In its educational policies, programs, and procedures, the University provides equal opportunity for all its students without regard to race, color, religion, sex, age,
disability, or national or ethnic origin.
5000 N. Willamette Blvd., MSC#177
Portland, Oregon 97203-5798
Statement of Goals: Post Master’s Certificate
Applicant Name (First and Last Name): ___________________________________________________________________________
Applicant Email: ______________________________________________________________________________________________
Intended Area of Interest:
Continuing (“Professional”) Administrator License
English for Speakers of Other Languages (ESOL)
Higher Education and Student Affairs (HESA)
Initial (“Preliminary”) Administrator License (IAL)
Special Educator (SPED) Endorsement
Directions: Complete the following prompt and return to the Graduate School either via email as a saved .pdf attachment to
firstname.lastname@example.org or as a printed document via mail to the address listed above in the right hand corner. Please be sure this
completed form is included in your email or mail. For any program specific questions, please contact Anne Rasmussen via email at
email@example.com or by phone at 503.943.8257.
Please provide a narrative statement of your academic and/or professional goals. The importance of your intended area of
interest in the pursuit of these goals should also be made clear.