Sept 2013
University of Kentucky
Department of Curriculum and Instruction
Master’s Verification Form
Master’s Degree in Education
with Initial (Rank II) Certification for
Secondary Education Grades 8 – 12
Degree: Master of Arts in Education
Degree Code: MAEDU
MIC Cohort: **Choose Year**
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Program: Secondary Education
Major Code: ESED
Subject Area: **Choose One**
Submit the Graduate School’s Application for Degree to the Director of Graduate Studies by the deadline for the
semester in which you plan to graduate through your myUK account.
Submit this form (Master’s Verification) to the Director of Graduate Studies no later than two weeks prior to your
written comprehensive examination.
If your exam occurs before the degree application deadline, you must submit both the Application for Degree and
Master’s Verification Form no later than two weeks prior to the exam.
Teacher certification is processed by Academic Services and Teacher Certification, 166 Taylor Education Building,
after your degree posts on your transcript. Certification forms (choose initial certification) and transcript request
form are available online: http://education.uky.edu/AcadServ/content/certification-applications
If you request a UK transcript prior to the posting of your degree, indicate “hold for posting of degree”
Include with this form a copy of your transcript printed from myUK
Please TYPE or PRINT
Name
(first)
(last)
Student ID
Address
Expected Date of Degree
(mi / maiden)
E-Mail
Street
City
State
Zip
Phone
Home
Work
Required Coursework (completed in fall and spring)
Course
Title
Pedagogy in the Secondary School: **Choose One**
EDC 638
Technology Education
EDC 639
Multicultural Secondary Education
EDC 645/
Foundations of Pedagogical Theory and Practice in the Secondary School
SEM 770
EDP 658
Problems in Educational Psychology
EDS 604
Issues in Special Education
EPE 773
Seminar in Educational Policy Studies
EDC 637
Classroom Management
ELS 691
Legal Perspectives for Teachers
EDC/SEM
Subject Area Instruction in the Secondary School
746
Course
Title
Other
Date of Admission to MIC Program
(25 credit hours)
Completed
Fall TBA
Fall TBA
Fall TBA
Grade
TBA
TBA
TBA
Credits
3
1
1
Fall
TBA
TBA
3
Fall
Fall
Fall
Spring
Spring
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
TBA
1
1
1
1
1
Spring
TBA
TBA
9
Completed
Grade
Fall TBA
TBA
Fall TBA
TBA
Fall TBA
TBA
Total Credit Hours
Credits
3
3
3
31
Summary
31-34 hours of graduate credit required for completion
Total number of credits completed
Number of credits completed in courses numbered 600 or above
Number of hours in progress
Total number of credits transferred into program (including UK
post-baccalaureate)
List credit hours for any “I”, “S”, or missing grades
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If you have any “I”, “S”, or missing grades, the course instructor must assign a grade before you will be permitted to sit for the
final exam. Otherwise, the Director of Graduate Studies must petition the Graduate School for permission to sit for the final
exam.
Successfully complete mid-point assessment review, including presentation of required assessment materials.
Comments:
3.0 minimum GPA earned in all MIC coursework
Applied for Master’s Degree with Graduate School
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Examination Information
Date:
Time:
Place:
Committee Members
(Chair)
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Additional Information/Requirements:
Successfully completed the master’s examination
Successfully completed the Praxis (0524) Principles of

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Learning & Teaching Grades 7-12 Passing Score: 161
Test Date:
; Score:
Successfully completed the appropriate Praxis Specialty
Area Examinations
Test Date:
; Scores:
Teacher certification requirements are subject to change. Before registering for the test(s), please refer to the Education
Professional Standards Board website at www.kyepsb.net for current requirements or toll free at 888-598-7667
Note:
1. Student must attach signed copies of all subject matter course listing forms demonstrating
completion of all courses with a minimum GPA of 2.50 on each form.
2. Student must demonstrate continued adherence to the Kentucky Professional Code of Ethics
and have a signed Declaration of Eligibility for a Certificate on file.
Student: By signing below, I verify that the above information is accurate.
Student Signature
Date
Program Faculty Chair: By signing below, I verify that the student has completed all
coursework and program requirements. In addition, this student meets EPSB and NCATE
standards. I recommend this student be certified.
Advisor Signature
Date
Certification Officer Signature
Date
Transcript Release Statement
For the purpose of teacher certification, the office of Academic Services and Teacher Certification
requires transcripts from all previous graduate and undergraduate work in addition to a final UK
transcript indicated the awarded Master’s Degree.
 If the coursework did not conclude with a degree, a photocopy will be acceptable provided
that the copy is legible and the school name is visible
 If you earned a degree from another institution (graduate or undergraduate), you must
include an official transcript. In this case, “official” simply means that the transcript is printed
on official paper. It is perfectly acceptable if the transcript states “issued to student.” This
differs from official transcripts in sealed envelopes as required by the Graduate School for
admission.
 If coursework was transferred to your UK transcript from any UK related community college,
you do not need to include the community college transcript. The grades for those courses
will appear on your UK transcript. The Graduate School will not release transcripts from your
file.
MIC applicants are requested to submit two official transcripts during the admissions process. In the
event we have these transcripts on file and they meet the requirements for certification, we will
release these transcripts to you per your request. Please indicate that you would like to have the
transcripts released by providing us with the information requested below. We will audit your file for
the needed documents and they will be included in your examination packet at the time you take
your written comprehensive examination. We will contact you if there are any problems so that you
will have time to request official transcripts if necessary.
I wish to have originals or photocopies of the transcripts released to me by the Director of Graduate
Studies, Department of Curriculum and Instruction, for the purpose of teacher certification.
Institution
Years Attended
Degree Awarded