Fill - Free fillable MED MTLL IF 1920 (Arkansas Tech University) PDF form

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: ______________________

I request to substitute the following ATU courses (provide course prefix, number and title):

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.

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