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6/14/2019
California State University, Long Beach
College of Education
MULTIPLE SUBJECT CREDENTIAL PROGRAM (MSCP)
APPLICATION
Teacher Preparation Advising Center, EED-67
Phone: 562-985-1105
http://www.csulb.edu/mscp
Students must be presently enrolled in or have completed the prerequisite courses with a “B” or better grade when submitting this
application. Verification of all program requirements and a successful faculty interview are required before you can be admitted into the
Multiple Subject Credential Program. Complete the application packet using the checklist on page 2. Submit the complete packet in
EED-Room 67. Incomplete applications will NOT be accepted.
Priority Application Deadlines: April 1
st
for Summer Admission (Final UTEACH Deadline)
June 1
st
for Fall Admission
November 1
st
for Spring Admission
*Applications received after these dates will be reviewed on a space available basis
MSCP Pathway (check all that apply): ITEP Post-Bac UTEACH BILA:
Language
Application for: CSULB Campus ID #: Social Security #
semester/year
Name
Last First M.I. Other Names
Address Phone ( )
Number/Street Apt# City Zip Code
CSULB Email: @student.csulb.edu Alt Email:
(Please be sure to check both addresses regularly. We will contact you via email throughout the program.)
Date of Birth / / Gender: Male Female Native Language:
mm dd yyyy
Please choose one of the following: African-American American Indian/Alaska Native Asian
Hispanic /Latino Multi-Ethnic Pacific Islander/Native Hawaiian Other White
I have been cleared through the Long Beach Unified School District fingerprint process within the last 12 months: Yes No
Bachelor’s Degree Major: Institution:
Highest Degree Earned: N/A Associate’s Degree Bachelor’s Degree Master’s Degree Doctoral Degree
BEGINNING WITH THE MOST RECENT, LIST ALL COLLEGES, COMMUNITY COLLEGES, & UNIVERSITIES ATTENDED, INCLUDING CSULB.
Transcript is
Enclosed 
College/University
City/State
Dates Attended
Degree Date
I certify that I have reviewed the MSCP Website and I understand the policies, procedures and expectations of the Multiple Subject Program at CSU Long
Beach. In addition, I certify that the information submitted in this application is true, complete and accurate. I understand that any misrepresentation will
be cause for denial of admission to the CSULB Credential Program. I also understand that if I am not a current CSULB student I must also submit an
application to the university online at www.calstate.edu/apply by the appropriate deadline. If I am a current Liberal Studies student, I understand that by
submitting this application I will be declared into the Liberal Studies ITEP pathway. I have met with a Liberal Studies advisor and understand the
requirements for the ITEP pathway. Once I am changed to ITEP, the switch is final and cannot be undone.
Signature of applicant: Date:
MSCP Application (side 2)
Date Received:_____________
Interview (Y/N):_____________
TPAC Initial: _______________
Orientation:________________
Priority Application Deadlines: April 1
st
for Summer Admission (Final UTEACH Deadline)
June 1
st
for Fall Admission
November 1
st
for Spring Admission
Check the MSCP Website at www.csulb.edu/mscp for the FINAL Application Deadlines each semester.
APPLICATION CHECKLIST
Incomplete Applications Will NOT Be Accepted
Use the Checklist below to ensure all items are included Office Use Only
Letter 1
Date:
Overall GPA:
Last 60 unit GPA:
Skin Test / Chest X-Ray
Expiration date:_______________
Attempted / Passed
ACT AP CBEST EAP SAT
EPT/ELM CSET Writing Skills
ESM / CSET
Subtest I Exp:_____________
Subtest II Exp:____________
Subtest III Exp:____________
CofC / Sub Permit / Other
Expiration:___________________
Semester/Year/Grade
______/______/______
Semester/Year/Grade
______/______/______
Date Interviewed:
1
IMPORTANT! EDEL 380/200 and EDSP 303/355A Course Equivalency Requests must be submitted and approved before you submit your application.
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