.sfsu.edu/dcs/itec/itec_packet.pdf> 5

SINGLE SUBJECT CREDENTIAL PROGRAM OUTLINE THREE SEMESTER PROGRAM OPTION FIRST SEMESTER SPRING Scial, Cultural and Histrical Fundatins f Educatin S ED 701 3 units Adlescent Develpment S ED 800 3 units ttal units SECOND SEMESTER FALL Curriculum & Instructin 1 discipline-based; see curse numbers belw 3 units Subject Area-Curse Number: English-ENG 713; Mathematics-S ED 759.01; Science-S ED 759.02; Scial Science-SED 759.03; Art-ART 650; Wrld Languages-FL 750; Hme Ecnmics-CFS-699; Music-MUS 760; and P.E.-KIN 750 Curse numbers vary Student Teaching 1 Observatin & Participatin S ED 640 3 units Literacy Acrss Cntent Areas S ED 720 3 units Classrm Envirnment (chrt class must be taken cncurrently with SED 640) S ED 751 3 units Cmputer Fundamentals fr Teachers* ITEC 601 1* unit 13 ttal units THIRD SEMESTER SPRING Curriculum & Instructin 2 discipline-based; see curse numbers belw 3 units Subject Area-Curse Number: English-ENG 714; Mathematics-S ED 769.01; Science-S ED 769.02; Scial Science-SED 769.03; Art-ART 655; Wrld Languages- FL 751; Hme Ecnmics-Nt Required; Music-MUS 761; and P.E.-KIN 751 Curse numbers vary Student Teaching 2 S ED 660 9 units Prfessinal Perspectives & Practices (chrt class must be taken cncurrently with SED 660) S ED 752 3 units Secnd Language Develpment S ED 790 3 units 18 ttal units * ITEC 601 is a Cllege f Extended Learning curse. Cntact the Department f Equity, Leadership Studies and Instructinal Technlgies (ELSIT) at (415) 338-1653 fr further infrmatin. Yu may als g t the fllwing link fr ther ptins t satisfy the technlgy requirement <http://ce.sfsu.edu/dcs/itec/itec_packet.pdf> 6

INTERN PROGRAM The Intern Prgram is a fur-semester prgram beginning nly in the Fall semester. All participants must be emplyed at least part-time as the teacher f recrd in their subject area and meet all internship credential requirements. All classes fr the Intern Prgram will be held after 4 p.m. If yu are ffered emplyment, email the Dr.Patricia Irvine (pirvine@sfsu.edu) fr infrmatin cncerning the Intern Prgram. SECOND LANGUAGE REQUIREMENT Candidates must shw verificatin f experience learning a single secnd language btained thrugh ne f the ptins described belw: A. Cmpletin f 1-6 semester units (r 1-9 quarter units) in curse wrk that emphasizes the learning f a language ther than English (including American Sign Language). A grade f "C" r better, "Pass," r "Credit," must be earned in each curse, verified by an fficial transcript frm a reginally accredited cllege r university, r cmparable institutin utside the United States. Prfessinal develpment and cntinuing educatin units frm such institutins are acceptable. B. Successful cmpletin f tw years f curse wrk in a language ther than English in grades seven (7) thrugh twelve (12) in a public r private secndary schl with an average grade f C r better, verified by an fficial transcript r a letter frm the schl. C. Successful cmpletin f the training in a language ther than English given by the Peace Crps t vlunteers preparing t serve in a nn-english speaking cuntry, verified by fficial Peace Crps dcumentatin. D. Immigrating t the United States frm a nn-english speaking cuntry at any age, verified by a birth certificate, passprt, entry visas, r ther dcuments. E. Passage f any natinally administered, standardized examinatin in a language ther than English, verified by an fficial scre reprt. F. A prficiency level f "nvice-high" r abve n the American Cuncil n the Teaching f Freign Languages, Inc. (ACTFL) Prficiency Guidelines r "0+" (zer plus) r abve n the Interagency Language Rundtable (ILR) Prficiency Descriptins, verified by an fficial scre reprt. G. A scre n a Cllege-Level Examinatin Prgram (CLEP) examinatin in a language ther than English administered by the Cllege Bard equal t r higher than the minimum scre recmmended by the American Cuncil n Educatin fr awarding credit fr tw semesters, verified by an fficial scre reprt. H. Residence in a nn-english speaking cuntry r cuntries fr twelve cnsecutive mnths at age 18 r lder, verified by passprts, wrk visas, letters frm emplyers, r ther dcuments. I. Successful cmpletin f ne academic year (ver a single perid) at age 14 r abve at a schl in which all instructin, except in the subject area f English, was delivered in a language ther than English, verified by an fficial transcript r a letter frm the schl.) J. Successful cmpletin f tw academic years in a nn-english language develpment schl prgram. Must be verified by letter r transcript. (e.g. Chinese language after-schl r Saturday language prgram) K. Achievement f a scre n the Advanced Placement Examinatin in a language ther than English ffered by Educatinal Testing Service fr which cllege credit r advanced standing is awarded, verified by either an fficial transcript r a letter frm the registrar's r admissin's ffice frm a reginally accredited institutin f higher educatin. L. Cmpletin f 90 hurs f language training, with a grade f "C" r better r the equivalent, in a language ther than English ffered under the auspices f the Califrnia Department f Educatin's Bilingual Teacher Training Prgram (BTTP) r by a cunty ffice r schl district whse prgram, prir t its implementatin, has been deemed equivalent t the BTTP by the Califrnia Department f Educatin. This training is t be verified by a letter signed by an authrized representative f the BTTP r cunty r district prgram. 7

