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)
Instructional Facilitator Endorsement & Curriculum Program Administrator Licensure
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 (18 hours)
Term Term
Required Courses (18 hours): Grade Completed Anticipated
MTLL 6202 Professionalization of Teaching for the Master Teacher
MTLL 6242 Cognitive Coaching and Mentoring for the Master Teacher
MTLL 6223 Teaching and Learning for the Master Teacher
MTLL 6253 Advanced Curriculum Design
MTLL 6123 Instructional Leadership for the Master Teacher
MTLL 6143 Organizational Change and the Role of the Master Teacher
EDLD 6551-4 Administrative Internship (2 hours total)
Student: ________________________________________________________________ Date: __________________
Advisor: ________________________________________________________________ Date: ___________________
Program Director: ________________________________________________________ Date: ___________________
Department Head: _______________________________________________________ Date: ___________________
Dean of Graduate College: _________________________________________________ Date: ___________________
Revised November 2, 2018
This student has completed twelve graduate hours, and is hereby recommended for admission to candidacy for the above
Master’s Degree. Upon successful completion of all program requirements, the degree will be awarded.