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COLLEGE OF EDUCATION · DEPARTMENT OF TEACHER EDUCATION
MATC Program · 620 Farm Lane ·347 Erickson Hall · E. Lansing, MI 48824-1034

For your flexibility and convenience, the MATC is a fully online program. This online format makes it possible for us to offer a

broad range of courses. Now you can customize your program, all from the convenience of your home, from anywhere

in the world. Please see the program code options below in the green box.

Supporting Information Form

Please type directly into this form and save it on your computer. Any questions that do not apply to you can be left blank. Convert this form to PDF, JPG/PEG, BMP, GIF, or PNG and upload to the graduate application portal.

If you have questions, please contact the program secretary listed below.

Linda Brandau, MATC Program Secretary Email:

Department of Teacher Education, M.S.U. Fax: 517-432-5092

620 Farm Lane, 347 Erickson Hall Phone: 517-432-7705

E. Lansing, MI 48824-1034

PLEASE CHECK THE PROGRAM THAT APPLIES

Masters in Teaching and Curriculum (online) code 6728 MATC with Study Abroad (code 6728)

MATC with Chinese Certification Program (code 6727) MATC with NOYCE/Sets-Up (code 6727)

Focus (Area of Interest or possible specialization) Other:

Name: / Date:
MSU Student #: / Email:
1. Do you plan to pursue your degree as a: full-time student (9 credits per semester)? OR
part-time student (less than 9 credits per semester)?
2. Do you already have a teaching certificate? / Yes / No
3. Please check the appropriate level, type, and subject area below:
Level / Elementary / Middle / Secondary / K-12
Type / Provisional / Continuing/Professional / Special Education
Subjects / All Subjects / Subject Specialization(s) / Other:
4. Grade level(s) and subjects you currently teach: / Grades:
Subjects:
5. As of this date (not counting your internship or student teaching), how many years of teaching
experience do you have in K-12 schools?
Number of years full-time / Number of years
part-time/substituting / No K-12 teaching experience
6. How many graduate credit hours have you taken thus far at MSU or elsewhere?
None / = Number of MSU credits as part of your MSU internship (teacher certification)
= Number of MSU credits not as Lifelong or GC credits (eg. MSU Study Abroad)
= Number of non-MSU credits earned at another institution

Note: First-year and beginning teachers are encouraged to apply, as some of your course work can be tailored to meet your needs.

New Educator Advertisement / Posted or Emailed Flyer
How did you / A Letter From MSU / Web Search
hear about us? / A Conference, title: / Facebook Ad
(check all that apply) / MSU faculty, who: / Twitter
Word of Mouth, who: / Other:

AppAdmissionDocs/MATC-8-2014