SAMPLE EARLY FIELD EXPERIENCE LETTER OF RECOMMENDATION MUST BE ON SCHOOL LETTERHEAD MISSION High Schl 3750 18th Street San Francisc, CA 94114 Phne: (415) 241-6240 March 3, 2013 T whm it may cncern: I am writing t verify that (applicant name) has vlunteered fr at least 45 hurs in my grade classrm since (date). My classrm is cmprised f diverse students, primarily Hispanic/Latin, but als including Asian American, African American and Filipin-American students. My students als have diverse needs, such as. I am als writing t evaluate (applicant s) perfrmance. There are several ways in which s/he has helped in my classrm:,, and. I bserved (applicant) interacting with students and nticed that. Based n his/her perfrmance in my class, I believe that (applicant) has the ptential t be an effective teacher because f the fllwing qualities:,, and. One area that (applicant) might fcus n fr imprvement is. Finally, I wuld like t nte that (applicant) demnstrated a (fair/gd/excellent) wrk ethic. Fr example,. If yu have further questins, please d nt hesitate t cntact me at (415) 123-4567 r teacher@yah.cm. Sincerely, A. Teacher 8

CERTIFICATE OF CLEARANCE ONLINE APPLICATION INSTRUCTIONS HAVE YOUR FINGERPRINTS TAKEN VIA LIVESCAN Cmplete the CTC-specific 41-LS LiveScan frm: http://www.ctc.ca.gv/credentials/leaflets/41-ls.pdf. Take it t a Live Scan Statin (http://ag.ca.gv/fingerprints/publicatins/cntact.php) fr yur fingerprints t be taken. If yu had yur fingerprints taken at a district r fr anther type f jb, these WILL NOT be electrnically submitted t the CTC. COMPLETE THE ONLINE APPLICATION AT THE CTC WEBSITE Apply fr the Certificate f Clearance using the Web Applicatin Prcess at the CTC website. (www.ctc.ca.gv) Imprtant: Befre beginning the applicatin prcess, be sure t turn ff all pp-up blckers fr this site. A. Click the Online Services fr Educatrs navigatin buttn B. Select the link Educatrs Page t cmplete yur applicatin n the Educatr Page C. Create/lg in t yur persnal prfile n the secure Educatr Page using yur SSN and date f birth. If creating a new prfile, yu will need t enter this infrmatin twice. D. Edit/cmplete yur persnal prfile and click Next E. Click n the Create New buttn under Web Applicatins t start yur applicatin fr the Certificate f Clearance F. Select the Certificate f Clearance frm the drp dwn menus; review the checklist verifying yu meet all requirements fr the dcument, print it, click Next G. Read the Disclsure page fr the Prfessinal Fitness questins and answer Yes t cntinue t the next page. H. Answer each f the Prfessinal Fitness Questins, cmplete the Oath and Affidavit, and click Submit Payment I. The display shws the dcument applied fr and the amunt t pay. Click the Cntinue buttn. J. Cmplete the billing verificatin infrmatin fr LexisNexis. Chse t pay with credit card (can als use debit card with Visa r MasterCard lg). Click cntinue buttn when finished. K. Verify all the payment infrmatin is crrect, including email address. Click cmplete Payment buttn. D nt click the Cmplete Payment buttn mre than nce. L. Use the link prvided t btain a printable receipt fr yur reference and persnal recrds. Nte: If yu answered yes t any f the Persnal and Prfessinal Fitness questins yu must send required supprting materials t the Cmmissin as per instructins. Once yur COC is prcessed it can be printed frm the Internet. After tw weeks, lg in t the Educatr s Page n the CTC website: http://www.ctc.ca.gv/credentials/nline-services/default.html t check yur applicatin status. Submit a cpy f the Certificate f Clearance t the Credential Admissins Office. ** The printed dcument must have yur name, dcument number and the issuance date.** If yu already have a Certificate f Clearance OR a CCTC credential (i.e., Substitute Credential, Child Develpment Permit, Multiple Subject Credential, etc.) yu DO NOT need t cmplete the abve prcess. 9

