GRADUATE STUDIES DEGREE PROGRAM

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Requirements for Admission MASTER OF ARTS IN TEACHING Signed application DEGREE PROGRAM $40.00 application fee DEGREE PROGRAM: LEADING TOWARD LICENSURE Immunization record Official transcripts showing all college work undergraduate and graduate Three letters of recommendation (using form provided) Praxis Core, GRE, ACT, or SAT Scores Reading Writing Math GRADUATE STUDIES IN EDUCATION Application for Admission Praxis Subject Assessment(s) Praxis Principles of Learning and Teaching or appropriate Pedagogy (should be taken after EDFD 611 class) Cumulative GPA of 2.7 (or 2.9 on the last 60 hours) GPA: Additional tests required for licensure: Pearson Foundations of Reading (Elementary K-6 only) Additional course required by ADE for all Elementary (K-6), Middle Level (4-8) Social Studies, and Secondary (7-12) Social Studies Arkansas History from a regionally accredited college/university or (Free 45 hour course through Arkansas IDEAS) Office Use Transcript Evaluation Completed YES or NO Provisional Admission Provisions Program Director Date Student Name & H#

DATE: PREFERRED LOCATION: SEARCY NORTH LITTLE ROCK ROGERS GRADUATE STUDIES IN EDUCATION Application for Admission MASTER OF ARTS IN TEACHING DEGREE PROGRAM LEADING TOWARD LICENSURE GENDER: MALE FEMALE MARITAL STATUS: SINGLE MARRIED OFFICE USE ONLY H # NAME: ( )_ FIRST MIDDLE LAST MAIDEN ADDRESS: STREET OR POST OFFICE BOX CITY STATE ZIP HOME PHONE: CELL PHONE: SCHOOL / EMPLOYER: WORK PHONE: CHURCH DATE OF BIRTH: SOCIAL SECURITY NUMBER: - - AFFILIATION: E-MAIL (HOME) (OTHER) SEMESTER TO ENROLL FALL 20 SPRING 20 SUMMER 20 U.S. Citizen: YES Are you a veteran: YES NO NO Are you Hispanic or Latino? YES NO Select one or more of the following races that apply to you: American Indian or Alaskan Native Asian Black or African American Native Hawaiian or other Pacific Islander White I plan to pursue (check one of the following): Track I Provisional Licensure: Teacher of record Track II Traditional Student Teaching: Candidates will complete all course work followed by a semester of supervised internship. Licensure area: Scores for Praxis Subject Assessments, Pearson Foundations of Reading, and PLT/Pedagogy exams must meet the state of Arkansas requirement for licensure. Elementary, Grades K-6 Middle Level, Grades 4-8 Secondary, Grades 7-12 Secondary, Grades K-12 Elementary Education (no areas to choose) Choose at least two: Mathematics Language Arts Science Social Studies (AR History required) Drama English Family & Consumer Science Life Science Mathematics Physical Science Social Studies (AR History required) Speech Other 7-12 Subject Area(s): Earned Degree(s) (Circle degree; fill in major) College/University Graduation Date BA or BS - MA or MS - MED - Semester last attended Harding If you plan to transfer graduate credits to Harding, please provide name of school(s): _ Art Drama/Speech Foreign Language (Spanish/French) Kinesiology/Health Music, Instrumental Music, Voice

PROFESSIONAL OR ACADEMIC RECOMMENDATIONS I, the applicant, will request letters of recommendation from three individuals who will address my potential for success in the selected graduate program as well as address my professional and academic background. I will request the letters be sent to the address or e-mail listed below. TRANSCRIPTS I, the applicant, will request an official copy of transcript of credits from each institution where all previous college work has been done and send to Harding University s Nontraditional Teacher Preparation office (Harding graduates need not supply a transcript). TEST SCORES For Unconditional Admission, applicants must provide a copy of scores for the following exams: Praxis Core, GRE, ACT, or SAT (required for admission) Praxis Subject Assessment(s) (may be taken/submitted during first semester) Praxis Principles of Learning and Teaching (must be completed before graduation) For Licensure, applicants must provide a copy of scores for the following exam: Pearson Foundations of Reading (Elementary K-6 only) IMMUNIZATION To comply with state law, Harding requires all college students who were born after 1/1/57 to provide proof of immunity against measles, mumps, and rubella (MMR). REGULATIONS If approved for admission, I agree to abide by the regulations and requirements of Harding University. All information disclosed on this application is voluntary and will be used in a non-discriminatory manner, consistent with applicable civil rights laws. APPLICATION FEE Applications must be accompanied by a $40.00 non-refundable application fee. Make checks payable to Harding University. Office Use Only: *********** I read, understand, and agree to the stated policies and procedures set forth in the Harding University Graduate Catalog and the Graduate Studies in Education Code of Conduct. Student Signature Return to: Office of Nontraditional Teacher Preparation Box 12254 Harding University Searcy, AR 72149-5615 Phone: 501-279-5726 Fax: 501-279-5946 E-mail: nontraditionalteacher@harding.edu FOR OFFICE USE ONLY Date Admitted: Admission: Unconditional Provisional List deficiencies if provisional admission: Approved by:

