Fillable GC-OT 1920 (Arkansas Tech University)

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GC-OT 1920 (Arkansas Tech University)

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Please send signed and completed forms to the Graduate College Tomlinson Ste. 113 or scan and email to
gradcollege@atu.edu
Arkansas Tech University Graduate College: Admission to Candidacy (2019-2020)
Certification for Online Teaching
BEFORE completing this candidacy form, you must complete the Admission to Candidacy Survey
T#___________________ Last Name: _________________________ First Name: ______________________
Daytime Phone: _____________________ Advisor: _____________________ Option: __________________
Email: ___________ Expected Graduation Term: ____________ GPA: ______
I request permission to transfer the following from another institution (official transcript included):
Course: ____________________ Institution: _________________for ATU Course: ______________________
Course: ____________________ Institution: _________________for ATU Course: ______________________
Course: ____________________ Institution: _________________for ATU Course: ______________________
I request to substitute the following ATU courses (provide course prefix, number and title):
ATU Course: __________________________________ for ATU Course: _______________________________
ATU Course: __________________________________ for ATU Course: _______________________________
ATU Course: __________________________________ for ATU Course: _______________________________
Program of courses to be completed (12 hours)
Term Term
Required Courses (12 hours): Grade Completed Anticipated
EDFD 5033 / MAT 5703 Introduction to Instructional Technology
EDMD 5043 Foundations of Online Curriculum Design and Evaluation
EDMD 5053 Online Course Development with Multimedia
EDMD 5063 Advanced Curriculum Design for the Online Classroom
This student has completed twelve graduate hours, and is hereby recommended for admission to candidacy. Upon successful
completion of all program requirements, the degree will be awarded.
Student: ________________________________________________________________ Date: __________________
Advisor: ________________________________________________________________ Date: ___________________
Program Director: ________________________________________________________ Date: ___________________
Department Head: _______________________________________________________ Date: ___________________
Dean of Graduate College: _________________________________________________ Date: ___________________
Revised November 2, 2018
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Completed 19 July 2020

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