GENERAL ADMISSION INFORMATION PRE-ADMISSION SF STATE STUDENT ID Yu will be issued an SF State student ID after yu apply t the University via CSUMentr. It will be sent t yu in an email frm Graduate Admissins. If yu were previusly a student at SF State yu have already been issued an ID number and it will remain the same. Scial Security Numbers are n lnger used. Please nte: ALL crrespndence r phne messages with the Credential Admissins and Credential Services MUST include yur student ID number. This number must be n ALL dcuments submitted. SF STATE PASSWORD Yur SF State passwrd is created by yu, nt assigned by the University. Once yu receive an ID yu can create a passwrd r yu can reset yur passwrd by clicking n the fllwing link: https://www.sfsu.edu/nline/auth/reset.htm. CHECKING ADMISSION STATUS Yu can check yur graduate admissin status at any time nce yu apply t the University via CSUMentr. Yu will need yur SF State ID and passwrd t lg in. This status reflects nly yur applicatin t the University. It des nt reflect yur department status. Here is the link: https://www.sfsu.edu/nline/appstat.htm. MySFSU MySFSU is an nline prtal fr SF State students t access a variety f items including: sign in and register fr classes, update yur address, pen r update yur email accunt, access yur grades, class schedule, unfficial transcript, test scre reprt, financial statement and mre. https://www.sfsu.edu/nline/lgin.htm WITHDRAWAL PRIOR TO ADMISSION If yu chse t withdraw frm the Admissin Prcess please infrm the Credential and Graduate Services Center in writing (an email is fine) t the Credential Admissin Office at <credntry@sfsu.edu>. The Admissin Specialist will then infrm the department and Graduate Admissins. REAPPLICATION If yu are denied admissin, yu withdraw, r did nt enrll the semester yu were admitted and wuld like t reapply, yu need t d the fllwing things: reapply t the University using CSUMentr, submit the ne-page prgram applicatin, repay the department applicatin fee and submit any missing r updated items t the Credential and Graduate Services Center (Burk Hall 244) by the prgram deadline. Let Credential Admissins knw yu wuld like t reapply, at least three mnths befre, in writing by emailing <credntry@sfsu.edu>. Please nte: Once yu reapply, yu are subject t any new plicies and/r prgram requirements. ADMISSION NOTIFICATION An applicant will nly be admitted t a Credential Prgram if all the requirements at bth the University and the Department levels are met. Simply meeting the requirements des nt guarantee admissin int the credential prgram. Yu will be recmmended fr admissin nly AFTER these requirements are cmpleted, including the Mandatry Orientatin. The letter sent frm the Credential Admissins ffice is nt fficial admissin t the University. It is just infrming yu f the department s recmmendatin fr admissin. Yu will be ntified f frmal admissin by the Graduate Divisin via a letter frm the Dean f Graduate Studies. MANDATORY ORIENTATION The Mandatry Orientatin is given by the department and is usually in mid-april. Yu will be ntified f the time and date by email and/r mail. Yu must RSVP directly t the Department f Secndary Educatin. All recmmendatin fr admissin will be dne after yu attend this rientatin. GRADUATE ADMISSIONS INTENT TO REGISTER Fr Graduate students the intent t register deadline that appears when yu check yur status is nt applicable. Once yu are admitted t the university yu have ten days frm that date t declare yur intent t register. Declaring intent t register des nt bligate yu t pay tuitin r register fr classes if yu chse t withdraw instead. 10

