School of Education and Teacher Preparation

School of Education and Teacher Preparation

November 24, 2015

Dear Pre-Education Majors:

To apply for admission to the Fall 2016 cohort in Early Childhood/Special Education, Middle Grades Education, or Secondary Education – Biology or Mathematics, you should attend one of the three mandatory orientation sessions on January 19 or 20, 2016.

Please follow the instructions below:

1. Print and complete the two-page Application for Admission to Teacher Education.
2. Attach three (3) CCGA Teacher Candidate Disposition Evaluations.
3. Attach a copy of your GACE Program Admission Assessment scores (or exemption).
4. Attach a copy of yourGeorgia Educator Ethics Assessment Certificate of Completion.
5. Complete the Pre-Service Certificate Application.
6. Submit the application and attachments on or before February 1, 2016, to Kathy Halliwell, 212F Correll Center.

If you have any questions, please contact Kathy Halliwell, School Coordinator, at 912-279-5843 or email her at .

On behalf of the faculty and staff,

Michael Hazelkorn, PhD

Dean, School of Education and Teacher Preparation

Professor of Special Education

College of Coastal Georgia

One College Drive

Brunswick, Georgia 31520

P: 912-279-5843

F: 912-264-7232

email:

One College Drive ׀ Brunswick, GA 31520-3632׀ P912.279.5843 ׀ F 912.264.7232

Affirmative Action/Equal Opportunity/Access Institution

Due on or before February 1, 2016 to Kathy Halliwell, Office 212F, Correll Center.

Name ______9200______

Print LegiblyLast First Middle Maiden Coastal ID Number

Mailing Address ______

Street City County State Zip Code

Home Address (if different from mailing address) ______

______

Cell Phone Number ______

If not currently a CCGA student,list your e-mail address______

Accreditation Information:Gender: □ Female□ Male

Race/Ethnicity: □ American Indian/Alaskan Native □ Hispanic or Latino □ White(not Hispanic origin)

□ Asian/Pacific American □Multiracial □ Black (not Hispanic origin)

Graduated High School from: ______

Name of School City County State

Teacher Education Program of Study(check one):

□ Early Childhood/Special Education (Grades K-5 dual certification program)

□ Middle Grades Education (Grades 4-8 certification program):

Concentrations (number 1st and 2nd): ___mathematics ___science ___social sciences ___ELA

□ Biology – Secondary Education (Grades 6-12)

□ Mathematics – Secondary Education (Grades 6-12)

Current Overall GPA: ______

(cumulative, including all transfer work)

Completion of GACE Program Admission Assessment Check one of the following:

___ GACE exempt based on SAT, ACT, GRE, CBEST, LLAST, or FTCE. [Please attach a copy of results]

___ GACE exempt based on Praxis passed prior to 3/06/07. [Please attach a copy of results]

___ GACE Program Admission Assessment passed. ____[Please attach a copy of results]

___ GACE taken. I am awaiting the results.

___ GACE scheduled for ______(provide date).

___ GACE taken; but not all three tests were passed. [Please attach a copy of results]

Completion of Georgia Educator Ethics Assessment (Program Entry [350])[Please attach a copy of the Certificate of Completion]

Fall 2016 Early Childhood/Special Education and Middle Grades Cohorts and

Biology and Mathematics – Secondary Education

Core Courses Remaining, including current semester (Subject and course number):

1. ______2. ______3. ______4. ______5. ______

6. ______7. ______8. ______

Disposition Evaluations: Attach three (3) Teacher Candidate Disposition Evaluations. One evaluation must be completed by an education instructor for EDUC 2110, 2120, or 2130. The other two evaluations may be completed by other instructors at CCGA or other institutions.

Remember to check your College of Coastal Georgia email for all future

correspondence about admission to the Fall 2016 teacher education program.

All correspondence will be sent to your CCGA account()

To the best of my knowledge, all information on this application is accurate and complete.

Signature of Applicant ______Date ______

In Summer 2016, you will be contacted via your CCGA email regarding Liability Insurance.