GREENSBORO COLLEGE. Personal: Demographic Data: Master of Arts in Teaching English to Speakers of Other Languages

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1 GREENSBORO COLLEGE Master of Arts in Teaching English to Speakers of Other Languages Entry Term: Fall Spring Summer Year A complete application consists of the following: Personal: $35.00 non-refundable application fee Completed Application for Admission One written essay Two letters of reference Official transcripts* Official scores from TOEFL, itep, IELTS,GRE, or MAT Copy of Visa (if not a US citizen) Social Security# (optional) Full Name Mailing Address Street City State Zip Birth Date U.S. Citizen Foreign Citizen, permanent U.S. resident Foreign Citizen, non-immigrant Country of Citizenship if other than US Type of visa held (Please include copy of visa and all documentation with application.) Home Telephone Occupation Place of Employment Daytime/Work Telephone Address Does your employer offer tuition reimbursement? Are you a veteran? If yes, do you plan to apply for veteran s benefits? Admission decisions will be made when applications are complete. 815 W. Market St. The information requested below is optional; however, is required by the U.S. Department of Education to report this information. The data is not used in the admission decision in any way. Demographic Data: Male Female Asian or Pacific Islander Hispanic Native American or Alaskan Native Caucasian (White) Black or African American Other Religious Affiliation/Preference Have you ever had a court conviction of any kind other than minor traffic violations? Have you ever been placed on probation, suspended, or expelled from any educational institution? If you answered yes to either or both of the last two questions, please give a full explanation on a separate piece of paper.

2 Educational Data: List all colleges and universities attended. Attach a separate piece of paper, if necessary. *Official transcripts from each degree awarding institution must be sent directly to the. If the institution(s) you attended previously are not in the United States, you must provide us with an original, official, external evaluation of your transcript from W.E.S. (` / or another agency accredited by the National Association of Credential Evaluation Services. College/University State or Country Dates Attended Degree Granted Language(s) Spoken Degree of Fluency Nationally Recognized Aptitude Measures: Applicants are required to submit an official test score from one of the following tests. Native English speakers may choose between the GRE and MAT. If your first language is not English, you are required to take an English proficiency exam (TOEFL, IELTS or itep). Please indicate which exam taken; if not yet taken, date exam scheduled Circle one: GRE MAT TOEFL IELTS itep Teachers: Are you currently employed in a school system? Yes No School System School Grade Level Subject(s) Principal Mentor Are you employed as VIF lateral entry licensure emergency licensure substitute fully licensed List licensure areas Past Work/Military Experience: Please list any work/military experience beginning with current or most recent position. Completion of this section is required, and you are encouraged to attach a resume. Company/Organization Position Location Dates of Employment Company/Organization Position Location Dates of Employment

3 Essay: STATEMENT OF PURPOSE In one or two pages, please respond to the following questions: 1. Why are you are applying for the MA in TESOL? 2. What do you wish to accomplish in your course of study? 3. What do you have to offer the program and its other participants? 4. How do you see yourself functioning in fast paced, accelerated summer coursework? Letters of Reference: Two letters of recommendation are required. Recommendations should come from principals, department heads, or others who know your ability to do graduate-level work. VIF applicants must include one from their principal or mentor. Please mail your application and subsequent materials to: Phone Fax All the information submitted on this application is true and accurate to the best of my knowledge. I understand that falsification of any information may result in cancellation of my acceptance and/or dismissal from the College. Signature Date admits students of any sex, race, color, national and ethnic origin to all the rights, privileges, programs and activities that are made available to all students at the school. It does not discriminate on the basis of any handicaps, sex, race, color, national or ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, athletic, and other school administered program., in accordance with Federal Title IX regulations, does not discriminate on the basis of sex or gender and prohibits gender and sex-based discrimination, including sexual harassment and sexual misconduct in its programs and activities. Questions regarding Title IX may be referred s Title IX Coordinator titleix@greensboro.edu or ext 5496 or to the US Department of Education Office of Civil Rights OCR@ed.gov or

4 MASTER OF ARTS TEACHING ENGLISH TO SPEAKERS OF OTHER LANGUAGES REFERENCE ASSESSMENT TO THE APPLICANT: Fill out the top of this form. Give this form and a stamped, self-addressed envelope to the reference. NAME OF APPLICANT I WAIVE MY RIGHT TO VIEW THIS COMPLETED FORM: YES NO SIGNATURE OF APPLICANT DATE TO THE REFERENCE: Please discuss this applicant s 1. Ability to do graduate-level work. 2. Ability to work independently as well as with a group. 3. Motivation 4. Written and oral skills in English 5. Social skills PLEASE MAIL THIS FORM AND YOUR REFERENCE TO THE: Admissions: Fax: adults@greensboro.edu Website: SIGNATURE OF REFERENCE DATE PRINTED NAME IN WHAT CAPACITY AND HOW LONG HAVE YOU BEEN AQUAINTED WITH THE APPLICANT?

5 MASTER OF ARTS TEACHING ENGLISH TO SPEAKERS OF OTHER LANGUAGES REFERENCE ASSESSMENT TO THE APPLICANT: Fill out the top of this form. Give this form and a stamped, self-addressed envelope to the reference. NAME OF APPLICANT I WAIVE MY RIGHT TO VIEW THIS COMPLETED FORM: YES NO SIGNATURE OF APPLICANT DATE TO THE REFERENCE: Please discuss this applicant s 1. Ability to do graduate-level work. 2. Ability to work independently as well as with a group. 3. Motivation 4. Written and oral skills in English 5. Social skills PLEASE MAIL THIS FORM AND YOUR REFERENCE TO THE: Admissions: Fax: adults@greensboro.edu Website: SIGNATURE OF REFERENCE DATE PRINTED NAME IN WHAT CAPACITY AND HOW LONG HAVE YOU BEEN AQUAINTED WITH THE APPLICANT?