Fillable MS - School Counseling/Student Affairs Program (California State University, Bakersfield)

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MS - School Counseling/Student Affairs Program (California State University, Bakersfield)

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MS - School Counseling/Student Affairs Program
APPLICATION CHECKLIST – COVID 19 Instructions
• Highly recommended, but not required: Attend an Information Session meeting prior to semester applying.
• Admission to
CSUB – Apply to CSUB as a post-baccalaureate student at https://www2.calstate.edu/apply
o Submit all appropriate official Undergraduate and Graduate transcripts.
o Electronic transcripts may be emailed to incomingtranscripts@csub.edu
. These transcripts must be sent
directly from the issuing university/college.
• Submit your program
application and supporting documents
Admission to Program– $30.00 program fee required (School Counseling/PPS Students Only, not
required for Student Affairs admission). Directions here
Submit your complete program application with all requirements as one PDF document to appropriate
portal:
School Counseling Submittal Portal
Student Affairs Submittal Portal
Make sure to save copies of all forms and documents submitted.
Supporting Documents to include with application:
Include with this application a typewritten personal statement (2-4 pages). This statement should provide insight
into you as a person and as a prospective professional counselor. Include the reasons you want to become a
counselor, what you plan to do professionally after you earn your degree, and the reasons (academic and/or
personal) why you should be chosen for admission into this Program.
Recommendations (Two Recommendations Evaluations form required and must be confidential)- (Professional
level preferred, no family members) to be completed by the recommender, you will provide recommendation form.
Sign the waiver box before you give the form to the person recommending you.
Follow the procedure written on the form.
Please submit forms to Recommendation Submittal Portal or emailed to Julia Bavier at jbavier@csub.edu.
Complete a Bachelor's degree with a minimum of 3.0 cumulative GPA (on a 4.0 scale) from an accredited
university (Under special circumstances, provisional admission may be granted for applicants who do not
meet the criteria. If provisionally admitted, a student must maintain a minimum of 3.0 graduate GPA after
12 or more semester units are completed).
GWAR - This requirement can be satisfied in one of the following ways: 1) Passage of Upper Division Writing
exam, 2) a grade of “C” or better in an approved upper division writing course, 3) a score of 41 or higher on the
writing portion of the CBEST, 4) A UC or CSU Graduate since 1980.
Certificate of Clearance - Evidence of Fingerprint Clearance from the Commission on Teacher Credentialing
(CTC). Provide a detailed copy of a valid Certificate of Clearance, valid sub-permit or a California Credential. This
document must be submitted by March 1, 2022.
Purchase Professional Liability Insurance (purchase at the cashier or in MyCSUB) This document must be
submitted by August 1, 2022. It is good for 1 year from the date of purchase. Directions here
Tuberculosis Clearance - Provide evidence of freedom from tuberculosis within the last four years. Your test must
clearly indicate a negative result. You may complete this test at any health facility you wish. If you are currently
enrolled at CSUB, you may contact Student Health Services at 661-654-2394, for a TB Test. This document must
be submitted by March 1, 2022.
Mandatory Reporter Educator Training certificate: https://mandatedreporterca.com/training/school-personnel
Statistics: Successful completion of an undergraduate/graduate statistics class within 7 years of application to the
program with a grade of "C" or higher. This document must be submitted by March 1, 2022
Pupil Personnel Services Credential:
Basic Skills Requirement – Submit verification of passage of the CBEST or equivalent.
CBEST exam or equivalent, only required for School Counseling/PPS and must be passed or approved.
