215 Ball Hall
Memphis, TN 38152
Phone: 678-2363 / Instruction and Curriculum Leadership
Applicant Information for
Doctorate of Education
Application Deadlines:
Fall - April 1, Spring - October 1, Summer- February 1
Name: / Last, First Middle
SSN: / Semester Applying For:
Address: / Street Address / City / State / Zip
Name on University Records:
Email: / Phone:
List Colleges Attended:
Full Name of College / Degree Earned / Major
Concentration Area and Emphasis:
☐ Early Childhood ☐ Instructional Design and Technology* ☐ Reading
*IDT only accepts applications for the Summer semester
☐ Special Education: ☐ Applied Behavior Analysis ☐ Early Childhood
☐ Modified ☐ Comprehensive
☐ Instruction and Curriculum: ☐ Elementary/Middle ☐ Secondary
Test Information:
Taken GRE: Yes - List Scores - Verbal: / Quantitative: / Writing:
No - When do you plan to take it?
Where did you learn about the ICL EdD program?
Check all that apply:
Revised 01/28/15
☐ A friend or family member
☐ ICL Website
☐ Recruitment Fair/Convention
☐ Recruitment Email
☐ Web advertisement
☐ Facebook, Twitter, Instagram, etc.
☐ Other, please describe: ______
Revised 01/28/15
This application will not be processed until the following requirements have been submitted:
Submit this application to 215 Ball Hall along with: two letters of recommendation, a professional resume and a written statement. A separate application to Graduate Admissions is required along with GRE scores and official transcripts from all institutions you have attended.
All requirements are due by the application deadline.
Revised 01/28/15