I desire to take College of Education and Human ...



APPLICATION TO TAKE EDUCATOR PREPARATION/DEVELOPMENT COURSEWORK

(Teacher, School Administrator, or School Pupil Services)

Bowling Green State University

Please complete the form electronically, print, and mail or fax the paper copy along with the Guest (Undergraduate) or the Non-Degree Graduate Application form to the Office of Registration and Records on the BGSU main campus or on the Firelands campus. The form will be forwarded to the Office of Accreditation and Licensure in the College of Education and Human Development (main campus) for processing.

Name:       ID#:      

Current Date:       Desired Enrollment Term/Year:      

Phone #1:       Phone #2:       Email Address:      

Section A: Please place an “X” in the box next to either statement #1 OR #2 to indicate your current educator licensure status; Under #1 OR #2, place a “X” in front of a, b, c, d, or e (select one only) to indicate your primary purpose for taking educator preparation coursework at BGSU

1. I hold a current or expired teacher, administrator, or pupil services certificate/license in       (indicate content area; box will expand) from the following state(s):      

a. I wish to take educator preparation coursework for personal development purposes only

b. I wish to take educator preparation coursework for certificate/licensure renewal purposes only

c. I wish to take educator preparation coursework as a guest undergraduate student or a non-degree graduate student while my admission to a graduate certificate or degree program is pending. I have applied to the following program:      

d. I wish to take educator preparation coursework as a guest undergraduate student or a non-degree graduate student to add a new license or a new endorsement. Please proceed to Section B to indicate desired license or endorsement

e. Other (please indicate)      

2. I DO NOT hold a current or expired teaching, administrator, or pupil services certificate/license

a. I wish to take educator preparation coursework for personal development purposes only

b. I wish to take educator preparation coursework as a guest undergraduate student or a non-degree graduate student while my admission to a graduate certificate or degree program is pending. I have applied to the following degree program (box will expand):      

c. I wish to take educator preparation coursework as a guest undergraduate student or non-degree graduate student to pursue initial licensure. Please proceed to Section B to indicate desired license or endorsement

d. Other (please indicate)      

Note: If you marked “1d.” or “2c.” and have non-BGSU coursework that should be reviewed for eligibility consideration, please send official transcripts to the Office of Accreditation and Licensure, 455 Education Building, BGSU, Bowling Green, OH 43403.

+Transcripts may be anticipated from the following Institution(s):      

Section B: If an “X” was placed by #1d OR #2c above, please place a “X” beside your desired licensure or endorsement area in the chart below:

Teaching Licenses—Unless otherwise indicated, all teacher licensure programs are at the undergraduate level; *Programs with asterisks (i.e., “*”) following the title require graduate program admission:

|Adolescent/Young Adult (grades 7-12) |

| Adolescent/Young Adult (Secondary) Education—Select one area of specialization below: |

| Earth Sciences | Integrated Science (pending) | Life Sciences and Physics |

|Earth Sciences and Chemistry |Integrated Social Studies |Physical Sciences: Chemistry |

|Earth Sciences and Physics |Life Sciences |Physical Sciences: Chemistry and Physics |

|Integrated Language Arts |Life Sciences and Chemistry |Physics Physical Sciences: Physics |

|Integrated Mathematics |Life and Earth Sciences | |

| |

|Career technical (Vocational; Grades 4-12) |

| Business Education (Integrated)—Undergraduate | Marketing Education—Undergraduate level | Work Force Development (formerly, Route B, |

|level |Marketing Education* (must register under |24-Hour Program)—Select program area(s): |

|Business Education* (Integrated)—Graduate level|Business Education)—Graduate level |Business Marketing |

| | |To pursue this program at BGSU, an individual |

| | |must have been offered an applicable teaching |

| | |position and have a CTE-37 form signed by the |

| | |employing superintendent or designee. In |

| | |addition, the individual must already hold a |

| | |teaching certificate or license. |

*Programs with asterisks (i.e., “*”) following the title require graduate admission

|Early childhood (Grades PreK-3) |

| Early Childhood Education |

|Intervention Specialist (Unless otherwise indicated, Grades K-12) |

| Deaf/Hard of Hearing—Undergraduate level | Mild/Moderate—Undergraduate level | Moderate/Intensive Intervention |

|(PreK-12) |Mild/Moderate—Graduate level |Specialist—Undergraduate level |

| | |Moderate/Intensive Intervention |

| | |Specialist—Graduate level |

| |

|Middle Childhood (Grades 4-9) Individuals pursuing first/initial licensure must select two concentrations; individuals holding Ohio |

|certificates/licenses may select one or two concentration areas (please indicate desired concentration[s]). |

| Middle Childhood | | |

|Mathematics |Science |Reading/Language Arts |

|Social Studies | | |

| |

|Multi-age (Grades PreK-12) |

| Music Education—Select one area of specialization: | |

|Choral Classroom/General Music |Instrumental |

| Physical Education | |

| Visual Arts—Art Education—Select one area of specialization: | |

|Three-Dimensional Studies Two-Dimensional Studies | |

| World Language—Select one area of specialization: | |

|French Latin |Spanish |

|German Russian | |

Teaching Endorsements—Please indicate desired endorsement and enrollment status: U = Enrolled as a Guest (Undergraduate) or a Guest pending undergraduate degree program admission; PB = Enrolled as a Guest (Undergraduate) or Non-Degree Graduate pursuing post baccalaureate licensure; GC = Enrolled as a Non-degree Graduate pending Graduate Certificate program admission; G = Enrolled as a Non-Degree Graduate pending graduate program admission

| Adapted Physical Education | Classroom Technology* (Computer/Technology) | Early Childhood Generalist (4-5) |

|Limited to physical education license |GC G |Limited to Early Childhood license |

|U | |U PB GC |

|Middle Childhood Generalist 4-6 | P-6 Mathematics Specialist* | P-6 Science Specialist* |

|Limited to middle childhood license with two |Limited to pre-kindergarten, elementary, early |Limited to kindergarten-primary, elementary, |

|areas |childhood, middle childhood, high school, or |early childhood, middle childhood, high school,|

|U PB |AYA mathematics licenses |or AYA science licenses; 3 years experience |

|Language Arts/Reading |GC |GC |

|Mathematics | | |

|Science | | |

|Social Studies | | |

| Reading* | Transition to Work | |

|GC G |PB | |

| |Limited to intervention specialist or | |

| |career-technical licenses | |

Administrative Licenses—All administrative licensure programs are at the graduate level only

|Administrative Specialist |

| Curriculum, Instruction, and Professional | Educational Staff Personnel Administration* | School Community Relations* |

|Development* |Pupil Services Administration* | |

|Educational Research* | | |

|Principal—Mark all that apply |

| Principal, ages 3-12; Grades PK-6* | Principal, ages 8-14; Grades 4-9* | Principal, ages 10-21; Grades 5-12* |

|Superintendent |

| Superintendent* | | |

Pupil Services Licenses—All pupil services licensure programs are at the graduate level only

| School Counselor* | School Psychologist* | School Speech-Language Pathologist* |

*Programs with asterisks (i.e., “*”) following the title require graduate admission

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