APPLICATION FOR ALTERNATE ROUTE TEACHER PREPARATION PROGRAM

Transcription

1 APPLICATION FOR ALTERNATE ROUTE TEACHER PREPARATION PROGRAM The Graduate Online Application is down from September 12, 2017 to September 25, During this time, applicants to the Alternate Route Teacher Preparation Program must fill out this paper application and it to The Graduate Online Application via the Discover Stockton Account will become available at 12:00 p.m. EST on 9/25. Application Checklist Completed Paper Application Graduate Essay $50 Application Fee (non-refundable) in the form of a check or money order only. Copy of NJ Certificate of Eligibility (CE) Copy of contracted teaching position and enrollment in the NJ provisional teaching database PLRMS (completed by the school district) Three letters of recommendation written specifically for MAED admissions Official transcripts from all colleges/universities attended (including Stockton) Resume Praxis II Scores

2 PAPER APPLICATION TERM YOU WISH TO ENROLL: FALL SPRING YEAR IMPORTANT Applicants must visit to review each graduate program s admissions requirements and application deadline. In addition to those graduate program admissions requirements. If you have any questions regarding the application process, please contact the Office of Graduate Studies at gradschool@stockton.edu or (609) GRADUATE PROGRAM Alternate Route Teacher Preparation Program NAME: LAST NAME FIRST NAME MIDDLE INITIAL (SURNAME) (GIVEN NAME) PREVIOUS NAME: (IF DIFFERENT FROM ABOVE): LAST FIRST MIDDLE HAVE YOU EVER TAKEN CLASSES AT STOCKTON? YES or NO HOME PHONE: WORK PHONE: CELL PHONE: ADDRESS: TYPE ( PERSONAL WORK/BUSINESS ) SOCIAL SECURITY# (if applicable) Z#: DATE OF BIRTH: (mm/dd/yyyy) PLACE OF BIRTH: CITIZENSHIP U.S. CITIZEN U. S. PERMANENT RESIDENT (attach copy of green card) OTHER COUNTRY OF CITIZENSHIP: _ TYPE OF VISA HELD: (if applicable) If none, are you applying for one? YES or NO Name of Country CURRENT NEW JERSEY RESIDENT FOR ONE YEAR OR MORE? YES or NO PERMANENT ADDRESS & PHONE MAILING ADDRESS (IF DIFFERENT FROM PERMANENT) STREET 1: _ STREET 1: STREET 2: _ STREET 2: BOX OR APT #: BOX OR APT #: CITY: ST: ZIP: CITY: _ ST: ZIP: COUNTY: COUNTRY:(IF NOT USA) COUNTY: _ COUNTRY:(IF NOT USA) ADDRESS GOOD UNTIL:

3 FOR STATISTICAL PURPOSES ARE YOU HISPANIC OR LATINO? YES or NO CHECK ALL THAT APPLY: MARITAL STATUS: GENDER: AMERICAN INDIAN OR ALASKAN NATIVE ASIAN BLACK OR AFRICAN AMERICAN CAUCASIAN NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER SINGLE MARRIED SEPARATED PARTNERED MALE FEMALE IS ENGLISH YOUR PRIMARY LANGUAGE? YES NO NAME & PHONE OF EMERGENCY CONTACT: _ RELATIONSHIP EDUCATIONAL BACKGROUND Please list all Colleges/Universities attended (both foreign and in the U.S.), beginning with the most recent.

4 EMPLOYMENT HISTORY Please list in reverse chronological order your employment for the past 3 5 years (including summer work or military service). Please include this information in your resume. CERTIFICATION I hereby certify that the information furnished on this application is accurate and complete, and that I have not been enrolled in nor have I attended any collegiate institution other than those listed on this application. I understand that any misrepresentation of fact will constitute cause for cancellation of my application prior to admission or dismissal following admission and that I will forfeit all fees paid. Applicant's Name (print): Signature: Date: Completed applications including official transcripts from all colleges/universities attended, 3 letters of recommendations, essay, resume, Praxis II scores, copy of teaching contract, copy of NJ Certificate of Eligibility (CE) and the non-refundable $50 application fee (check or money order made payable to Stockton University) should be mailed to: Stockton University Office of Graduate Studies 101 Vera King Farris Drive Galloway, NJ Stockton University is an equal opportunity institution. It does not discriminate in admission or access to its programs and activities or in treatment Or employment of individuals on the basis of race, creed, national origin, ancestry, Disability, age, sex, affectional or sexual orientation, marital status, liability for service in the Armed Forces of the United s or nationality. Please note that failure to submit all requested information will delay the processing and evaluation of your application. REV 9/18/17

5 GRADUATE APPLICATION ESSAY FORM APPLICANT NAME: DATE: INSTRUCTIONS: In 500 words or less, write a personal statement describing any life experiences, unique characteristics, career, and academic goals which illustrate the subjective qualities that you will bring to an academic program at Stockton University. We recognize that there are many personal factors not measurable by one's academic record and that these factors are important to consider when building a diverse graduate class. Some of these factors include leadership potential, integrity, accountability, intellectual curiosity, determination in the face of adversity, problem-solving skills, resiliency, motivation, compassion, creativity, and the ability to relate well with people. This statement is not a summary of your resume, however it is an opportunity for you to tell us something about your life s journey.