ࡱ>  7bjbjT~T~ 66E.     $Á=SSSSttt4666666$]Z- PR"tPPZ  SS   P4 S S4 P4  xS.AH x{L 0́{8  $t: BtttZZ^ttt́PPPP ttttttttt :   THE UNIVERSITY OF MICHIGAN-FLINT UNDERGRADUATE APPLICATION FOR ADMISSION TO THE TEACHER EDUCATION PROGRAM Winter 2011 PLEASE RETURN COMPLETED, SIGNED APPLICATION FORM TO: EDUCATION DEPARTMENT ADMISSIONS EVALUATOR UNIVERSITY OF MICHIGAN-FLINT 430 FRENCH HALL FLINT, MI 48502 810-762-3260 DEADLINE September 15, 2010 AT 5:00 P.M. ADMISSION DECISIONS WILL BE MAILED DIRECTLY TO STUDENTS DURING THE FIRST WEEK IN NOVEMBER ADMISSION TO THE TEACHER EDUCATION PROGRAM CHECKLIST FILL OUT AND RETURN WITH APPLICATION Prospective students must apply for admission and be accepted to the Teacher Education Program. Admission to the Teacher Education Program is NOT automatic. Only those persons who have formally applied are considered for admission. Not all persons who apply become eligible for admission. Admission requirements are common for all Teacher Education Programs. Students who already have a bachelors degree and beyond must also apply and meet admission requirements outlined below. The single, authoritative source of information about professional education curricula on which the entire UM-Flint community can draw is the university catalog. Any student absent from the University for a period of one calendar year (counted from the last day of the term in which the student was last enrolled) must meet the teacher education requirements in effect at the time of readmission. CHECK COMPLETED "MINIMUM ADMISSION CRITERIA ALL APPLICANTS MUST HAVE COMPLETED AT THE TIME OF APPLICATION.ADMITTED TO UNIVERSITY OF MICHIGAN-FLINTJUNIOR STANDING -- 55 OR MORE CREDITS COMPLETED HAVE PASSED MTTC BASIC SKILLS EXAM (READING, WRITING, & MATH). RESULTS MUST HAVE BEEN SENT TO UM-FLINT. WE CAN NO LONGER ACCEPT RESULTS DIRECTLY FROM STUDENTS.18 HOURS COMPLETED IN MAJOR TEACHING AREA(S) 12 HOURS COMPLETED IN MINOR TEACHING AREA(S) IF DECLARED, 9 HOURS COMPLETED IN EARLY CHILDHOOD MINOR MINIMUM ACCEPTABLE OVERALL CUMULATIVE GPA FOR ADMISSION IS 2.75. ALL GRADED COURSEWORK COMPLETED AT UM-F AND ANY COURSEWORK TAKEN AT ANY OTHER ACCREDITED COLLEGE/ UNIVERSITY WILL BE USED TO CALCULATE THE OVERALL GPA.MINIMUM 2.75 GPA IN MAJOR SUBJECT AREA(S)MINIMUM 2.75 GPA IN MINOR SUBJECT AREA(S)PSY 100 COMPLETED WITH GRADE OF C OR BETTER. EHS 120 OR ENG 112 COMPLETED. (ELEMENTARY APPLICANTS ONLY)EDM 121 COMPLETED WITH GRADE OF C OR BETTER. (ELEMENTARY APPLICANTS ONLY)SCI 125 OR 126 COMPLETED. (ELEMENTARY APPLICANTS ONLY)IF YOU HAVE ATTENDED ANOTHER COLLEGE/UNIVERSITY PRIOR TO UM-F, TAKE NOTE: IF YOU TRANSFERRED TO UM-FLINT AFTER FALL 2003, COPY(IES) OF TRANSCRIPT(S) FROM EACH COLLEGE/UNIVERSITY SHOULD BE ON FILE. YOU WILL BE CONTACTED IF YOUR TRANSCRIPTS CAN NOT BE FOUND, AND YOU WILL BE RESPONSIBLE FOR PROVIDING THEM BEFORE AN ADMISSION DECISION CAN BE MADE.ATTACH AN APPLICANT ESSAY. PLEASE TYPE AND DOUBLE SPACE AND SUMBIT A MINIMUM OF 250 WORDS. ESSAY TOPIC: THE PERSON OR THE REASON FOR YOUR DECISION TO ENTER THE PROFESSION OF TEACHING.  The University of Michigan-Flint Application to the Teacher Education Program Date UM ID# SS# UM-Flint Email (should be checked regularly) Name Phone ( ) FIRST M.I. LAST Maiden name (s) Former name (s) Address City State Zip Birth date / / The Michigan Department of Education has requested that all teacher education institutions gather the information below. Please identify your racial/ethnic background by circling only one of the choices. This will remain confidential and fulfills reporting obligations of the University. 