MEd_IT_LM 9/13/11
Curriculum, Leadership, and Technology
Dewar College of Education
Valdosta State University
M.Ed. in Instructional Technology
Library Media Option
Name: __________________________________________________________ Date entered C&IT: _______________________
Student Number: _________________________________________________ Student Status: __________________________
Address: (H) _____________________________________________________ Phone: (H) ______________________________
(W) ____________________________________________________ Phone: (W) _____________________________
E-Mail: _________________________________________________________ Fax: ___________________________________
Professional Education (6 hours)
Term Gr. Hrs Sub.
ITED 7070 or
RSCH 7100 _______ ____ 3  ___________
ITED 7100 _______ ____ 3  ___________
EDUC 5999 _______ ____ 0  ___________
Instructional Technology Core (12 hours)
ITED 7200 _______ ____ 3 ___________
ITED 7300 _______ ____ 3 ___________
ITED 7400 _______ ____ 3 ___________
ITED 7500 _______ ____ 3 ___________
Area of Specialization (15 hours)
Term Gr. Hrs Sub.
ITED 7201 _______ ____ 3 ___________
ITED 7202 _______ ____ 3  ___________
ITED 7203 _______ ____ 3  ___________
CIED 7060 or
LEAD 7200 _______ ____ 3  ___________
Guided Elective
___________ _______ ____ 3
Internship (3 hours)
ITED 7299 _______ ____ 3 ___________
___________________________________________________ __________________________________ 3
Checklist
Dispositions Survey (Pre) ___________________
Dispositions Survey (Post) __________________
Children's Literature ___________________
Diverse Learners Course ___________________
Graduation Application ___________________
GACE Media Specialist
Content Assessment Tests
101 & 102 ________________
GA Technology Proficiency requirement met (InTech)
yes no
Level of Certification held ___________________
If not certified, the following must be satisfied before
participating in course projects carried out in schools:
Proof of Liability Insurance
(If candidates are hired as teachers, they should join one
of the professional associations as an educator if they do
not have a letter/e-mail from their school district that
covers their liability as a student. Those candidates who
are not employed as educators/other school personnel
must provide evidence of professional liability
coverage.)
Purpose Code W Criminal background check
GACE Basic Skills Test or exemption
_____________________________________________ ___________________________________________
Advisor’s Signature Student’s Signature
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signature
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signature
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