SF STATE EMAIL Yu can pen an SF State email accunt nce yu have been admitted. Yu can d this by lgging n t MySFSU. Faculty may use yur SF State email address, make sure t check it ften r have yur email frwarded. If yu want t have yur email frwarded frm yur SF State accunt yu can d this in MySFSU. IMMUNIZATION RECORDS SF State students are required t submit prf f Measles, Mumps and Rubella (MMR) Immunizatin. Failure t cmply with this requirement will result in a registratin hld. Submit this paperwrk t the Registrar, lcated in the Student Services Building. Yu can find the frms n the Registrar s website: http://www.sfsu.edu/~admisrec/reg/frmstc.html#registratin. COURSE FEES All credential students must pay curse fees at the Graduate rate. Curse fees can nly be paid nce yu have been frmally admitted t the university. Yu can see the current fee schedule n the Bursar s website: http://www.sfsu.edu/~bursar/. The fee deadline can be fund at the Bursar s website as well. REGISTRATION FOR CLASSES Registratin fr thse beginning a credential prgram is usually late July r early August. Students cannt register fr classes befre their 24-hur pririty registratin perid. Yu can find ut when yur pririty perid is by lgging int MySFSU. Yu will nt be assigned a pririty perid befre yu are admitted. Yu may als have t pay curse fees befre being assigned a registratin perid. During yur pririty registratin perid yu may add and drp classes via MySFSU. Once this perid is ver yu can nly add r drp during Open Registratin. A schedule f pen registratin can be fund n the Registrar s website: http://www.sfsu.edu/~admisrec/reg/reg.html. WITHDRAWAL AFTER ADMISSION If yu chse t withdraw frm the University, yu must fill ut a Petitin t Withdraw frm the University frm: http://www.sfsu.edu/~admisrec/reg/frmstc.html t receive a fee refund and t drp yur classes. Then, infrm yur department, yur student placement crdinatr, yur master teacher and yur supervisr. TRANSCRIPT HOLDS If yu are admitted t the University befre yur baccalaureate degree is psted r befre yu finish a curse(s) at anther University, yu must submit a final transcript t SF State Graduate Admissins at any time during yur first semester. If yu d nt, a hld will be placed n yur recrd and yu will nt be able t register fr yur secnd semester classes. If yu earned yur degree at SF State, yu d nt need t turn any transcripts in fr wrk cmpleted at SF State t the Graduate Admissins Office. Be sure t turn in new transcripts shwing yur degree t the Credential and Graduate Services Center as well. The Credential and Graduate Services Center cannt recmmend yu fr a credential withut a transcript in yur file that has a Bachelr s degree psted n it. PRELIMINARY CREDENTIAL REQUIREMENTS APPLYING FOR THE PRELIMINARY CREDENTIAL During the semester yu enrll in the last student teaching curse in yur prgram, yu will receive an email frm Credential Services with an applicatin, instructins fr applying and a checklist f what may be missing frm yur file. This email will arrive after the halfway pint in the semester. Make sure yur email is crrect by checking yur cntact infrmatin n MySFSU. Prcessing pririty is given by the date the cmplete applicatin is received. Please nte: If yu are taking curses ut f sequence r register late fr yur last student teaching curse, yu need t ntify Credential Services; therwise yu will NOT receive a checklist and applicatin. The fllwing are additinal requirements fr the preliminary credential that are nt part f cursewrk: US CONSTITUTION REQUIREMENT Yu must meet the U.S. Cnstitutin requirement either by curse wrk r examinatin. Thse wh have earned a Bachelr s Degree frm a CSU campus have already met this requirement. If yu believe yu have met this requirement thrugh prir cursewrk at a nn-csu institutin, the Teacher Preparatin Center will review yur transcript at yur request. See the TPC website fr examinatin lcatins and SF State curses that meet this requirement: http://ce.sfsu.edu/cstpc/us-cnstitutinrequirement. CPR REQUIREMENT Yu must cmplete training in administering CPR t adults, children and infants. Yur CPR card must be valid at the time yu apply fr the award f yur credential. SFSU des nt accept nline curse certificatin. Email credinf@sfsu.edu fr mre infrmatin. 11

