Licensure Only Program o $35 non-refundable application fee o ...
APPLICATION FOR ADMISSION
Licensure Only Program
Check One: Birth-K_____ Elem K-6____ Middle Grades 6-9___ Sec. Grades 9-12____ Special Education ____ Licensure Area: _______________________________________________________________________________________ A complete application for admission consists of the following:
o $35 non-refundable application fee o Official transcripts from each degree-awarding US institution* o Submission of an essay o Submission of one letter of recommendation *Providing official transcripts from previously attended institutions is optional, but mandatory for any transfer credit to be awarded.
Admissions Office Greensboro College 815 West Market Street Greensboro, NC 27401 aaa
336-217-7284 336-378-0154 (fax) www.greensboro.edu [email protected]
DATE:_______________ Entry term: o
Fall
o
Spring
o
Summer
Year____________
Personal: Full Name ____________________________________Maiden __________________ Home Address _________________________________________________________ City ____________________________State____________Zipcode_______________ Email ________________________________________________________________ Social Security Number__________________________________________________
Demographic Data: Male Female
_____________________ Asian Native Hawaiian or other Pacific Islander Hispanic American Indian or Alaskan Native Caucasian (White) Black or African American Two or more races
Birthdate______________________________________________________________ Home Phone_____________________________ Cell __________________________ Occupation ___________________________________Work Telephone___________ Employer ______________________________________________________________ Are you a US Citizen? Yes _____ No _____ Citizenship________________________ Does your employer offer tuition benefits? ___________________________________ If you are not a US citizen please complete the following: Permanent resident of the US: Yes_____ No______ Alien Number A _____________ Do you currently possess a VISA? What is your VISA status?
Yes _____ No______
Non Resident Alien _____ Hispanic of any race ______
Religious Affiliation/Preference___________________________________________ Are you a veteran? Yes ______ No _______ If so, do you plan to apply for veteran’s benefits?
Yes______ No _______
List all colleges you have attended. Official transcripts are required from each degree-awarding institution.
College/University
Teachers:
Dates Attended
Are you currently employed in a school system?
___Yes
Degree?
___No
School system________________________________________________________________________________ School_____________________________________________
Grade level__________
Subject(s)___________________________________________ Principal___________________________________________ Mentor_______________________________________________ Current licensure: ___ Lateral Entry
___Other
___Substitute ___None
Field____________________________________________________________________ Note: Candidates who are NOT teaching are required to take an additional 8-hour clinical internship.
Past Work/Military Experience: Please list any work/military experience beginning with current or most recent position. Completion of this section is required; you are encouraged to attach a resume. Company/Organization ___________________________________________ Position _____________________________ Location __________________________________ Dates of Employment _______________________________________ Company/Organization ___________________________________________ Position _____________________________ Location __________________________________ Dates of Employment _______________________________________
Have you ever had a court conviction of any kind other than minor traffic violations? ______
Yes _____ No
Have you ever been placed on probation, suspended, or expelled from any educational institution? Yes _____ No ______ If you answered “yes” to either or both questions, please give a full explanation on a separate piece of paper.
Reference Assessment One letter of recommendation is required (form included with the application). This should come from an employer or an instructor.
Essay In two pages, please respond to the following questions: 1. 2. 3. 4.
Why are you applying for the “Licensure Only” program? What do you wish to accomplish in your course of study? What do you have to offer the program and its other participants? What do you see as the greatest challenge currently facing the teaching profession?
Honor Code and Student Conduct Code If accepted for admission, I agree to abide by the provisions of the Greensboro College Academic Honor Code and Student Conduct Code. In addition, I affirm that all 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:___________________________________ Greensboro College 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 and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, athletic and other school administered programs. Greensboro College, 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 Greensboro College’s Title IX Coordinator [email protected] or 336-2727102 ext 5496 or to the US Department of Education Office of Civil Rights [email protected] or 800-421-3481.
Admission to the Teacher Education Program Admission to Greensboro College is not Admission to the Greensboro College Teacher Education Program. During your first semester of enrollment at Greensboro College you will need to apply for admission into the Teacher Education Program. The State Department of Public Instruction requires this process for both initial and advanced licensures. Applications for admission are available from the Office of Teacher Education, Proctor Hall East, Room108.
