Supervisor of Instruction Certification Only and Rank I

Reflective Constructors of Quality Learning Experiences through Critical Thinking

UNIVERSITY OF THE CUMBERLANDS

GRADUATE PLANNED PROGRAM/CURRICULUM CONTRACT

Supervisor of Instruction – Certification Only and Rank I

Name:______Student ID#:______School:______

Home Home School

Address:______Phone:______Phone:______

LEVEL II: 30 Hours Required (Required for Rank I)

Department Course Number Course TitleDate CompletedGradeHours

EDUC/EDOL634Curriculum Management and Assessment______3

EDUC/EDOL636Problems in Education______3

EDAD/ADOL630Introduction to Educational Administration______3

EDAD/ADOL631School Program Improvement______3

EDAD/ADOL632Human Resource Management and Supervision______3

EDAD/ADOL633Applied Research in Education**______3

EDAD/ADOL635The Politics of School and Community______3

EDAD/ADOL636School Law I______3

EDAD/ADOL639The Supervisor______3

EDAD/ADOL665Practicum: Supervisor of Instruction*______3

LEVEL I: 18 hours required – Certification Only

EDAD/ADOL630Introduction to Educational Administration______3

EDAD/ADOL631School Program Improvement ______3

EDAD/ADOL632Human Resource Management and Supervision______3

EDAD/ADOL636School Law I______3

EDAD/ADOL639The Supervisor______3

EDAD/ADOL665Practicum: Supervisor of Instruction*______3

* To be completed after all other courses.

** Pre-requisite is EDUC/EDOL 630

Continuous Assessment: Once admitted, at GPA of 3.0 must be maintained.

Pillar IV - Entrance Requirements / Pillar V - Midpoint / Pillar VI - Exit Requirements
Master’s Degree from accredited IHE
State: _____ Type: ______
Entry Level Writing Assessment ____ Y ____ N
Cumulative GPA 3.0 ____ Y ____ N
GPA ______Review date: ______
Three (3) letters of recommendation
1 ____ 2 ____ 3 ____
Valid Teaching License ___ Y ____ N
Three (3) years of teaching experience (Verified)
____ Y ____ N
Signed copy of Kentucky Code of Ethics ______/ Midpoint assessment (Based on one or more case studies and a review of ISLLC and TSSA Standards) with advisor when candidate accumulates 12 to 18 hours credit
Comprehensive Examination discussion: ______(date)
Completed Planned Program on File ____ Y ____ N
GPA 3.0 or above: ______
Two favorable disposition assessments______
Application for Practicum completed ______
Field Experience Completed Date: ______/ Eighteen (18) hours of 600 level courses completed for Rank I
____ Y ____ N
A minimum of eighteen (18) hours completed at University of the Cumberlands (Level II certification) ____ Y ______N
Comprehensive Exam passed (For Rank I only. Based partially on ISLLLC and TSSA Standards) ______(Date)
Cumulative GPA 3.0 ____ Y ____ N
Ten (10) year time limit not exceeded ____ Y ____ N
TC-1 completed ______

Rev. 05/13

______

Student’s Name (Indicating Responsibility for the above) (Date)

______

Name of Chair, Graduate Education Department (Date)

______

Advisor’s Name (Date)

______

Registrar’s Signature (Date)

Rev. 05/13