LEVEL I TECHNOLOGY REQUIREMENT Yu must cmplete fundatinal cmputer technlgy curse wrk r pass an exam that includes general and specialized skills in the use f cmputers in educatinal settings. Mre infrmatin can be fund at this website: https://ce.sfsu.edu/frms-and-handuts (under Lists and Resurces - Hw t Fulfill Level 1 Technlgy Requirement). ADDITIONAL INFORMATION CROSSCULTURAL, LANGUAGE AND ACADEMIC DEVELOPMENT (CLAD) The Cmmissin n Teacher Credentialing (CTC) gverns teacher certificatin under the authrity granted t it by the Califrnia State Legislature in Senate Bill 2042. SB 2042 includes stipulatins under Assembly Bill 1059, which authrizes any hlder f a preliminary credential t teach English Language Learners r in classrms previusly designated as CLAD. This means that hlders f a SB 2042 credential d NOT have t cmplete a separate (r an additinal) CLAD prgram nr take the Califrnia Teacher f English Learners (CTEL) Examinatin. NCLB CERTIFICATE OF COMPLIANCE Only schl districts issue this certificate, which prves that yu have cmpleted Subject Matter Cmpetency.. An example f this type f certificate can be seen at this link: http://www.ace.rg/ace/files/hme/nclb/nclb_husse_frm12_0204.pdf If yu are asked t prvide prf f NCLB cmpliance by a district befre yu are hired, yu can turn in a phtcpy f yur CSET scres. If yu have met subject matter cmpetency via cursewrk, the Credentials Services ffice at SFSU can issue a letter verifying that yu have cmpleted an apprpriate Subject Matter Cursewrk Prgram at yur request. APPLYING FOR TEACHING JOBS The Teacher Preparatin Center des nt prvide jb placement services. Hwever, TPC cllects jb placement and district infrmatin sent t the ffice. Yu may stp by the TPC t lk at emplyment binders during ffice hurs. Anther resurce fr jb pstings is www.edjin.rg. Many Califrnia schl districts pst jbs n this website. EdJin is perated by the Califrnia Cunty Superintendents Educatinal Services Assciatin and all questins abut the site shuld be directed t them. 12

CONTACT INFORMATION Office Name Students can: Lcatin/hurs Phne, fax, web, email Credential and Burk Hall 244 Graduate Center M-F 9-5 Credential Services Admissins & Analysts Cahill Learning Resurce and Media Lab Graduate Cllege f Educatin Graduate Office ask general questins abut teacher credentialing view jb/vlunteer pprtunity pstings pick up r drp ff an applicatin fr admissin t the credential prgram view their credential prgram file apply t the CTC fr a credential view and check ut bks and vides, including curriculum and lessn plan guides, children s literature, educatin thery bks and prfessinal jurnals use media equipment use space t study r wrk n grup prjects get schlarship infrmatin turn in GAP frms P: 415-405-3594 F: 415-338-1940 credinf@sfsu.edu http://ce.sfsu.edu Burk Hall 319 P: 415-338-3423 http://gce.sfsu.edu/cahill/ Burk Hall 244 M-F 9-5 P: 415-338-2051 retta@sfsu.edu Department f Secndary Educatin make an appt. with the Department Chair drp ff smething fr faculty mail bxes get SED curse inf Burk Hall 41 P: 415-338-1201 F: 415-338-0914 seced@sfsu.edu Intern Credential Prgram Clarify admissins prcedures Submit prgram & credential applicatins Graduate Divisin check the status f student standing Financial Aid get help with state and federal financial aid prgrams Bursar s Office pay registratin and ther fees find ut deadlines and directins fr payment Career Center view jb pstings get resume help get career fair infrmatin Burk Hall 41 P: 415-338-1201 F: 415.338.0914 pirvine@sfsu.edu GradStp in Admin Bldg 250 M-F 9-5 One Stp in Student Service Bldg. Administratin Building 155 r One Stp, Student Services Student Services Bldg. 206 M-F 8:30-4:30 P: 415-338-2234 F: 415-405-0340 gradstdy@sfsu.edu www.sfsu.edu/~gradstdy P: 415-338-7000 F: 415-405-0340 www.sfsu.edu/~finaid P: 415-338-1281 http://www.sfsu.edu/~bursar/ P: 415-338-1761 www.sfsu.edu/~career als www.edjin.rg has jb listings fr mst districts and charter schls in Califrnia 13

