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APPENDICES
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TEACHER EDUCATION COMMITTEE MEMBERS: 2004-2005 Dr. Ann Horton-Lopez, Art (Graduate) Ms. Rachel McBroom, Science, Biology Education Dr. Karen Stanley, BK Education Dr. Swannee Dickson, Elementary Education Dr. Virginia Jones, English Dr. Janita Byars, Music Dr. Kathleen Hilton, Graduate School, Dean Dr. Larry Schultz, Special Education Dr. Bill Truman, Mathematics Ms. Pam Carroll, USP Dr. Sara Simmons, Professional Studies Dr. Tommy Thompson, Physical Education Dr. Pete Wish, Science Education Dr. Janet Fortune, Middle Grades Education Dr. Sharon Sharp, Elementary (Graduate) Dr. Tom Leach, Arts & Science Dean Dr. Julie Smith, Social Studies Education Dr. Debra Preston, School Counseling Ms. Debbie Thompson, Technology Ms. Mary Klinikowski, Mathematics Education Dr. Betty Brown, Reading Education Dr. Jane Huffman, Education Mr. Danny Bost, Undergraduate Studies Dr. Tulla Lightfoot, Art Education Mr. Scott Billngsley, Social Studies Education (Graduate) Dr. Zoe Locklear, School Administration Mr. Charlie Davis, Undergraduate Student Ms. Jane Chavis, Public Schools Ms. Phoebe Chavis Harris, Public Schools Dr. David Oxendine, Assessment Coordinator Ms. Molly Locklear, Public Schools Ms. Sheral Davis, Graduate Student
Teacher Education CommitteeSubcommittees2004-05
APPENDIX CThe University of North Carolina at Pembroke Application for Admission to Teacher Education Program
First Name:______________ Middle/Maiden Name:____________ Last Name:_________________________
Gender: Female: Male: SSN: __________ -___________-___________
Current Address:_____________________________ City: _________________ St:________ ZIP: __________
Email Address: ____________________________________________________ Phone:___________________
Major:_____________________________________ Advisor:________________________________________
Undergraduate: Lateral Entry/Licensure Only:
To be eligible for admission to the Teacher Education Program an individual must:
Check the following box indicating that the requirement has been met.
Have not more than 8 hours of the General Education requirements remaining. Have earned a grade of “C” (2.0) or better in EDN 227/302.
Have earned a grade of at least “C-“ (C if the course was repeated) in
all required major and /or
Have at least a 2.5 cumulative Quality Point Average (QPA) on a
4.0 scale on all prior Satisfactorily complete the Praxis I Series. Scores must be sent to UNCP by the Educational Testing Service. Students must meet the scores in effect at the time they apply to and qualify for admission to the Program. Complete a Candidate for Professional Licensure (CPL) form.
ADMISSION INTERVIEW – Rating (to be completed by the faculty members conducting the interview): Satisfactory Needs review
________________________ _______ _________________________ _______ Signature of faculty member Date Signature of faculty member Date
Statement of Applicant: · Have you ever had a certificate or license revoked or suspended by any state or other governing body? If yes, attach a statement giving full details and official documentation of the action taken. Yes ˇ No ˇ
· Have you ever been convicted of a crime (excluding minor traffic violations)? If yes, you must submit court documents that indicate judgment and disposition of the case from the court of conviction and an explanation of the incident(s). Yes ˇ No ˇ
With this document, I hereby make application to the UNC Pembroke Teacher Education Program. I understand that this document is only an application and I am not considered admitted to the Teacher Education Program until I receive written documentation from the UNC Pembroke School of Education. I understand that falsification of any statement or document will result in denial or dismissal from the UNC Pembroke Teacher Education Program. I certify that the information given in this application is complete, correct and true.
Applicant’s Signature Date
White – Office of University – School Programs Pink – Student Yellow – Program Coordinator
Teacher Education Admission InterviewReflection on Teacher Dispositions
Preparing for the Interview:
The list below represents a few of the dispositions considered important to successful teaching. Review the dispositions and think about why each disposition might be important to possess. Also, decide to what degree you already possess some of these dispositions. This is not a test; it is simply a conversation designed to raise your awareness of what it takes to be a good teacher.
The Teacher Education faculty looks forward to meeting and talking with you about the profession and any questions or concerns you might have with regard to your career decision or the Teacher Education Program.
Dispositions Related to Learning and Knowledge
1. Effective teachers enjoy learning.
2. Effective teachers share their passion for the subjects they teach with their students.
3. Effective teachers are open-minded, flexible, and willing to change.
Dispositions Related to Learners
4. Effective teachers care about the children and youth they teach.
5. Effective teachers are committed to helping all students learn.
6. Effective teachers accept and respect all children and youth.
Dispositions Related to the Roles and Responsibilities of a Professional Educator
7. Effective teachers respect the fact that they are highly influential role models for children and youth.
8. Effective teachers conscientiously model oral and written communication standards.
9. Effective teachers are responsible, reliable, and respectful.
PRAXIS 1 QUALIFYING SCORES STATE OF NORTH CAROLINA 2004-2005
The University of North Carolina at Pembroke Teacher Education Program Candidate for Professional Licensure (CPL) Data Form: ____ Teacher Education Admission / ____ Professional Semester / _____ Licensure The applicant must keep information provided on this form current. If any changes occur to the information listed below, notify the School of Education immediately.
Demographics: SSN:______________________________
_______________ _____________________ _______________ ___________________ Last Name First Name Middle Name Maiden Name
Circle race White American Indian/Alaskan Black/African-American Hispanic Asian/Pacific Islander Other Circle gender Female MaleEmail Address:___________________________________________
Mailing Address: Street 1:_______________________________________________Street 2:_______________________________________________City: State: Zip: ______________ Phone: ( __ __ __ ) __ __ __ - __ __ __ __
Graduate Employed in NC/Lateral Entry
Education Programs: Degree Type: Bachelor Master Other (specify)_______________License Type: Initial Add On Upgrade Licensure Area:___________________________________ Admit Date: Fall __________ Spring __________ Expected Completion Date: __ __ / __ __ / __ __ __ __ Semester: Fall Spring Student type:________Full-time __________ Part-timeThis section to be completed by School of Education ACR:________ CCR:_______ Admittance ExamsScores DatePPST: Paper Computer Reading < > < > ___ __ / __ __ / __ __ __ __ Writing < > < > ___ __ / __ __ / __ __ __ __ Math < > < > ___ __ / __ __ / __ __ __ __ Q.P.A. _______ __ ___ / ___ __ / ___ __ __ ___ Date Admitted: __ __ / __ __ /__ __ __ __MAT ________ __ __ / __ __ / __ __ __ __GRE ________ __ __ / __ __ / __ __ __ __ Completion ExamsSubject Area Exam: Code _____ Description __________________Score_____Date__ __ / __ __ / __ __ __ __ Description __________________Score_____Date__ __ / __ __ / __ __ __ __ IHE were received degree: _____________________________________________Bachelor Degree: IHE _________________________ Complete Date __ __ / __ __ / __ __ __ __
APPENDIX D
D.1 Course Designations for CARE Matrix Processing by Program Area
D-1.2 Designated Courses for Conceptual Framework Development
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