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UNIVERSITY OF ARKANSAS AT PINE BLUFF

School of Education

Admission Requirements Checklist

Teacher Candidate ______________________ I.D.__________ Major _________________

|CHECKLIST |DATE COMPLETED |

|Secure an application for admission from online from the UAPB Website: | |

|Secure an official up-to-date transcript of all college courses including transfer courses from | |

|other colleges or universities. The transcript must reflect a Cumulative Grade Point Average of 2.70| |

|or above. | |

|Secure University College Exit Form from the Office of Basic Academic Service. | |

|Secure copy of Approve Degree Plan, to include grades and all appropriate signatures. | |

|Secure copy of ACT or Praxis Core results. Student must attain passing scores on all parts of the | |

|test prior to being admitted to the School of Education. | |

|Secure a Letter of Recommendation from your Academic Advisor. This written letter will serve as | |

|documentation of your disposition as a perspective UAPB Teacher Candidate. | |

|Complete type written School of Education Application for Admission, including appropriate | |

|signatures. | |

|Submit completed Application Form, Official Transcript, Praxis Core Scores, University College Exit | |

|Form, Letter of Recommendation and Approved Degree Plan to the (AREC) Chair. Application due dates: | |

|March 15 and October 20. | |

|Complete Personal Interview with Admission, Retention, and Exit Committee (AREC) | |

|Admission, Retention, and Exit Committee (AREC) approves or disapproves application. | |

|The Admission, Retention, and Exit Committee must receive your application in advanced for office | |

|use ONLY. | |

REQUIRED SCORES FOR ADMISSIONS:

Educator Preparation Programs for Undergraduate Admission Requirement Scores:

Provisional Status Option 1 Option 2 Option 4

ACT ACT SAT PRAXIS CORE

Reading: 19 Reading 20 Reading: 543 Reading: 156

Math: 19 Math 20 Math: 533 Math: 150

Writing: 6 Writing 7 Writing: 5 Writing: 162

(Please Fill In) (Do Not Fold)

University of Arkansas at Pine Bluff

Application for Admission

School of Education

Date: ____________ Telephone: __________________________________________

Local Cell Permanent

1. ________________________________________________________________________

(Last) (First) (Middle) (Maiden)

02. High School Graduation/GED Date: ___________ E-Mail Address _____________________________

City and State: ____________________________________________________________________________

Expected Date of Graduation from UAPB __________________________________________________

03. Social Security Number: _______________ **Gender___________ **Race_______________________

04. Permanent Address: _______________________________________________________________________

Street City State Zip code

Local Address: _______________________________________________________________________

Street City State Zip code

05. Please check your choice of major:

( ) K-6th Grades -Elementary Education

( ) Middle Level (4th -8th Grade) - Science and Mathematics

( ) Middle Level (4th -8th Grade) - Science and Social Studies

( ) Middle Level (4th -8th Grade) - Mathematics and Social Studies

( ) Middle Level (4th -8th Grade) – Language Arts and Social Studies

( ) Middle Level (4th -8th Grade) - Language Arts and Mathematics

( ) Middle Level (4th -8th Grade) - Language Arts and Science

( ) Middle Level (4th -8th Grade) - Language Arts, Math, Science and Social Studies

( ) Secondary Grades (7th- 12th Grades) Major Area: _____________________________________

( ) K-12th Grades (K-12th Grades) Major Area: _____________________________________

Degree Plan Approval Date: ___________________ (Attach Approved Plan to Application)

06. Have Teacher Education Program and Licensure requirements been explained to you?

______ (Yes) ______ (No)

07. Please describe experience(s) you have had with children and youth. (Add additional sheets if necessary): ________________________________________________________________________________________

________________________________________________________________________________________

08. Current G. P. A. ________________ Grade “C” or above has been attained in the following courses and all major courses taken prior to date of this application: ___________ (Yes) ___________ (No)

English 1311 ____________ English 1321 ________________ Oral Communication 2390 _____________

College Algebra 1330 ___________ Foundations and Development of American Education 1300 __________

09. Required ACT Scores or Praxis Scores_____________ _____________ __________________

Reading Writing Mathematics

10. Have you exited University College? ____ (Yes) ____ (No)

(If yes, please attach a copy of your University College Exit form to this application)

11. Has the Transitional Semester been recommended? ___ (Yes) ___ (No)

Act 1313 of 1997 requires a state and national criminal background check. If you have been convicted of a felony, you may not be eligible to receive an Arkansas Teachers’ Licensure.

12. Departmental Recommendations:

_______ Approved _________________________________________________________

_______ Conditional Approval Contingent upon _________________________________

_________________________________________________________________

_________________________________________________________________

________ Rejected (If rejected give reason (s) ____________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Teacher Candidate: _____________________________________________________________

Signature Date

School of Education Advisor: _____________________________________________________

Signature Date

Department Advisor Secondary Major: ______________________________________________

Signature Date

Department Chairperson-Cur. & Inst. /Phys. Ed: ______________________________________

Signature Date

Provisional Admission: Provisional admission is extended to exceptionally well qualified teacher candidates who opt to change their major during their junior or senior year to education. Teacher candidates who are in the process of completing requirements or transfer teacher candidates may be admitted on provisional basis pending satisfactory completion of requirements.

Provisional restrictions must be removed the semester following the application semester.

Attachments required:

1. A current transcript including all transfer courses from other institutions.

2. The original copy of Required Scores must be submitted to Admission, Retention, and Exit Committee Chairperson (Copies not accepted)

3. Approved Degree Plan (Degree Plan must contain University Advisor’s Signature)

4. Copy of University College Exit Form received from University College-Corbin Hall, Room 100

If you have been convicted of a felony, you may not be eligible to receive an Arkansas Teachers’ Licensure.

Please deliver this application to the Admission, Retention and Exit Committee Chairperson’s Office in Dawson-Hicks Hall Room 342, Suite 336.

For Admission, Retention and Exit Committee Use Only

Approval of the School of Education Admission, Retention and Exit Committee

__________ Unconditional Admission __________ Conditional Admission

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________

Admission, Retention & Exit Committee Chairperson’s Signature

_________________________________________________________________

Interview Date

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