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 Ethnicity Male Yes Female No Native American 1. Asian/Pacific Islander 2. White 3. African American Hispanic 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. Status: Post-Baccalaureate student seeking certification only 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 8-12 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 2.5 overall. TASP/THEA Scores: Reading 260, Math 240, Writing 240 OR Accuplacer Scores: Reading 80, Math 65, Writing 82/6 OR ACT Scores: Verbal 19, Math 19, Composite 23; OR SAT Scores: Verbal 500, Math 500, Composite 1070 (ACT and SAT scores cannot be more than five years old.) Participate in a pre-admission interview with assigned faculty advisor Submit application for admission to the Teacher Education Program, including signed Commitment Contract acknowledging understanding of the professional dispositions policy Please indicate your scores: Exam Reading Math Writing 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? Grades/subjects Yes No How Long? 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 APP—9/11 Date