HARDING UNIVERSITY GRADUATE STUDIES IN EDUCATION CODE OF CONDUCT In addition to the promotion of scholarly pursuits, Harding University endeavors to instill within each student a deeper spiritual quality that, coupled with academic growth, enables the student to build a happy and useful life. Harding provides a Christian environment in which spiritual growth is central. All members of Harding s administration and faculty are dedicated to building Christian character and responsibility within each student. Harding University is built with Christ as its chief cornerstone. It provides a setting in which Christian training and participation are encouraged. Enrollment at the University is viewed as a privilege that brings the attendant responsibilities and accountability. Students are encouraged to develop a servant-leadershipministry lifestyle that integrates faith, learning and living. College of Education Graduate students acknowledge and agree to uphold Christian principles for which Harding stands. Harding University reserves the right to refuse admission to or dismiss a student whose lifestyle is not consistent with the Christian principles for which Harding stands and when the general welfare of the institution requires such action. A standard form is provided as part of the registration process and must be signed by each individual student wishing to enroll in the College of Education graduate program confirming their commitment to uphold the policies and procedures of this Code of Conduct. While attending classes and events at Harding s Searcy campus or at one of the satellite locations, students must comply with Harding University s policies concerning conduct. This includes items such as: Illegal drugs, tobacco, and alcohol in any form are prohibited Modest dress is required Inappropriate language is prohibited Gambling and wagering are prohibited Firearms or weapons of any kind are prohibited Sexual immorality including pornographic materials are prohibited Christian principles should be respected by all students If both undergraduate and graduate students are jointly involved in a violation of an undergraduate code of conduct (see online copy of undergraduate student handbook), then all students will be disciplined according to the undergraduate code of conduct. Code of Conduct Disciplinary Procedures When it appears a rule of conduct or procedure has been broken, the Chair of the Graduate Studies in Education program will conduct an investigation concerning the allegation. The following steps will be followed: 1. If possible, the issue will be resolved with the Chair of Graduate Studies in Education and the student. 2. If not resolved between the Chair of Graduate Studies in Education and the student an appeal is presented to the Graduate Council for their review and recommendation concerning the alleged code of conduct or procedural violation. 3. A request for this appeal must be made in writing to the Chair of Graduate Studies in Education within 24 hours after the attempted resolution by the Chair of Graduate Studies in Education and the student. 4. A Graduate Council meeting will be scheduled as soon as possible to address the appeal. This meeting will be conducted in a fair and reasonable manner according to the following guidelines: a. All witnesses shall be required to affirm the truth of their testimony. b. Presentation of evidence and agenda of meeting: 1. Evidence that supports the charge against the student or organization 2. Evidence of innocence or mitigation by the accused 3. Rebuttal evidence by both parties 4. Closing statements by both parties c. Both parties shall have reasonable opportunity for cross-examination of witnesses. d. The appeal will be open to: 1. The appealing party 2. Members of the Graduate Council 3. Witnesses with relevant evidence to present limited to two eye witnesses for each side 4. Legal counsel, parents or guardians will not be permitted to appear before the Graduate Council. Disciplinary sanction can range from a written or verbal reprimand to suspension or expulsion from the Graduate Studies in Education program. Questions relating to the Graduate Studies in Education program s Code of Conduct should be referred to the Chair of Graduate Studies in Education.

