DEPARTMENT OF SPECIAL EDUCATION - Towson University



DEPARTMENT OF SPECIAL EDUCATION

Program Application Form for Students Transferring to TU

Intended Program:

_____Integrated Early Childhood-Special Education (ECSE)

_____Integrated Elementary Education-Special Education (EESE)

_____Special Education Elementary/Middle _____Special Education Middle School Science

_____Special Education Middle School Math _____Special Education Secondary/Adult Math

_____Special Education Secondary Adult/Social Science _____Special Education Secondary/Adult English

Start date of program (circle program and record year): Fall 20_____ OR Spring 20_____

NAME: ___________________________________ TOWSON ID #:_____________________

PERMANENT ADDRESS: Department correspondence will be sent to this address

_________________________________________________________________________________________

Street Address

_________________________________________________________________________________________

City State Zip Code

CELL PHONE: _________________________ CURRENT EMAIL: ____________________________

Items Included (REQUIRED):

_____This form

_____Copy of transcript(s) from prior institutions

_____One-page, double-spaced essay explaining reasons for entering the teaching profession

_____Copy of Score Report for Basic Skills (Record scores below)

• *Praxis Core: Reading _____ (min= 156) Writing _____ (min= 162) Math ______ (min= 150)

• SAT: Reading: _______ Math: _______ Total _______ (Min. Combined= 1180)

• ACT: _______ (Minimum composite score= 24)

_________________________________________________________ __________________

Applicant’s Signature Date

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Mail application and all required documentation to the address below. Incomplete applications will not be processed.

Towson University

Department of Special Education

8000 York Rd.

Towson, MD 21252

Attn: Mrs. March

Priority deadline for fall programs is Feb. 15, and for spring programs is Nov. 1. Interested applicants who meet the requirements may continue to apply after the deadline, and will either be accepted based on availability or may select another available program. *If Praxis Core is not passed, include previous score report and list date of next attempt here. ___________

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