Form: OTE-UG Admission Application to the School of Education, Undergraduate Students in Initial Certification Programs

Owner: SXU Admin <sxuadmin>
Owner's Email: arevalo@sxu.edu
Dataset: Launched 10-18-09
EDIT: Y, VIEW: N, REQR: N
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INSTRUCTIONS: Complete this online Application for Admission to the School of Education (SOE) if you are an undergraduate student majoring in a bachelor's degree program that leads to teacher certification. Admission to the SOE is required before you enroll in Level 2 teaching methodology coursework. Within one week after you submit this online application, you will be expected to submit a required essay of 500 words or less in edited English as used in the United States on the topic of a significant and personal event in your life that involved you in a teaching or helping role. For the essay template and complete instructions, go to The Office of Teacher Education website at http://www.sxu.edu/Academic/Education/teacher_education.asp and click on 'Forms" and then "Undergraduate Admission Essay"..... DEADLINES: If you are applying to be approved for Fall admission, there are two application deadlines: March 1st if you want to register in Spring for Fall methods courses; or April 1st if you want to register in August for Fall methods courses. If you are applying to be approved for Spring admission so that you can enroll in Spring methods courses, the application deadline is November 1st. If you are applying to be approved for Summer admission so that you can enroll in Summer methodology courses, the application deadline is March 1st. ..... PROCEDURE: The Office of Teacher Education (OTE) in G200 will review your online application and determine if you have met all admission requirements. OTE will email both you (using your SXU email account) and your advisor(s) a letter with the admission decision and an official updated education plan before registration begins. You can expect to receive an admission decision in 4 to 8 weeks, depending on when you submit your online application and admission essay ..... PLEASE NOTE: If you do not have all of the information about your academic record that is requested in this application, you may submit it without that information, and OTE will complete that part of the application for you. ..... QUESTION #1: Are you an undergraduate student majoring in a program leading to teacher certification? (If your answer is 'No,' do not complete or submit this online application.)
Yes
No
EDIT: Y, VIEW: N, REQR: N
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Program Major
Early Childhood Education (EDB01)
Elementary Education (EDB02)
Elementary Mathematics Education (EDB02)
Secondary Education-English Language Arts (EDB05)
Secondary Education-Mathematics (EDB07)
Secondary Education-Science: Biology (EDB04)
Secondary Education-Social Science: History (EDB06)
Secondary Education-Visual Arts (EDB03)
K-12 Education-Foreign Language: Spanish (EDB09)
K-12 Education-Music (EDB08)
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Elementary and Early Childhood majors only: 18 hour Concentration
Art (EDC01)
Biology (EDC02)
Computer Science (EDC03)
English (EDC04)
ESL/Bilingual (EDC05)
General Science (EDC06)
History (EDC07)
Humanities (EDC08)
Language Arts (EDC09)
Mathematics/Computer Science (EDC10)
Mathematics (EDC11)
Music (EDC12)
Physical Education (EDC18)
Political Science (EDC13)
Psychology (EDC14)
Social Science (EDC15)
Sociology (EDC16)
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Academic Advisor's Name
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For what term are you applying for admission to the SOE?
Spring 2012 Admission
Summer 2012 Admission
Fall 2012 Admission
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Last Name
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First Name
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Social Security Number
Last 4 digits: XX-XXX-_ _ _ _
Must list either last 4 digits of SS# in Item #8 or Student ID# in Item #9.
EDIT: Y, VIEW: N, REQR: N
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Student ID #
Must list either last 4 digits of SS# in Item #8 or Student ID# in Item #9.
EDIT: Y, VIEW: N, REQR: N
10
Do you have a 2 year degree from an Illinois community college?
Yes
No
EDIT: Y, VIEW: N, REQR: N
11
Did you transfer to SXU as a 2+2 student from an Illinois community college?
Yes
No
EDIT: Y, VIEW: N, REQR: N
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Home Phone Number:
Start with area code, e.g., 773-298-3000.
EDIT: Y, VIEW: N, REQR: N
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Cell Phone Number:
Start with area code, e.g., 773-298-3000.
EDIT: Y, VIEW: N, REQR: N
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Certification in Illinois requires U.S. citizenship or legal authorization for employment in the U.S. Admission will not be denied because of your citizenship status. ..... QUESTION #14: Are you a U.S. citizen?
Yes
No
EDIT: Y, VIEW: N, REQR: N
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Certification in Illinois requires U.S. citizenship or legal authorization for employment in the U.S. Admission will not be denied because of your employment status. ..... QUESTION #15: If you are not a U.S. citizen, are you legally present in the U.S. with legal authorization for employment?
Yes
No
Does Not Apply
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ADMISSION REQUIREMENTS: In Items #16- 22, indicate if you meet the requirements for admission to the School of Education. If you do not have all of the information about your academic record that is requested in this application, you may submit it without that information, and OTE will complete that part of the application for you. ..... QUESTION #16: Have you passed the Illinois Certification Test of Basic Skills (ICTBS) within the last 9 years?
Yes
No
EDIT: Y, VIEW: N, REQR: N
17
If you answered 'Yes' to Question #16, in what year did you pass the ICTBS?
Admission requires passing the ICTBS within nine years prior to admission to the SOE.
EDIT: Y, VIEW: N, REQR: N
18
If you answered 'No' to Question #16, on what date are you registered to take the ICTBS?
