MercerCountyCommunity College
New Pathways to Teaching in New Jersey
A statewide partnership between New JerseyCityUniversity and NJ Community Colleges
PLEASE CHOOSE NPTNJ PROGRAM OPTIONS:
elementary middle school secondary

 NON-CREDIT CREDIT **(please refer to the bottom of application if credit option is chosen)......
Please provide the following: Empl. ID ______internal use only
Soc. Sec. #: ______/______/______/ Sex:  Male  Female / DOB: __/___/____
Name: ______
Last First Middle Initial Maiden Name
Address: ______
Street City State Zip Code County
Phone (H):______(W): ______/ Email: ______
Admission Requirements: Applicant must have a cumulative GPA of 2.75
Have you taken and passed the Praxis II Exam? /  Yes / Passing Score ______and
date taken ______/  No
Do you have a Certificate of Eligibility?
Please be specific and list all of those that you hold.
 elementary education K-5
 elementary education 5-8 ______
( specify content area)
______
secondary education ( specify content area) /  Yes / CE # (s) ______
List any additional CE’s that you are seeking through NPTNJ
______/  No
Do you have an employment offer from a school district? /  Yes /  No / If yes, which school district? ______
Phone ______
**Do you have previous teaching experience? /  Yes /  No / ** If yes, attach copy of resume
Please mark box to indicate the race/ethnic group which best applies to you (optional). Information is voluntary, kept confidential, and refusal to provide this information will not subject, you the applicant, to any adverse treatment.
 Hispanic /  White /  African-American /  American Indian /  Asian /  Puerto Rican / Other
Academic History:
Name of degree-granting Institution:
Note: You must submit 3official transcript from every institutions that you have attended and a copy of your CE (Certificate of Eligibility) / Name of degree received
(e.g. B.A., B.S., M.A., Ph.D.) / Grade Point Average (GPA)
Have you attended an information session at the community college prior to you filling out this application?
(yes/no) if so where?
The statements made in this application are accurate and complete to the best of my knowledge. Failure to provide full documentation or falsification of credentials may result in cancellation of admission to this program. I understand that the data submitted on this form and my transcripts will be shared with between NJCU and the Community Colleges and other agencies which interact directly with the NPTNJ program.
***I have not been convicted of a criminal offense nor do I have any criminal charges pending.***
Signature / Date

** Credit students are requested to complete Graduate Form on reverse side →

CREDIT APPLICANTS ONLY – PLEASE COMPLETE

ADDITIONAL INFORMATION AND SIGNATURE / DATE REQUIRED

Personal Data
Citizenship:
□US Citizen □ Non-Immigrant (student/visitor) □ Permanent Resident / Place of Birth: (state/county)
Are you a NJ resident? If so, when did you establish continuous residency? month / year
□ Yes □ No | | | | | / Are you eligible for veterans educational benefits? □ Yes □ No
Applicant’s Signature
The statements made in this application are accurate and complete to the best of my knowledge. If I attend NJCU, I agree to comply with the rules and regulations of the University. Failure to provide full documentation or falsification of credentials may result in cancellation of admission to the University.
Signature Date

Continuing for a Master’s Degree

Should you wish to continue your studies beyond the NPTNJ curriculum for a master’s degree at NJCU, you must apply to be a “matriculated” student in one of the following degree programs.

(Please check one or more degree programs that you are currently interested in.)

[ ] M.A.T. in Special Education

[ ] M.A. – Reading Specialist

[ ] M.A. in Educational Technology

[ ] Off-Campus Master of Arts in Teaching (M.A.T.) in Elementary Education

[ ] Off-Campus Master of Arts in Teaching (M.A.T.) in Secondary Education

[ ] On-Campus Master of Arts in Teaching (M.A.T.) in Elementary Education

[ ] On-Campus Master of Arts in Teaching (M.A.T.) in Secondary Education

[ ] M.A in Urban Education-Teaching and Learning in Urban Schools (English Education for

Middle/HS)

______

Applicants for matriculation into a graduate degree program will be asked to submit the following:

(Note: You may begin the matriculation process after you are accepted into Stage I of NPTNJ or anytime during the NPTNJ program.)

Completed Application for Matriculation Form*

  • 2 Recommendations*
  • Official Copy of GRE or MAT Scores

(Waived for applicants for matriculation in Educational Technology and Special Education, if the

applicant already has a graduate or professional degree from an accredited institution.)

  • Personal Essay (250-500 words) discussing your goals and objectives in pursuing the graduate degree

you are seeking.

  • Official Transcripts from ALL Institutions Attended (except NJCU, which we will obtain)
  • Copy of all certification certificates received
  • Immunization Form* (applicant should mail directly to Health and WellnessCenter)
  • (M.A.T. Elementary and Secondary Education applicants ONLY) - Official Copy of PRAXIS II

Scores

*These forms will be mailed to all NPTNJ Credit students during the NPTNJ program.