Division of Graduate & Continuing Education 186 High Street Farmington, ME 04938
Revised Summer 2020
Master of Science in Education
in Special Education
Name _____________________________________ First Name ___________________________ Middle________________
Preferred First Name _________________ Name on previous records ___________________________ Date of Birth __________
Gender Female Male Unspecified
Personal Email Address_______________________________________
Student ID __________________________
Home Phone Number _________________________
Home m
ailing address
Country of Birth: ________________________________________________________ Are you a US citizen? Yes No
If you are a US Permanent Resident, indicate alien registration number and submit a copy (front & back) of your Permanent Resident
Card. A#
onal) Universities are asked by the federal government, accrediting associations, and college guides, among others, to describe
the racial/ethnic backgrounds of our students. To fulfill these requests, we ask you to answer the following questions:
Language(s) spoken at home ________________________________ Are you of Franco-American heritage? Yes No
Please indicate if you are Hispanic/Latino Yes No
Please select one or more of the following racial categories to describe yourself: American Indian or Alaska Native
Asian Black or African American Native Hawaiian or other Pacific Islander White Other
t/School ___________________________Position ___________________________ Number of years _____
District/School ___________________________Position ___________________________ Number of years _____
For Office Use Only Date Received: ___________
___________ Application Essay
___________ Official undergraduate transcript
___________ For consideration of transfer credits, official graduate transcripts and syllabi
___________ Copy of Maine teaching certification ___________ Recommendation 1 ___________ Recommendation 2
Preferred start Date _________________ Specialization _________________________________________________________
Education and Experience (check one)
I am currently enrolled in one of the following: Undergraduate major or minor in special education at UMF
I have completed a minimum of three graduate special education credits at UMF
I have a bachelor’s degree from UMF which included a major in special education or a minor in special education
I have a bachelor’s degree from another institution
-- Do you have a current criminal history record check (CHRC) with the Maine Department of Education? (please include a copy with
your application) ______ Are you currently employed in a PreK-12 school setting?____________(if no, skip to next section)
Number of Years Teaching ______ Current Employer
Current Position______________________________________________________________________________________
Do you hold a current Maine Department of Education certificate? Yes No
Please provide a copy of your
My endorsements are in the following areas ___________________________________________
Maine DOE certification.
Other PreK-12 experience:
Division of Graduate & Continuing Education 186 High Street Farmington, ME 04938
Revised Summer 2020
Where did you receive your baccalaureate degree (4+1 applicants indicate your current UMF major)?
Institution ________________________________________ Degree In _________________________________
Have you taken graduate level courses that you would like to submit for transfer into the program? Yes No
Only graduate courses in which you received a 3.0 or above and were taken in the last five years from a regionally accredited
institution will be considered for transfer. No courses in the program core requirements may be transferred (exception: EDU 582)
Institution ________________________Course ___________________________________ Grade____ Date Completed _________
Institution ________________________Course ___________________________________ Grade____ Date Completed _________
Institution ________________________Course ___________________________________ Grade____ Date Completed _________
Institution ________________________Course ___________________________________ Grade____ Date Completed _________
Transcripts: Please provide official transcripts (undergraduate and graduate) from all the above institutions, as well as syllabi for the
graduate courses listed above. Official transcripts must be sent directly from the above institutions to the Office of Graduate Studies.
This office will obtain all UM System school transcripts (UMA, UMF, UMFK, UMM, UM, UMPI, and USM). Syllabi for UMF
classes do not need to be submitted.
Program Plan
Preferred semester to start your graduate program: ______________
Pace: I plan to complete the program in: 1 year (includes 4+1 option) 2 years 3 years
* Applications are accepted on a rolling basis, and will be considered when complete. Students may enroll in some courses as a non-
matriculated student prior to acceptance into the program (some courses may require prerequisites or instructor permission).
Specialization (please see catalog for descriptions) Select one
Teacher of Students with Disabilities (282 certification) Assistive Technology (AT)
Inclusive Education and Leadership
d * (see below for application guidelines)
Special Education Administration (030 special education
administrator certification, Must have two or more years of
teaching experience by the time of matriculation)
Undeclared (specialization must be declared
upon completion of 9 graduate credits)
* Self-Designed Specialization Guidelines: Please submit the following additional information as part of your application essay:
a. Propose a title for the focus of your specialization (e.g., behavior supports, low incidence disabilities, transition,
b. List the courses you have taken that you are requesting for transfer. Include course prefix, title, institution, and grade
received. (Official transcripts and syllabi are required for final decision regarding transfer of credit.)
c. List the courses you may take at UMF to complete the specialization (refer to UMF's graduate catalog).
d. What knowledge and skills do you hope to obtain? How would this focus promote your growth as a special educator?
Identify the specific areas (1-2) of expertise (e.g., transition services, literacy, mathematics, behavior supports) you would
hope to develop as part of this self-designed option.
Application Essay
We are looking for candidates with the potential to work effectively with students with disabilities in K-12 schools and ensure their
meaningful access to a high quality, inclusive education. Write a brief (1,000 word limit) essay in which you discuss your academic
and professional goals and identify how this degree program addresses those goals.
Two recommendations are required. One recommendation must be from a university faculty member or recent school employer
who can speak to your potential for completing graduate work. Please provide each reference with a copy of the blank
Recommendation Form found online.
Application Due Dates*
August 10 for September
January 5 for January
April 10 for May
LowIncidence Disabilities (286 Certification)