SUBJECT MATTER COMPETENCY ADVISORS Subject Area Dept. Office Dept. Phne Advisr Phne Office Email ART FA 265 338-2176 Julia Marshall 338-1785 FA 282 jmarsh@sfsu.edu BIOLOGY HH 534 338-1548 S. Pasin 405-0736 HH668 pasin@sfsu.edu K. Tanner 405-3438 HH243 kdtanner@sfsu.edu http://bilgy.sfsu.edu/cntent/teaching-k-12 ENGLISH HUM 289 338-2264 English Teacher Resurce 405-2454 HUM 235 graff@sfsu.edu Advising Center Nelsn Graff http://www.sfsu.edu/~english/?page=ba_enged LATIN HUM 377 338-2068 Gill McIntsh 338-1537 HUM 368 gillianm@sfsu.edu FRENCH** HUM 475 338-1421 Delphine Perret 338-6061 HUM 535 dperret@sfsu.edu GERMAN** HUM 475 Ilna Vandergriff 338-1106 vdgriff@sfsu.edu ITALIAN** HUM 475 Christpher Cnclin 338-3161 HUM 459 cnc@sfsu.edu JAPANESE** HUM 475 Masahik Minami 338-7451 HUM 339 mminami@sfsu.edu CHEMISTRY* TH 806 338-1288 Peter Palmer+++ 338-7717 TH 730 palmer@sfsu.edu http://www.chemistry.sfsu.edu/cmpetency/ HOME BH 329 338-1219 http://www.sfsu.edu/~cfsd/links/prg/gtp.htm ECONOMICS*** Cnsumer & Family Billie Lu Sands 338-2081 BH 330 blsands@sfsu.edu Studies Dept. GEOSCIENCES* TH 509 338-2061 David Dempsey 338-7716 TH 610 dempsey@sfsu.edu MATHEMATICS TH 937 338-2251 Eric Hsu 405-4190 SCI 211 erichsu@sfsu.edu http://bfc.sfsu.edu/cgi-gin/hsu.p1?cursewrk_evaluatin MUSIC CA 214 338-1431 Wendell Hanna 405-0487 CA 262 whanna@sfsu.edu PHYSICAL EDUCATION P.E: Cncentratin: DANCE GYM 101 338-1258 Claudia Guedes 338-2160 GYM 136 cguedes@sfsu.edu CA 140 338-1431 Susan Whipp 338-6374 CA 162 suswhipp@gmail.cm PHYSICS TH 334 338-1659 Adrienne Cl 338-6450 TH 416 cl@sfsu.edu SOCIAL SCIENCE* SCI-276 338-1604 Obtain a Scial Sciences wrk sheet in SCI 276 r nline: http://histry.sfsu.edu/ Abdiel Oñate 338-6177 SC1 220 nate@sfsu.edu Sherry Keith 338-1317 SCI 267B skeith@sfsu.edu * Currently SF State des nt have an apprved cursewrk prgram fr these subject area(s). Hwever, if yu finished all yur cursewrk BEFORE July 1, 2009, these departments will evaluate yur cursewrk fr Subject Matter Cmpetency. ** Currently SF State des nt have an apprved cursewrk prgram fr these subject area(s). Hwever, if yu finished all yur cursewrk BEFORE July 1, 2010, these departments will evaluate yur cursewrk fr Subject Matter Cmpetency. *** Currently SF State des nt have an apprved cursewrk prgram fr these subject area(s). Hwever, if yu finished all yur cursewrk BEFORE July 1, 2012, these departments will evaluate yur cursewrk fr Subject Matter Cmpetency. +++ Dr. Peter Palmer will nly evaluate subject matter cmpetency fr SF State students AND thse applying t SF State s Credential Prgram If a subject is nt listed, SF State des nt have an apprved prgram at this time. Yu must cmplete 100% f subject matter cmpetency cursewrk at a Califrnia State University (CSU) campus t be admitted and begin the credential prgram. Per CSU Executive Order 1077 under Sectin III, a cmparisn and analysis f student transcripts frm a nn-csu, nn CTC-apprved subject matter prgram shall nt satisfy the CSU requirement fr certifying subject matter cmpetence. 14