1= American Indian or Alaska Native 2= White 3= Black 4= Asian or Pacific Islander 5= Hispanic or Latino 6= Multi-Racial Please circle your sex: Male Female Teaching certification sought Circle one Elementary Provisional Secondary Provisional K-12 Special Subjects (Circle one) VISUAL ARTS MUSIC Acceptable Teaching Majors and Minors - please indicate your teaching major and minor (s) Major (s): Minor (s):  APPLICATION DEADLINE DATE FOR ADMISSION IN: FALL 2010 SEMESTER JANUARY 15, 2010 EXCLUDING UM-FLINT, LIST ALL COLLEGES AND UNIVERSITIES YOU HAVE ATTENDED: SCHOOL (S): * IF YOU TRANSFERRED TO UM-FLINT FALL 2003 OR AFTER, YOUR TRANSFER TRANSCRIPT(S) SHOULD BE ON FILE. IF WE ARE UNABLE TO LOCATE YOUR TRANSFER TRANSCRIPT(S), YOU WILL BE CONTACTED, AND YOU WILL BE RESPONSIBLE FOR PROVIDING OUR OFFICE WITH THE MISSING DOCUMENTATION BEFORE AN ADMISSION DECISION CAN BE MADE. HAVE YOU PREVIOUSLY EARNED A BACHELORS DEGREE? CIRCLE ONE: YES NO IF YOU HAVE ANSWERED YES, HAS A COURSEWORK EVALUATION BEEN DONE OF YOUR CREDENTIALS BY OUR EDUCATION REGISTRAR? CIRCLE ONE: YES NO DATE (APROX) TRANSCRIPTS WERE SUBMITTED FOR EVALUATION:  IT IS YOUR RESPONSIBILITY, TO HAVE YOUR M.T.T.C. BASIC SKILLS EXAM RESULTS SENT TO UM-FLINT. IF YOUR RESULTS ARE NOT ON FILE AT UM-FLINT, YOU WILL NEED TO CONTACT THE TESTING COMPANY,  HYPERLINK "http://WWW.MTTC.NESINC.COM" WWW.MTTC.NESINC.COM, TO REQUEST THAT YOUR RESULTS BE SENT TO UM-FLINT. WE CAN NO LONGER ACCEPT TEST RESULTS DIRECTLY FROM STUDENTS. LIST THE MONTH & YEAR BELOW THAT YOU TOOK OR PLAN TO TAKE THE M.T.T.C. BASIC SKILLS EXAM :  I HAVE READ THE REQUIREMENTS FOR ADMISSION ATTACHED TO THIS APPLICATION. I UNDERSTAND THAT: WITHHOLDING INFORMATION REQUESTED, FALSIFICATION OF INFORMATION, OR MISREPRESENTATION OF ANY PORTION OF THIS APPLICATION MAY BE CAUSE FOR LOSING ELIGIBILITY TO CONTINUE IN THE TEACHER EDUCATION PROGRAM. A SEQUENCE EXISTS FOR PROFESSIONAL COURSES AND STUDENTS ARE REQUIRED TO ADHERE TO PREREQUISITE REQUIREMENTS. A FELONY OR CERTAIN MISDEMEANOR CONVICTION(S) MAY RESULT IN DENIAL FOR ADMISSION TO THE EDUCATION PROGRAM OR DENIAL FOR CERTIFICATION BY THE STATE OF MICHIGAN. I AM ULTIMATELY RESPONSIBLE FOR MEETING DEGREE AND GRADUATION REQUIREMENTS DURING MY ACADEMIC CAREER AT THE UNIVERSITY OF MICHIGAN-FLINT.  SIGNATURE DATE  MISDEMEANOR/FELONY CONVICTION FORM The Michigan State Board of Education has the authority under PART 10. ADMINISTRATIVE HEARINGS, of the Administrative Rules Governing the Certification of Michigan Teachers, to deny, suspend, or revoke a teaching certificate (R 390.1201). The rule(s) state: Rule 101.(1) The state board may refuse to grant or renew, or may revoke or suspend for a fixed term, or may impose reasonable conditions on, a teaching certificate granted pursuant to these rules for the following reasons: Fraud, material misrepresentation, or concealment in the application for a certificate. Failure or ineligibility of the applicant or certificate holder to meet the criteria for eligibility for the certificate. Conviction, as an adult, of an act of immoral conduct contributing to the delinquency of a child, or of a felony involving moral turpitude. R 390.1151(2) of the Administrative Rules Governing the Certification of Michigan Teachers allows sponsoring institutions recommending applicants for teacher certification to establish selection techniques which insure that only