Licensure Only Program
Check One: Birth-K_____ Elem K-6____ Middle Grades 6-9___ Sec. Grades 9-12____ Special Education ____ Licensure Area: _______________________________________________________________________________________ A complete application for admission consists of the following:
o $35 non-refundable application fee o Official transcripts from each degree-awarding US institution* o Submission of an essay o Submission of one letter of recommendation *Providing official transcripts from previously attended institutions is optional, but mandatory for any transfer credit to be awarded.
Admissions Office Greensboro College 815 West Market Street Greensboro, NC 27401 aaa
336-217-7284 336-378-0154 (fax) www.greensboro.edu [email protected]
DATE:_______________ Entry term: o
Fall
o
Spring
o
Summer
Year____________
Personal: Full Name ____________________________________Maiden __________________ Home Address _________________________________________________________ City ____________________________State____________Zipcode_______________ Email ________________________________________________________________ Social Security Number__________________________________________________
Demographic Data: Male Female
_____________________ Asian Native Hawaiian or other Pacific Islander Hispanic American Indian or Alaskan Native Caucasian (White) Black or African American Two or more races
Birthdate______________________________________________________________ Home Phone_____________________________ Cell __________________________ Occupation ___________________________________Work Telephone___________ Employer ______________________________________________________________ Are you a US Citizen? Yes _____ No _____ Citizenship________________________ Does your employer offer tuition benefits? ___________________________________ If you are not a US citizen please complete the following: Permanent resident of the US: Yes_____ No______ Alien Number A _____________ Do you currently possess a VISA? What is your VISA status?
Yes _____ No______
Non Resident Alien _____ Hispanic of any race ______
Religious Affiliation/Preference___________________________________________ Are you a veteran? Yes ______ No _______ If so, do you plan to apply for veteran’s benefits?
Yes______ No _______
List all colleges you have attended. Official transcripts are required from each degree-awarding institution.
College/University
Teachers:
Dates Attended
Are you currently employed in a school system?
___Yes
Degree?
___No
School system________________________________________________________________________________ School_____________________________________________
Grade level__________
Subject(s)___________________________________________ Principal___________________________________________ Mentor_______________________________________________ Current licensure: ___ Lateral Entry
___Other
___Substitute ___None
Field____________________________________________________________________ Note: Candidates who are NOT teaching are required to take an additional 8-hour clinical internship.
Past Work/Military Experience: Please list any work/military experience beginning with current or most recent position. Completion of this section is required; you are encouraged to attach a resume. Company/Organization ___________________________________________ Position _____________________________ Location __________________________________ Dates of Employment _______________________________________ Company/Organization ___________________________________________ Position _____________________________ Location __________________________________ Dates of Employment _______________________________________
Have you ever had a court conviction of any kind other than minor traffic violations? ______
Yes _____ No
Have you ever been placed on probation, suspended, or expelled from any educational institution? Yes _____ No ______ If you answered “yes” to either or both questions, please give a full explanation on a separate piece of paper.
Reference Assessment One letter of recommendation is required (form included with the application). This should come from an employer or an instructor.
Essay In two pages, please respond to the following questions: 1. 2. 3. 4.
Why are you applying for the “Licensure Only” program? What do you wish to accomplish in your course of study? What do you have to offer the program and its other participants? What do you see as the greatest challenge currently facing the teaching profession?
Honor Code and Student Conduct Code If accepted for admission, I agree to abide by the provisions of the Greensboro College Academic Honor Code and Student Conduct Code. In addition, I affirm that all 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:___________________________________ Greensboro College 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 and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, athletic and other school administered programs. Greensboro College, 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 Greensboro College’s Title IX Coordinator [email protected] or 336-2727102 ext 5496 or to the US Department of Education Office of Civil Rights [email protected] or 800-421-3481.
Admission to the Teacher Education Program Admission to Greensboro College is not Admission to the Greensboro College Teacher Education Program. During your first semester of enrollment at Greensboro College you will need to apply for admission into the Teacher Education Program. The State Department of Public Instruction requires this process for both initial and advanced licensures. Applications for admission are available from the Office of Teacher Education, Proctor Hall East, Room108.
