Request to Add Teacher Certification (to Undergraduate Degree Only) STUDENT INFORMATION: Student ID: @ Phone Number: Name: Last First _________________________________M.I._________ Local Address: ____________________________________________________________________________________________ Street City State Zip Code Current Major and Code*: ______________________________________ Advisor: ___________________________ *In order to add teacher certification your major code must be listed on the reverse side of this form. Cumulative Credits Earned: _______________________ Cumulative Grade Point Average:_________________ Check Teacher Certification Area(s) Requested: Art K-12 Music K-12 Secondary Biology Secondary Chemistry Secondary Comprehensive English Secondary Earth/Space Science Secondary General Science Secondary Mathematics Secondary Physics Secondary Social Studies Student Signature: ____________________________________________________________ Date: ____________ APPROVALS: Approve Disapprove ___________________________________________ Advisor __________________ Date Approve Disapprove ___________________________________________ Dean of Education __________________ Date NOTE: You must have passed the PAPA or be exempt by virtue of your SAT or ACT scores (see http://www.edinboro.edu/dotAsset/a89057f6-fd6b-4218-a5fd-7445d0807739.pdf for SAT and ACT requirements) before submitting this form to the Dean of Education. INSTRUCTIONS: 1. Select your Teacher Certification area from the list above. 2. Login to S.C.O.T.S. to print a Degree Evaluation for your current major. Select Use In-Progress Courses when prompted. Instructions can be found by Keyword “degree evaluation” from the Edinboro Homepage (www.edinboro.edu). 3. Take this application and a copy of your degree evaluation to your advisor for signature. 4. After obtaining your advisor’s signature, take the application and a copy of your degree evaluation to the appropriate Department Chair (see reverse side of form) to develop a plan of study for teacher certification. After you have developed the plan of study, take this application, the degree evaluation and plan of study to the Dean of Education for signature. 5. The Office of the Dean of Education will submit this form to the Records and Registration. Fax Completed Form to: Office of Records and Registration, Edinboro University, Hamilton Hall, Fax: 814.732.2130 Created: 12/01/2008 Revised: 4/11/2014 Plan of Study Development Certification Area Art K-12 Person Responsible Chair of the Art Department or designee. Music K-12 Secondary Education Chair of the Music Department or designee. Chair of the Middle and Secondary & Educational Leadership Department or designee. MAJOR CODES Available for Teacher Certification BACHELOR OF ARTS DEGREES 0337 Art History 0570 Anthropology 0462 Biology 0463 Chemistry 0317 Communication Studies 0573 Criminal Justice 0459 Earth Sciences 0331 English Concentration 0333 Literature 0334 Writing 0580 Geography Concentration 0567 Urban/Regional Planning 0568 Environmental Studies 0345 German 0582 History 0350 Humanities/English 0152 Individualized Studies 0318 Journalism and Mass Communication Concentration 0319 Broadcast Journalism 0320 Print Journalism 0321 Public Relations 0460 Mathematics Concentration 0499 Actuarial Science 0339 Music 0342 Philosophy Concentration 0322 Religious Studies 0464 Physics Concentration 0430 Cooperative Engineering 0431 Liberal Arts 0432 Theoretical 0584 Political Science 0564 Legal Studies 0590 Social Science 0583 Social Science/Pre-Law 0588 Sociology 0346 Spanish 0327 Women’s Studies 0314 World Language and Culture BACHELOR OF FINE ARTS 0377 Applied Media Arts Concentration 0380 Graphic Design 0381 Photography 0393 Cinema (Animation, Computer Animation, Film & Video) 0392 Fine Arts- Studio Arts Concentration 0382 Ceramics 0383 Drawing 0384 Jewelry/Metalsmithing Created: 12/01/2008 Revised: 4/11/2014 0386 0387 0388 0390 0391 Painting Printmaking Sculpture Weaving/Fibers Wood /Furniture BACHELOR OF SCIENCE DEGREES 0477 Biology Concentration 0449 Biology/Pre-Dental 0450 Biology/Pre-Medical 0452 Biology/Pre-Veterinary 0571 Business Administration Concentration 0455 Management Information Systems 0490 Comprehensive Business Administration 0491 Accounting 0492 Marketing 0496 Financial Services 0498 Accounting/Forensic Accounting 0478 Chemistry Concentration 0443 Forensic Science 0445 Industrial Biochemistry 0497 Computer Science Concentration 0441 Game & Virtual World Dev 0493 Application 0494 Theoretical 0575 Economics 0456 Environmental Science/Biology 0470 Geology Concentration 0440 Environmental Geology 0559 Industrial Engineering Administration 0474 Medical Technology 0476 Nuclear Medicine Technology 0676 Nursing* 0678 Nursing: Innovative Nursing* 0610 Psychology Concentration 0611 Applied Developmental 0612 Applied Mental Health 0613 Custom Focus 0574 Social Work 0313 Speech and Hearing Sciences * Nursing and Innovative Nursing programs have special admission requirements that a student must meet before being enrolled in these majors. Please address questions to the nursing program director or to Mr. Timothy Pilewski, Registrar. BACHELOR OF SCIENCE IN HEALTH AND PHYSICAL EDUCATION DEGREE 0200 Health and Physical Education Concentration 0246 Health Promotion 0247 Recreation Administration 0248 Sport Administration