Fillable SchoolCounseling Counselor Education Program Application for Admission

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SchoolCounseling Counselor Education Program Application for Admission

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The SchoolCounseling Counselor Education Program Application for Admission form is 3 pages long and contains:

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File type: PDF

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College of Education
Counselor Education Program
Application for Admission
PERSONAL DATA
Name Date
Mailing Address
Preferred Email Address
Preferred Telephone (day)
Date of Birth _______________________
M. Ed. Degree Option
Please indicate your preferred semester for
beginning the Counselor Education Program
____summer ____fall
Preferred Telephone
(evening)
Gender ___Female___ Male
Non Degree Advanced
Counselor Certification Option
Year:
Do you have a valid counseling license, educator certification, or other professional credential?
____ Yes ____ No
If yes, please list.
EDUCATION
Institution
Graduation
Date
Degree
Major
EMPLOYMENT HISTORY
Employer Name
Dates of Employment
Job Title
Brief description of
duties
If you have additional work history or experiences that you think is relevant to your application for this
program, please add it here:
What is your career goal and how will this degree help you attain that goal?
If you are applying for the School Counseling concentration,
have you passed the GACE or PRAXIS examination?
____Yes ____ No
Are/will you apply for state certification?
____ Yes
____ No
If yes, which:
PRAXIS-Counseling
GACE Entrance
GACE 103
GACE 104
In which state(s)?
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SchoolCounseling Counselor Education Program Application for Admission

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Completed 21 February 2020

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