TEXAS WOMAN'S UNIVERSITY--COLLEGE OF PROFESSIONAL EDUCATION Office of Student Support Services (SH 211); Phone: 940/898-2829, Fax: 940/898-2830 APPLICATION TO THE TEACHER EDUCATION PROGRAM Graduate or Post-Baccalaureate Students Seeking Initial Teacher Certification Last Name First Name Address Middle Name/Initial City State Home/Cell Phone Zip Work Phone Student ID# Email Date of Birth This information is voluntary and is collected for reporting numbers of applicants to the Texas Education Agency Gender US Citizen Male Yes Female No Ethnicity Native American 1. Asian/Pacific Islander 2. 3. African American Hispanic White Other 4. 5. 6. Note: Conviction of a felony or misdemeanor other than a minor traffic violation may affect certification. Additional information may be obtained by contacting SBEC. Post-Baccalaureate student seeking certification only Status: Post Baccalaureate student seeking certification and degree Departmental Advisor: Teaching Level: 4-8 Generalist EC-6 Generalist EC-6 Bilingual Generalist 4-8 Bilingual Generalist EC-6 ESL Generalist 4-8 Generalist/Special Educ 4-8 Content area EC-6 Generalist/Special Educ 4-8 ESL Generalist 7-12 Teaching Field EC-12 Teaching Field Admission to the Teacher Education Program requires the following: GPA of 3.0 on your last 60 hours of coursework with at least 2.75 overall. Graduates of universities outside of the United States where English is not the language of instruction must pass the speaking portion of TOEFL (Test of English as a Foreign Language) with a score of at least 26. Pre-Admission Interview with an assigned TWU faculty member. Submit a signed Commitment Contract acknowledging understanding of the Professional Dispositions Policy (located on 2nd page). Yes Have you previously been admitted to an Educator Preparation Program? No If yes, what program: TEACHING EXPERIENCE: Were you certified in another state or country? Yes No If yes, where? Grades/subjects Have you been teacher of record in a public or accredited private school? Where? Yes No How Long? Grades/subjects Revised 05/14 Return completed application to: Texas Woman’s University, Teacher Education, P.O. Box 425769, Denton, TX 76204-5769 TEXAS WOMAN’S UNIVERSITY – COLLEGE OF PROFESSIONAL EDUCATION TEACHER EDUCATION PROGRAM COMMITMENT CONTRACT FOR THE PROFESSIONAL DISPOSITIONS POLICY The TWU Teacher Education Program focuses on preparing educators who respect difference, celebrate diversity, and demonstrate the requisite skills, knowledge, and dispositions expected of a professional in fostering student-centered learning environments. A Professional Dispositions Policy was reviewed and approved by TWU’s Professional Education Council (PEC) in Spring 2010. You will be evaluated on the following 12 dispositions over the course of your teacher preparation program: . Professional Dispositions for Teaching 1. Exhibits sound and professional judgment by following established university or public school policies when interacting with peers, students, parents, or members of the community. 2. Maintains confidentiality of student records, correspondence, and conversations. 3. Uses emotional and social self-control and self-determination in personal interactions. 4. Demonstrates professional appearance and uses appropriate hygiene. 5. Maintains and uses a professional teacher-student and teacher-parent relationship. 6. Demonstrates positive attitudes toward the profession, students, parents, other educators, and support personnel. 7. Demonstrates ethical behavior as defined by the profession and Texas rules and regulations (Code of Ethics and Standard Practices for Texas Educators). 8. Exhibits a code of conduct that includes honesty, cooperation and integrity related to tests, assignments, interactions with TWU professors and personnel (TWU Student Code of Conduct). 9. Exhibits a collaborative approach applied to seeking solutions to problems with peers, students, faculty, parents, and administration. 10. Demonstrates the ability to work with diverse individuals. 11. Exhibits qualities of lifelong learning through engagement in completion of course requirements, continuous professional development, and is academically prepared. Lifelong learning is a term that applies to continuing one’s education through university or community-based programs. 12. Exhibits professional competence in oral and written language which includes electronic devices. The instructor or student teaching supervisor who identifies a deficiency or behavior inconsistent with established dispositions for teaching will follow procedures that will include meetings with the student, problem-solving plan(s), and the possibility of dismissing a student from the program. The full Professional Dispositions policy can be accessed at http://www.twu.edu/teacher-education/. Please sign and date below indicating your understanding of the TWU Professional Dispositions Policy. Student Signature Student ID Number Date I acknowledge that a Texas Woman’s University representative may verify my qualifications to a Human Resources professional regarding potential educator positions. Student Signature Date Revised 05/14 Return completed application to: Texas Woman’s University, Teacher Education, P.O. Box 425769, Denton, TX 76204-5769