Test dates, registration bulletins, registration fees and deadlines, study guide, and practice diagnostic basic skills test are at http://www.icts.nesinc.com/
EDIT: Y, VIEW: N, REQR: N
19
What is your GPA on CLAWS?
Admission requires a minimum GPA of 2.5 (on a 4-point scale).
EDIT: Y, VIEW: N, REQR: N
20
In what term and year did you, or will you, complete EDU 300?
If you began the education program before EDU 300 was required, and you have been continuously enrolled each academic year since then, please indicate that EDU 300 was not a requirement. If EDU 300 is a required course in your program, you may submit this application only if you completed EDU 300 or are currently enrolled.
e.g. Fall 2006
EDIT: Y, VIEW: N, REQR: N
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How many semester hours will you be lacking in required pre-education general education coursework by the end of the term prior to admission?
Admission requires needing no more than 6 hours in U.S. history, American national government, world geography, general psychology, or health/physical development by the end of the term prior to admission.
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How many hours will you have completed in your major by the end of the term prior to admission?
Early Childhood and Elementary majors: admission requires completing at least 6 hours of education courses at SXU prior to the term of admission. Secondary, K-12 Music, and K-12 Spanish majors: admission requires completing at least 12 hours in your teaching major prior to the admission term (at least 3 hours at SXU).
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List all colleges and universities attended, inlcuding all 2-year and 4-year institutions.
List all names in one long string, separating each name with a comma.
EDIT: Y, VIEW: N, REQR: N
24
Certification in Illinois requires candidates to be of good character. Certain convictions may prohibit certification by the Illinois State Board of Education and/or employment in Illinois public schools. A criminal background check is required by every school district in Illinois prior to hiring all employees. Individuals seeking a teaching certificate or employment as an educator are advised to examine Illinois’ school code requirements regarding certification and employment (see School Code: 105 ILCS 5/21-23, 10-21.9 at www.ilga.gov), and to seek legal counsel concerning all convictions whereby certification and/or employment may be prohibited in Illinois public schools. ..... QUESTION #24: Have you read Item #24 completely?
Yes
No
EDIT: Y, VIEW: N, REQR: N
25
Have you submitted to a Criminal Background Investigation (CBI) in the SOE at SXU?
Authorizing a CBI is required for admission to the SOE. If you have not submitted the CBI authorization form and paid the $20 fee, you can satisfy this requirement in the Office of Teacher Education, G-200.
Yes
No
EDIT: Y, VIEW: N, REQR: N
26
Items #27 - #31 are verbatim questions the Illinois State Board of Education asks all candidates who apply for a teacher certificate at the end of the program. In order to properly advise you before you complete the program, please answer each of the following questions. Answering ‘YES’ to any of the questions will not automatically prevent you from being admitted to the School of Education, but does require a written explanation in Item #32. If you do answer 'Yes' to any of the questions in Items #27 - 31, the Director of Teacher Education will contact you. All information you provide about your personal background remains completely confidential in the Office of Teacher Education. ...... QUESTION #26: Have you read Item #26 completely?
Yes
No
EDIT: Y, VIEW: N, REQR: N
27
"Have you ever had a certificate denied, suspended or revoked in Illinois or any other state?"
Yes
No
EDIT: Y, VIEW: N, REQR: N
28
"Have you ever been convicted of a felony, or any sex, narcotics or drug offense in Illinois or any other state?"
Yes
No
EDIT: Y, VIEW: N, REQR: N
29
"Have you ever failed to file a tax return with the Illinois Department of Revenue, or failed to pay any tax, penalty, or interest owed or any final assessment of same for any tax as required by law administered by that Department that was not subsequently resolved to the Department’s satisfaction?"
Yes
No
EDIT: Y, VIEW: N, REQR: N
30
"Have you ever been named by a state agency responsible for child welfare as a perpetrator in an indicated report of child abuse or neglect if such report was not reversed after exhaustion of any appeal?"
Yes
No
EDIT: Y, VIEW: N, REQR: N
31
"Are you in default on an Illinois student loan for which you have failed to establish a satisfactory repayment plan with the Illinois Student Assistance Commission?"
Yes
No
EDIT: Y, VIEW: N, REQR: N
32
If you answered 'Yes' to any of the Questions #27 - #31, please type or paste an explanantion in the box below.
EDIT: Y, VIEW: N, REQR: N
33
Before the admission term begins, you and your advisor(s) will receive an email on your SXU email accounts from the Office of Teacher Education with an admission decision letter and an official and updated SOE checklist. You will also be assigned an Eduction Advisor...... QUESTION #33: What is your SXU email address?
EDIT: Y, VIEW: N, REQR: N
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Your application will not be considered complete until you submit a required essay of 500 words or less on the topic of a significant and personal event in your life that involved you in a teaching or helping role. For complete instructions and the essay template, go to The Office of Teacher Education website at http://www.sxu.edu/soe/teacher_education.asp and click on 'Undergraduate Admission Essay'. ..... QUESTION #34: Do you understand that your application will not be processed until you submit the required essay?
Yes
No
EDIT: Y, VIEW: N, REQR: N
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Typing your name below and submitting this application indicate that you have read and understand the information contained herein, and that the information submitted is accurate to the best of your knowledge. PLEASE: Print a copy of this application for your records before you click on the 'Submit Form' button below. If you are prompted to correct errors before continuing, look in the items above for errors noted in red.