HARDING UNIVERSITY Either a copy of your immunization record---or---this completed form must be submitted HARDING UNIVERSITY CERTIFICATE OF IMMUNIZATION Please return form to: Graduate Studies, Harding University Box 12261, Searcy, AR 72149-5615 To comply with state law, Harding requires all college students who were born after 1/1/1957 to provide proof of immunity against measles and rubella. NAME OF STUDENT BIRTH DATE SSN ADDRESS PHONE If you were born after 1/1/1957 you must: 1) Attach an official immunization record from another educational institution in Arkansas (high school or college).* -OR- 2) Attach an immunization certificate signed by a licensed medical doctor or an authorized public health department representative.* -OR- 3) Have Section A or B below completed and signed. A. DECLARATION Since 1987, when there were several measles outbreaks in the United States, it has been highly recommended by the Center for Disease Control, and is now required by Harding University that two doses of rubeola and rubella be given. I hereby certify that the person named above 1) has received 2 MMR vaccines* on and Mo/Day/Year Mo/Day/Year 2) has received 2 measles vaccines* on and has received 2 rubella vaccines* on and B. I hereby certify that the person named above has acceptable medical waivers for either or both vaccines checked below: Check if Applicable CONDITION** 1) A history of disease as confirmed by a positive laboratory test (Measles) (Rubella) 2) Immune deficiency disease (i.e. combined immunodeficiency, agammaglobulinemia Or Hypogammaglobulinemia of any class.) 3) A family history of immune deficiency disease (see 1 above) unless immune deficiency has been ruled out in that person. 4) Depressed immune system due to a. Generalized malignancy, leukemia or lymphoma currently or in the past. *** b. Treatment with corticosteroids, alkylating drugs, anti-metabolites, or radiation 5) Pregnancy 6) Receipt of immune globulin injections in the previous 3 months a. (Vaccine should be given after 3 months have elapsed.) 7) A history of severe systematic allergic reaction **** after exposure to neomycin. 8) For measles, a history of severe systematic allergic reaction**** after ingestion of eggs. Signed: Date: (Licensed Medical Doctor or Public Health Official) Name of Signee: (Type or Print) Phone Address of Signee: *Measles and rubella vaccines must have been received after the first birthday and after 1/1/1968. ** Medical exemptions for conditions not listed may not be allowed unless approved by the Arkansas Department of Health. Physicians must contact: Arkansas Department of Health, Immunization Program, 4815 West Markham St, Little Rock, AR 72205. (501) 661-2169 ***Physicians are encouraged to test the immune function of those thought to be cured, if the immune function is adequate, immunization is encouraged. **** Severe systematic allergic reaction means a reaction involving at least one of the following symptoms: urticarial rash, swelling of the mouth and throat, difficulty breathing, hypotension, shock.

HARDING UNIVERSITY CANNON-CLARY COLLEGE OF EDUCATION Letter of Recommendation for Master of Arts in Teaching Program To the Applicant: The Federal Family Educational Rights and Privacy Act of 1974 and its amendments guarantee enrolled students the right to see their letter of recommendation unless they explicitly waive that right. Indicate below what your wishes are in this regard. I do NOT waive my right to inspect the contents of this recommendation I DO waive my right to inspect the contents of this recommendation Applicant Full Name (Please print) Signature Date To the Referrer: This is a Letter of Recommendation regarding a candidate s teaching potential for admission to a Master of Arts in Teaching (MAT) Program. The above named person has given your name as a reference. Please assess the candidate s performance as a prospective teacher and return the form to the candidate for inclusion in his/her application. If the applicant has waived the right to inspect the recommendation, the recommendation should be returned to the Harding University address listed below. Please check the column that applies to your assessment of the applicant in the categories listed below Unusually High Above Average Average Below Average Unusually Low No Basis for Judgment Demonstration of Content of Knowledge Breadth of Knowledge Enthusiasm Sense of Responsibility Oral Expression Written Expression Flexibility Initiative Ability to Work with Children Ability to Work with Other Adults Emotional Maturity Potential as a Teacher Please include below additional comments about the applicant. Referrer Name (Please print): Position: Signature: Date: Harding University, College of Education, Master of Arts in Teaching Program, Box 12254, Searcy, AR 72149. Email: nontraditionalteacher@harding.edu