Elementary MIT Program Completion Please refer to your transcripts via MyUW and list the grades for your MIT courses. Return the signed form to Michael Nielsen,, Office of Student Services, 206 Miller. Completed pages may be scanned and emailed to mnielsen@uw.edu. Forms must be received by April 25, 2014. _______________________________________________________________ Name (please print) Summer Quarter Course _______________________________ UW # Autumn Quarter Grade Course Winter Quarter Grade Course Spring Quarter Grade Course EDTEP 501 Community-Based Field Exp. EDTEP 502 Field Experience EDTEP 503 Field Experience EDTEP 601 Field Experience EDTEP 511 School and Society EDTEP 521 Teaching/Learning Numeracy I EDTEP 522 Teaching/Learning Numeracy II EDTEP 505 Capstone Project EDTEP 531 Teaching/Learning in Literacy I EDTEP 532 Teaching/Learning Literacy II EDTEP 523 Teaching/Learning Science EDSPE 503 Classroom Management EDTEP 543 Teaching/Learning in Social Studies EDTEP 541 Dilemmas EDTEP 533 Teaching/Learning Literacy III EDC&I 324 Physical Education/Health EDTEP 544 Differentiated Instruction EDTEP 544 Differentiated Instruction EDTEP 544 Differentiated Instruction EDC&I 551 Multicultural Teaching EDSPE 503 Classroom Management EDSPE 503 Classroom Management Grade SUBSTITUTE COURSE WORK Please list any independent studies or substitute coursework; describe the circumstances of the substitution. □ I have applied online to graduate Spring quarter □ I will apply for Summer/future quarter graduation (Please refer to the next page for details regarding your graduation decision.) ________________________________________________________________________ Student’s Signature __________________________ Date TPA passed: __________________________________________________________ CoE Signature ______________________ Date Approved for Graduation: ____________________________________________ CoE Signature _______________________ Date Pursuing an Additional Endorsement ELTEP students planning to pursue additional endorsements must complete the questions below. Please sign, date and return the form to the Office of Student Services by April 25, 2014. 1. I plan to pursue additional endorsement(s) in: __________________________________________________________ 2. Please mark one of the following: I plan to incorporate additional endorsement requirements into my MIT program and will not file for graduation in Spring 2014. By delaying graduation I acknowledge (please initial each statement): _____ I must apply for graduation by the deadline set by the Graduate School in the quarter I intend to graduate. _____ The Graduate School requires that I am registered for at least one credit in the quarter I graduate. _____ My MIT degree will not be issued until I graduate. _____ I understand that by incorporating additional endorsements into my MIT degree these credits count toward my masters degree. They will not appear as additional credits on school district salary schedules (e.g. Masters + 45 credits). Please contact Patrick Sexton (pgsexton@uw.edu) with any questions. _____ I understand it is my responsibility to contact the Office of Student Financial Aid to discuss any implications of incorporating these elements into my MIT program. OR I DO NOT plan to incorporate additional endorsement(s) in my MIT program and will apply for graduation in Spring 2014. If I choose to pursue an endorsement after graduation I will register as a non-matriculated student for any required courses. ______________________________________________________________ Name (please print) ________________________________________________________________________ Signature _______________________________ Date