SUBJECT MATTER COMPETENCY REVIEW This frm is t be cmpleted by a Subject Matter Cmpetency Advisr. Applicant Name SFSU ID Subject Area SFSU COURSE DEPT. & COURSE # C O U R S E W O R K C O M P L E T E D COURSE TITLE UNITS GRADE TERM INSTITUTION (OTHER THAN SFSU) C O U R S E W O R K I N P R O G R E S S ( S H O W P R O O F O F E N R O L L M E N T ) Has cmpleted 100% f CTC-apprved subject-matter prgram requirements (including units, grade and GPA requirements) Will meet 100% f CTC-apprved subject matter prgram requirements upn satisfactry cmpletin f cursewrk currently in prgress. Prf f enrllment must be attached. Has nt yet cmpleted subject matter prgram requirements. Signature f Subject Area Advisr Print Name Date 15

SINGLE SUBJECT CREDENTIAL PROGRAM APPLICATION FALL DEADLINE: February 15 SPRING DEADLINE: Nvember 15 We will accept department applicatins in persn n r befre the deadline date, r pstmarked n r befre the due date. This deadline is the same date frm year t year. If the deadline falls n a weekend, department applicatins will be accepted the next wrking day fllwing the deadline. Please nte that the University Graduate applicatin must be submitted nline n r befre the deadline regardless f what day the deadline falls. Fr an explanatin f requirements, see the Single Subject General Infrmatin Packet. Turn in ALL applicatin materials tgether in ne packet by the deadline Make sure yur full name appears clearly n every dcument. SUBMIT PROGRAM APPLICATION MATERIALS TO: Credential Services Office ATTN: Credential Admissins SSP Graduate Cllege f Educatin - Burk Hall 244 San Francisc State University 1600 Hllway Ave. San Francisc, CA 94132-4158

CSU GRADUATE APPLICATION SINGLE SUBJECT CREDENTIAL PROGRAM APPLICATION CHECKLIST CSU Graduate Applicatin T be cmpleted nline at www.csumentr.cm. Please submit this prir t submitting a department applicatin. N prf f this applicatin needs t be submitted t the department. Graduate Applicatin Fee $55.00 Payable nline at the time f applicatin submissin r at the SFSU Bursar s ffice. Official transcripts frm all clleges r universities attended Full set f fficial, sealed transcripts submitted t SFSU Graduate Admissins. Internatinal applicants will need t see the Graduate website (www.sfsu.edu/~gradstdy) fr further requirements. SINGLE SUBJECT CREDENTIAL PROGRAM APPLICATION PACKET Include all f the fllwing items in ne large envelpe: Single Subject Credential Prgram Applicatin Including Early Field Experience supplementary frm. Prcessing Fee $25.00 (nn-refundable) Submit either the fee slip (included in the applicatin) either stamped by the SFSU Bursar OR cmpleted with a check made ut t SFSU attached. Official transcripts frm all clleges r universities attended Full set f fficial, sealed transcripts. Statement f Purpse 1-3 pages, duble spaced. Resume r Curriculum Vitae List educatinal accmplishments, wrk experience and any pertinent vlunteer service. Letters f recmmendatin (minimum f three) One letter shuld verify Early Field Experience. All letters must be n fficial letterhead with riginal signature. Subject Matter Cmpetency Requirement Fr the CSET submit either a phtcpy f the test scres OR prf f registratin fr the first available test date. Fr the Subject Matter Cursewrk submit cmpleted and signed frm. If curses are still in prgress submit prf f curse registratin (tests r curses must be passed prir t admissin). Basic Skills Requirement Submit a phtcpy f test results OR prf f registratin fr the first available test date (must be passed prir t admissin). Secnd Language Requirement Indicate n which transcript yur curse is lcated r submit a phtcpy f prf f fulfillment. Finger Print Clearance Submit nly Certificate f Clearance printed frm the CTC website which includes yur name, dcument number and issuance date OR cpy f current credential r Child Develpment permit. Negative TB test Submit phtcpy f negative results. This can either be the skin test r the chest x-ray results. (Interns exempt) Page 2

