Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
ACCEPTANCE TO THE TEACHER EDUCATION PROGRAM Last Name First Name Birthday (xx/xx/xx) Initial SSN (xxx-xx-xxxx) Requirements for Acceptance into the Teacher Education Program 1. A minimum of 2.50 cumulative G.P.A. 2. A total minimum of 2.50 GPA in University Seminar, College Writing and Quantitative Reasoning (Core) with no grade lower than a ‘C’ (a grade of ‘C-’ or lower is not acceptable). 3. A record free of, “conviction of, entry of a guilty verdict, a plea of guilty, or a plea of no contest to a criminal offense involving moral turpitude in this state or any other state or country,” (Montana Annotated Code, Sec. 20-4-110). In order to meet the requirement for question #3 (above), you need to answer the following questions: a. Have you ever been convicted of a crime more serious than a minor traffic violation? This disclosure must be made irrespective of whether the record was sealed or expunged, you served a sentence and had your civil rights restored, the sentence was deferred or suspended, or the charge was dismissed after conviction. Yes No If your answer to the above question is a “Yes”, explain fully below, specifying the nature of the offense(s), the date(s) it/them occurred, the name and location of the court (s), and the sentence(s) imposed. This disclosure must be made irrespective of whether you served a sentence and had your civil rights restored. Use additional pages if necessary. b. Are you currently on probation, deferred prosecution, suspended sentence? Yes No If your answer to the above question is “Yes”, explain the circumstances and include the restrictions imposed by the courts. Use additional pages if necessary. Schools will require a criminal records check before placement in public schools. MSU will receive your complete criminal record before placing students. I hereby certify that the above information is true and correct, and I understand that any misrepresentations on this application may be grounds for denial of the application. By signing below, I acknowledge that all the information is accurate, and I give the Montana State University Education Department permission to verify any information provided. ____________________________________________________ Signature _______________________________________ Date Catalog: 2004-2006 Physics Extended Major Montana State University Secondary Teacher Education Preparation Program ID: Name: Social Security # Date: Last Name First Name Initial Local Address: m/d/yr Phone: Street City State Zip Degree: College Degree Completed College Degree Sought Academic Courses Subject # Substitution Courses Course Title CR Grade Subject # MATH 181Q Calculus & Analytical Geometry I 4 MATH 182Q Calculus & Analytical Geom II 4 STAT Elementary Statistics 3 MATH 224Q Calc of Funct of Several Variables 4 MATH 225 Intro to Differential Equation 4 MATH 256 Foundations of Higher Math 3 MATH 328 Discrete Mathematics 3 MATH 329 Modern Geometry 4 MATH 428 Math Modeling for Teachers 3 PHYS 211 General & Modern Physics I Take One of the Following: 4 PHYS 221 Honors General & Mod Physics I 4 PHYS 212 General & Modern Physics II Take One of the Following: 4 PHYS 222 Honors General & Mod Phy II 4 PHYS 311 Solar System Astronomy Take One of the Following 4 PHYS 312 Stars, Galaxies, & the Universe 4 PHYS PHYS 137 213 From Quarks to the Cosmos General & Modern Physics III 1 4 PHYS 231 Intro Theoretical Physics 3 PHYS 261 Physical Measurements I 2 PHYS 301 Classical Mechanics 4 PHYS 317 Electricity & Magnetism I 3 PHYS 361 Laboratory Electronics II 2 Course Title Take All of the Following: 216Q Take All of the Following: Physics Elective (5 credits): Approved Elective in Biol, Chem, or Earth Science (3 credits): CR Grade Academic Courses Subject # Course Title Take One of the Following: HDCF 150IS Lifespan Human Dev 3 HDCF 160 Hum Dev: Conception to Adol 3 Secondary Professional Preparation EDCI 102 In-School Experience 1 EDCI 209 Ed Psych & Adolescent Dev 3 EDCI 320 Found of Instructional Comp 2 EDCI 360 Foundations of Assessment 2 HDHL 106 Drug/Health Issues for Educ 1 EDSD 363 Multicultural Education 1 EDSD 461 Meth of Teach Sr High Math 3 EDSD 466 Meth of Teaching Sec Science 3 HDCF Substitution Courses CR Grade Subject # Course Title CR Grade 356 Exceptional Needs (0-21) 3 EDSD 301 Paraprofessional Experience 1 EDSD 410 Student Teaching (10-12 CR) EDSD 413C Professional Issues 2 MATH ENGL 121W College Writing I 3 COM* 110US Intro to Public Commu nication 3 *May take approved courses with the letters US for University Seminar Core. For Office Use Only: First Aid with CPR Paraprofessional Experience Disclosure Statement _____________________________________________________________________________ Student's Signature ________________________________ Date _____________________________________________________________________________ Advisor’s Signature ________________________________ Date _____________________________________________________________________ ____________________________ Certification Officer's Signature For Use When Completing Student Teaching Application: * Taking this course Spring Semester ** Taking this course Fall Semester or Summer Semester Date