TATERS Post- Baccalaureate Certification Application Technology Accentuated Transformative Education Rural Specialist (TATERS) Post- Baccalaureate Online Teaching Certification Program Application Packet for 2013-2015 Cohort Deadline: August 1st, 2013 Please mail your completed application to: TATERS Program Department of Special Education 1910 University Drive Boise, ID 83725-1725 For more information contact: Carrie Semmelroth Project Coordinator Office: (208) 426-2818 Toll Free: 1-800- 824-7017 ext. 2818 Fax: (208) 426-4006 carriesemmelroth@boisestate.edu Physical Address: Boise State University Education Building (tallest building on campus), 5th floor, Room 517 Boise, Idaho Last updated: 04/20/13 Page 1 of 9
TATERS Post- Baccalaureate Certification Application Last updated: 04/20/13 Page 2 of 9
TATERS Post- Baccalaureate Certification Application ELIGIBILITY REQUIREMENTS 1. To QUALIFY for TATERS, you must meet the following admission requirements: A. A baccalaureate degree from an accredited institution with a minimum undergraduate cumulative grade point average of 2.50 B. A minimum grade point average of 3.0 in all education classes (if applicable) C. Acceptance to Boise State University. TATERS candidates usually apply for Non- degree seeking, Undergraduate Admission, Intended Degree Type: Certificate http://admissions.boisestate.edu/apply/ (The TATERS program will accept either undergraduate certificate seeking status or graduate status students. If you are unsure which application to use, please visit the BSU admissions website http://admissions.boisestate.edu/and the BSU Graduate College website http://www.boisestate.edu/gradcoll/ for more information) D. If you are not currently employed in a position that requires a fingerprint background check, you are required to complete the process as part of your application to the TATERS program. Please carefully read the following instructions. If you have any questions, please contact: Carrie Semmelroth, TATERS Project Coordinator, (208) 426-2818, carriesemmelroth@boisestate.edu 1. Call your local police station/law enforcement office to schedule an appointment to have your fingerprint card made. **This can also be completed at the Bureau of Criminal Identification in Meridian for a $5.00 fee (cash or check). You must call ahead for an appointment: 884-7159 or 884-7141.** 2. Once you have completed the fingerprinting process, please send your fingerprint card, and a $40.00 check or money order made to Idaho State Department of Education to: Shannon McCormick College of Education Office of Teacher Education 1910 University Drive Boise, ID 83725-1746 3. Once the Office of Teacher Education receives your fingerprint card and check/money order, your fingerprints will be processed through the state database. This process will take about two weeks. 4. Upon completion of this process, the Office of Teacher Education will inform the TATERS committee if you have/have not passed the background check. Last updated: 04/20/13 Page 3 of 9
TATERS Post- Baccalaureate Certification Application Last updated: 04/20/13 Page 4 of 9
TATERS Post- Baccalaureate Certification Application APPLICATION REQUIREMENTS 2. To APPLY for TATERS, you must complete the following admission requirements and submit all paperwork by August 1, 2013: 1. Meet all of the eligibility requirements described on previous page (GPA, Acceptance to BSU, fingerprint background check) 2. Complete the TATERS Student Application form 3. Write a 1-2 page essay explaining why you would like to be a special educator 4. A copy of transcripts from all undergraduate/post- graduate schools attended (unofficial transcripts are acceptable) 5. A photocopy of your Bachelor s diploma 6. Verification of fingerprint background check or fingerprint exemption letter received (see previous page) 7. Two sets of letters of reference/evaluation forms addressing your qualities, attributes, and potential as a special educator. Letters of reference and evaluation forms must be CONFIDENTIAL and separate from the application packet submission. Send letters of reference and completed application packet to: TATERS Program Education Building 1910 University Drive Boise, ID 83725-1725 Last updated: 04/20/13 Page 5 of 9
TATERS Post- Baccalaureate Certification Application Department of Special Education Technology Accentuated Transformative Education Rural Specialist (TATERS) Post- Baccalaureate Certification Program STUDENT APPLICATION Personal Information Name (First, Middle, Last): (as appears on Social Security Card) Other Names Appearing on Records (First, Middle, Last): Preferred Name (if different from above): Date of Birth: / / BSU Student ID (if applicable): Permanent Home Address: Street Address City, State Zip Code Current Mailing Address (leave blank if same): Street Address City, State Zip Code Home Phone: Cell Phone: Primary Email Address: Educational Information Previous College(s) Attended (Attach additional schools if applicable) Name of College, Trade School, etc. City & State Dates Attended Graduation Date Degree/number of credits earned Signature Section In signing this form, I acknowledge that failure to disclose and submit accurate information may result in denial of admission or dismissal from the institution. I certify that