qualified students are admitted to the teacher education program and that only qualified students are sponsored for certification. An applicant to a teacher education program who has been convicted of a felony or misdemeanor may be denied admission to teacher education OR field placements OR recommendation for certification. An applicant who has been convicted of a misdemeanor or felony at any point in his or her academic program at the University of Michigan-Flint must notify the Education Department in the School of Education and Human Services within 30 days of the conviction and may be granted a hearing prior to a final decision regarding (1) admission to teacher education, or (2) field placement, or (3) recommendation for certification. Such a hearing will be initiated by the Education Department in the School of Education and Human Services. It shall provide convicted applicants an opportunity to demonstrate that the conviction would have no adverse affect on their ability to teach children and that they have been rehabilitated. Applicants should note that the State Board of Education has the final authority to deny a recommendation for certification based upon an individuals conviction. In addition, all Michigan K-12 schools are required to conduct criminal records checks for all newly-employed teachers. ALL APPLICANTS ARE REQUIRED TO SUPPLY THE FOLLOWING INFORMATION: Have you ever had a teaching certificate or any other professional license or certificate denied, revoked, nullified, or suspended or have you ever surrendered a teaching certificate or other professional license? Circle one: YES NO IF YOU ANSWERED YES, PLEASE ANSWER THE FOLLOWING QUESTIONS: What type of professional license or certificate was denied, revoked, nullified, suspended, or surrendered? ______________________________________________________________________________________________ When (date) and where (state) was the license/certificate denied, revoked, nullified, suspended, or surrendered? ______________________________________________________________________________________________ Provide any other facts you consider important relative to the above incident by attaching additional page(s) if needed. 2. Have you ever been convicted or pled no contest to a felony or misdemeanor? Circle one: YES NO IF YOU ANSWERED YES, PLEASE ANSWER THE FOLLOWING QUESTIONS: Supply the following information: What was the specific crime(s)? What was the date of the conviction(s)? Where (city and state) did the crime(s) occur? In what court(s) were you convicted? Provide any other facts you consider important relative to the conviction(s) by attaching additional page(s) if needed. I certify that my answers are complete and accurate to the best of my knowledge. I understand that failure to provide this information or concealment or misrepresentation of information may result in denial of admission to the teacher education program, field placements, recommendation for teacher certification, or removal from the education program. Furthermore, I understand that if I am convicted of a felony or misdemeanor at ANY time during my academic program at the University of Michigan-Flint, I am obligated to notify the Education Department in the School of Education and Human Services at the University of Michigan-Flint within 30 days of that conviction. Failure to do so may result in removal from the teacher education program. 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