APPLICATION FOR THE VT EDRE GRADUATE CERTIFICATE IN EDUCATIONAL RESEARCH – EFFECTIVE FALL 2014 and After Submit Application to: Kristen Colvin, EDRE Program, colvink@vt.edu For Questions, Contact: Dr. Elizabeth G. Creamer, creamere@vt.edu, Program Leader Date: Name: Address: Virginia Tech ID No.: Cell or Home Phone: E-mail: Enrollment Status (select one) Masters Non-Degree Doctoral Commonwealth Fall Anticipated Graduation Term/Year: ______________ 2014 ______________ I. PRE-REQUISITES Ia. EDRE Pre-Requisites that you have completed or plan to complete EDRE Course Number Term (Fall, Spring, Summer) and Year List Equivalent Courses You have Taken Outside of EDRE* 5404 Foundations of Ed Research 6605-6606 6504 QUAL 1 ∗ It is up to the instructor to determine if the equivalent course you took will satisfy the prerequisites. To determine if the course is equivalent, consult the program leader or attach a one paragraph description of the course and its title and course number. II. COURSES THAT YOU HAVE TAKEN OR PLAN TO TAKE TOWARD THE CERTIFICATE* EDRE Courses You Plan to Take or Have Taken that Apply to the Certificate EDRE Course Number 6524: Qual 1 6624: Measurement Theory Mark Courses Already Completed Courses You Plan to Take Expected: Term (Fall, Spring, Summer) And Year 6634: Advanced Stat 6654: Multivariate Stat 6664: Structural Equations (SEM) 6684: Instrument Development 6694: Hierarchical Linear Modeling (HLM) 6704: Evaluation 6744: Mixed Methods 6754: Advanced Item Response Theory 6774: Advanced IssuesSTAT 6784- Advanced IssuesQUAL ∗ If class section is full, after EDRE students, we will give priority to students who have received confirmation of their application for the certificate. III. PUBLICATION/PRESENTATION USING MATERIALS FROM A PROJECT COMPLETED IN AN EDRE CLASS IIIa. If you have used or plan to use material from a class project you completed in an EDRE course, please provide some details: Title: Journal or Conference: Date: Brief description: IV. SIGNATURE Applicant’s Signature: __________________________________ Date: ________________________ Committee Action: _____ Accept Notes: _____ Decline Decision Date: ________