SINGLE SUBJECT CREDENTIAL PROGRAM APPLICATION CONTACT INFORMATION Semester: Fall r Spring SSN SFSU ID Date f birth_ Name Mailing Address Phne Alternate Phne Email ACADEMIC INFORMATION Degrees earned r in prgress: Bachelr's Degree: Date (t be) granted Academic Majr Institutin Master s Degree: Date (t be) granted Academic Majr Institutin SINGLE SUBJECT PROGRAM OPTIONS Please indicate yur chice: (Check ne) Tw-Semester Prgram, High Schl Emphasis Tw-Semester Prgram, Middle Schl Emphasis Intern Prgram (must include district issued prf f emplyment) Three-Semester Prgram, High Schl Emphasis Three-Semester Prgram, Middle Schl Emphasis Please indicate yur subject area chice belw: (Check ne) Art Physical Educatin English Science Fundatin Level Science Bilgy Specialized Freign Language (specify) Science Bilgy Science Gesciences Specialized Hme Ecnmics Science Gesciences Science Chemistry Specialized Mathematics Science Chemistry Science Physics Specialized Mathematics Fundatin Level Science Physics Music Scial Science SECOND LANGUAGE REQUIREMENT Type f Dcumentatin submitted: APPLICANT SIGNATURE I have read and understd the instructins and infrmatin given t me in this dcument. All infrmatin I am submitting is true and crrect. Name: Date Page 3

SINGLE SUBJECT CREDENTIAL PROGRAM APPLICATION EARLY FIELD EXPERIENCE Title 5 Regulatins frm the Califrnia State University Chancellr's Office requires each credential candidate t have participated in a supervised Early Field Experience in a schl setting prir t applicatin t a credential prgram. The Early Field Experience is designed t simulate the credential yu are seeking s we may gain a preliminary assessment f yur ptential as a classrm teacher. Thus, the classrm must be in any single subject in single subject, general educatin classrm setting. Cmpletin f yur field experience must be dcumented by submitting this signed frm. In additin, the quality f yur wrk must be evaluated in letter f recmmendatin frm a teacher r administratr. DOCUMENTATION OF EARLY FIELD EXPERIENCE: SFSU permits a variety f ptins in meeting this requirement. Belw, please indicate which ptin yu have met. The bttm f this page must be signed and submitted with yur applicatin t verify cmpletin f the Early Field Experience. 1. Cmpletin f 45 hurs paid experience as a teacher aide r teacher assistant the majrity f which time has been direct r indirect cntact with students. The classrm teacher, a site administratr r a district administratr may verify this. 2. Cmpletin f 45 hurs as a classrm teacher in a public schl with an emergency permit, as a substitute teacher, as verified by an administratr. 3. Cmpletin f 45 hurs wrking with students as a vlunteer in a regular educatin classrm with a credentialed teacher. The classrm teacher wuld verify this experience. 4. Successful cmpletin f OR in the prcess f cmpleting a curse(s), which have a field experience in yur subject area where yu wrked with yung adults. Please nte curse(s) and include a cpy f transcript and/r prf f enrllment with a curse descriptin fr verificatin. A letter frm the supervising teacher r schl site administratr must als be submitted. Applicant Name SFSU ID Schl Name (Schl) (City) Grade Level(s) Inclusive Dates: Envirnment: Bilingual Limited English Prficient All fluent English speakers (at least 35% f class) Public schl Urban Suburban Rural Teacher r administratr signature Print name and psitin Page 4

SFSU Graduate Cllege f Educatin CREDENTIAL SERVICES FEE LAST NAME FIRST TELEPHONE NUMBER SFSU I.D. NUMBER PAY AT CASHIER Student Services Building, 1 st flr SFSU s Bursar s Office SAN FRANCISCO STATE UNIVERSITY 1600 Hllway Avenue San Francisc, CA 94132-4158 415-338-1281 CREDENTIALING ACTION FEE ACCOUNT Applicatin fr Admissin $25 14-3017 (73480) Please return PAID receipt with cmpleted packet t: Credential & Graduate Services Center, BH 244 San Francisc State University 1600 Hllway Avenue San Francisc, CA 94132-4158 THIS AREA IS FOR SFSU BURSAR OFFICE USE ONLY