BSR (Basic Skills Requirement) Waivers: Copy link below for Information About Submitting BSR
Verification.
https://www.csub.edu/sse/credentials/BSR/index.html
For questions about the applicatio
n, contact the Program Admissions Advisor:
Julia Bavier, jbavier@csub.edu
Educational Counseling Program
Admissions Application
0
MS/School Counseling/PPS Credential
0
MS/College Student Affairs
0
PPS Credential only (for those who already hold a Master’s Degree in Counseling)
Application for: Fall Semester
Name Phone/home
Street Phone/other
City State Zip
E-mail Social Security Number ________________________
CSUB Identification Number (if known) Date of Birth
Date of last attendance at CSUB Ethnicity
Baccalaureate Degree from
Month/Year Major Minor GPA
Master’s Degree from
Month/Year Major Minor GPA
Present Employer
Address City State Zip
Type of Work Length of Employment
I. Below list the names, positions, and contact information for three individuals who know your academic and
professional abilities well (examples include: employers/supervisors, former associates, college instructors, persons in
the helping professions, etc.). These individuals may be contacted, if necessary,
for recommendations for you. In addition, please ask one individual listed below to complete the
recommendation form found at the end of this application.
1.
2.
3.
II. In the spaces below, describe your college, volunteer,
college, volunteer,college, volunteer,
college, volunteer,
and/or employment history
and/or employment historyand/or employment history
and/or employment history. Begin with the most
recent.
D
a
t
e
s
D
a
t
e
s
D
a
t
e
s
D
ates
College or
College orCollege or
College or
Employer
EmployerEmployer
Employer
Academic Advisor or
Academic Advisor orAcademic Advisor or
Academic Advisor or
Name of Supervisor
Name of SupervisorName of Supervisor
Name of Supervisor
Course of Study
Course of StudyCourse of Study
Course of Study
or
oror
or
Type of Work
Type of WorkType of Work
Type of Work
Reason
ReasonReason
Reason
For Leaving
For LeavingFor Leaving
For Leaving
III. Include with
Include withInclude with
Include with
this application
this application this application
this application a typewritten personal statement (2-4 pages). This statement should
provide insight into you as a person and as a prospective professional counselor. Include the reasons
you want to become a counselor, what you plan to do professionally after you earn your degree, and the
reasons (academic and/or personal) why you should be chosen for admission into this Program.
IV. Include with this application
Include with this applicationInclude with this application
Include with this application a copy of CBEST results showing scores for Reading, Writing, and
Mathematics (School Counseling/PPS applicants only).
V. The EDCS Program requires that all applicants obtain a Certificate of Clearance prior to beginning any
fieldwork. Some local school districts will not honor an existing Certificate of Clearance and request
the student obtain an additional Certificate of Clearance through their school district. If some cases,
prior arrest record or other misconduct jeopardizes the issuance of a Certificate of Clearance and/or the PPS
Credential. Please see the CSUB Credential Analyst (School of Social Sciences and Education Credentials
Office) if you believe you may have difficulty in this regard.
I HERE
I HEREI HERE
I HEREBY SUBM
BY SUBMBY SUBM
BY SUBMIT MY APPLICATION FOR ADMISSION
IT MY APPLICATION FOR ADMISSIONIT MY APPLICATION FOR ADMISSION
IT MY APPLICATION FOR ADMISSION
TO THE
TO THE TO THE
TO THE EDUCATIONAL
EDUCATIONAL EDUCATIONAL
EDUCATIONAL COUNSELING
COUNSELING COUNSELING
COUNSELING
PROGRAM at California State University, Bakersfield, with the above information concerning my
PROGRAM at California State University, Bakersfield, with the above information concerning my PROGRAM at California State University, Bakersfield, with the above information concerning my
PROGRAM at California State University, Bakersfield, with the above information concerning my
background, qualifications, and plans for completion of
background, qualifications, and plans for completion ofbackground, qualifications, and plans for completion of
background, qualifications, and plans for completion of
the program
the programthe program
the program. I certify that, to the
. I certify that, to the . I certify that, to the
. I certify that, to the best of my
best of my best of my
best of my
knowledge, all information contained in this application and on any supplemental material filed with the
knowledge, all information contained in this application and on any supplemental material filed with the knowledge, all information contained in this application and on any supplemental material filed with the
knowledge, all information contained in this application and on any supplemental material filed with the
application is true and accurate, and I authorize the appropriate committee to inquire or seek any
application is true and accurate, and I authorize the appropriate committee to inquire or seek any application is true and accurate, and I authorize the appropriate committee to inquire or seek any
application is true and accurate, and I authorize the appropriate committee to inquire or seek any
additional information it should require.
additional information it should require.additional information it should require.
additional information it should require.