all information provided is complete and true. By signing this application, I certify that I am in compliance with the Federal Military Selective Service Act, 50 U.S.C. sec. 453, or that I am exempt from the same. Men between the ages of 18 and 25 must be registered with the Selective Service to be eligible for enrollment at a state college, to receive state and federal financial aid, and to be employed in a state or federal job. You may register with Selective Services online at http://www.sss.gov. Acceptance or receipt of financial aid and scholarship awards certifies that the funds will be used for educational purposes. Signature of applicant: Date: Idaho public colleges subscribe to the principles and laws of the State of Idaho and the Federal Government, including applicable executive orders pertaining to civil rights. These institutions are committed to the policy that all persons shall have equal access to programs and facilities without Last updated: 04/20/13 Page 6 of 9
TATERS Post- Baccalaureate Certification Application regard to age, color, creed, marital status, national or ethnic origin, physical handicap, race, religion, or sex. Last updated: 04/20/13 Page 7 of 9
TATERS Post- Baccalaureate Certification Application Applicant Evaluator Name Position Relationship to Applicant Years Known From: To: Month/Year Month/Year Above To Be Completed By Applicant Please give your judgment of this applicant. Your comments will become available to the TATERS application committee and not to the applicant. Directions: check (X) in appropriate column provided. Use black ink. NR WEAK AVERAGE GOOD STRONG PERSONAL QUALITIES 1. General Appearance 2. Enthusiasm 3. Dependability 4. Initiative 5. Flexibility PROFESSIONAL QUALITIES 1. Promptness in meeting requirements 2. Willingness to assume responsibility 3. Command of subject matter 4. Willingness to accept professional criticism 5. Clarity of communication 6. Competence in self-evaluation **CLASSROOM MANAGEMENT (use E if estimate) 1. Positive approach to discipline/classroom control 2. Rapport with students 3. Efficient use of time 4. Fairness and consistency **TEACHING TECHNIQUES (use E if estimate) 1. Skill in presentation 2. Attention to individual differences 3. Evaluation of student achievement 4. Utilization of varied teaching methods 5. Effectiveness in questioning strategies 6. Effectiveness in use of instructional materials 7. Ability to plan and organize Please include descriptive comments regarding the applicant's qualities, attributes, and potential as a special education teacher (including strengths & weaknesses) on a separate piece of paper and return it with this form - include the name of the person being evaluated, date, your name and professional relationship with this applicant (i.e. cooperating teacher, university supervisor/liaison, building administrator). Sign this checklist document & your attached letter, and then return them to: TATERS, Department of Special Education, 1910 University Dr., Education Building, Room 517, Boise ID 83725-1725. If you have questions call or email TATERS at (208) 426-2818, carriesemmelroth@boisestate.edu Signed (Evaluator) CONFIDENTIAL EVALUATION Last updated: 04/20/13 (Phone #) (Date) Page 8 of 9
TATERS Post- Baccalaureate Certification Application Applicant Evaluator Name Position Relationship to Applicant Years Known From: To: Month/Year Month/Year Above To Be Completed By Applicant Please give your judgment of this applicant. Your comments will become available to the TATERS application committee and not to the applicant. Directions: check (X) in appropriate column provided. Use black ink. NR WEAK AVERAGE GOOD STRONG PERSONAL QUALITIES 1. General Appearance 2. Enthusiasm 3. Dependability 4. Initiative 5. Flexibility PROFESSIONAL QUALITIES 1. Promptness in meeting requirements 2. Willingness to assume responsibility 3. Command of subject matter 4. Willingness to accept professional criticism 5. Clarity of communication 6. Competence in self-evaluation **CLASSROOM MANAGEMENT (use E if estimate) 1. Positive approach to discipline/classroom control 2. Rapport with students 3. Efficient use of time 4. Fairness and consistency **TEACHING TECHNIQUES (use E if estimate) 1. Skill in presentation 2. Attention to individual differences 3. Evaluation of student achievement 4. Utilization of varied teaching methods 5. Effectiveness in questioning strategies 6. Effectiveness in use of instructional materials 7. Ability to plan and organize Please include descriptive comments regarding the applicant's qualities, attributes, and potential as a special education teacher (including strengths & weaknesses) on a separate piece of paper and return it with this form - include the name of the person being evaluated, date, your name and professional relationship with this applicant (i.e. cooperating teacher, university supervisor/liaison, building administrator). Sign this checklist document & your attached letter, and then return them to: TATERS, Department of Special Education, 1910 University Dr., Education Building, Room 517, Boise ID 83725-1725. If you have questions call or email TATERS at (208) 426-2818, carriesemmelroth@boisestate.edu Signed (Evaluator) CONFIDENTIAL EVALUATION Last updated: 04/20/13 (Phone #) (Date) Page 9 of 9