Signature:
Date:
________________
________________________________
________________
CREDENTIAL/PROGRAM SERVICES REQUEST
California State University, Bakersfield charges a fee for all Education credential/program services.
You are required to pay a non-refundable fee of $30.00 for all credential/program
applications. Please take this form along with your fee to the Cashier’s Office.
Go to MyCSUB: make payment through MyCSUB student center and attach proof of payment with
your credential application materials.
CSUB ID#: Date:
Name
:
Address:
City State Zip
E-mail:
Phone:
Home Cell
Credential/Program:
Educational Counseling Program
Recommendation Form
Name of Applicant: CSUB ID:
(if known)
To be filled out by the applicant before this form is given to the recommender:
I hereby waive any right to examine this recommendation form. I realize that the CSUB Educational Counseling Program will utilize
this recommendation only in conjunction with consideration of my admission to the program and in evaluating my continued
progress in regard to the characteristics listed below. I realize that waiving my right to access this form is not a condition of my
admission.
Please initial your choice: I agree to the above waiver I do not agree to the above waiver
_
Signature of Applicant
Date
To the Recommender:
This applicant has applied for admission to the California State University, Bakersfield Educational
Counseling Program (with concentrations in School Counseling and College Student Affairs). Please give
your opinion of the suitability of this applicant for the program according to the following characteristics:
(Mark appropriate description).
1.
Very Promising
Good
Average
Fair
Doubtful
2.
Very Promising
Good
Average
Fair
Doubtful
3.
Very Promising
Good
Average
Fair
Doubtful
4.
Very Promising
Good
Average
Fair
Doubtful
5.
Very Promising
Good
Average
Fair
Doubtful
6.
Very Promising
Good
Average
Fair
Doubtful
How long have you known the applicant and in what capacity: _
Comments:
_
Name and Position:
Address/Phone:
Signature: Date:
To submit to the portal click the link to
the right, thank you. Recommendation Submittal Portal
For issues or concerns, please email, Julia Bavier, jbavier@csub.edu
Revised 12/20
Directions:
1. Applicant: complete top portion
and email to recommender
2. Recommender: complete bottom
portion and upload to portal
click to sign
signature
click to edit
click to sign
signature
click to edit
Educational Counseling Program
Recommendation Form
Name of Applicant: CSUB ID:
(if known)
To be filled out by the applicant before this form is given to the recommender:
I hereby waive any right to examine this recommendation form. I realize that the CSUB Educational Counseling Program will utilize
this recommendation only in conjunction with consideration of my admission to the program and in evaluating my continued
progress in regard to the characteristics listed below. I realize that waiving my right to access this form is not a condition of my
admission.
Please initial your choice: I agree to the above waiver I do not agree to the above waiver
_
Signature of Applicant
Date
To the Recommender:
This applicant has applied for admission to the California State University, Bakersfield Educational
Counseling Program (with concentrations in School Counseling and College Student Affairs). Please give
your opinion of the suitability of this applicant for the program according to the following characteristics:
(Mark appropriate description).
1.
Very Promising
Good
Average
Fair
Doubtful
2.
Very Promising
Good
Average
Fair
Doubtful
3.
Very Promising
Good
Average
Fair
Doubtful
4.
Very Promising
Good
Average
Fair
Doubtful
5.
Very Promising
Good
Average
Fair
Doubtful
6.
Very Promising
Good
Average
Fair
Doubtful
How long have you known the applicant and in what capacity: _
Comments:
_
Name and Position:
Address/Phone:
Signature: Date:
To submit to the portal click the link to
the right, thank you. Recommendation Submittal Portal
For issues or concerns, please email, Julia Bavier, jbavier@csub.edu
Revised 12/20
Directions:
1. Applicant: complete top portion
and email to recommender
2. Recommender: complete bottom
portion and upload to portal
click to sign
signature
click to edit
click to sign
signature
click to edit
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MS - School CounselingStudent Affairs Program (California State University, Bakersfield)

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Completed 1 March 2022

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