ACCEPTANCE TO THE TEACHER EDUCATION PROGRAM
Last Name
First Name
Birthday (xx/xx/xx)
Initial
SSN (xxx-xx-xxxx)
Requirements for Acceptance into the Teacher Education Program
1. A minimum of 2.50 cumulative G.P.A.
2. A total minimum of 2.50 GPA in University Seminar, College Writing and Quantitative Reasoning (Core) with no
grade lower than a ‘C’ (a grade of ‘C-’ or lower is not acceptable).
3. A record free of, “conviction of, entry of a guilty verdict, a plea of guilty, or a plea of no contest to a criminal offense
involving moral turpitude in this state or any other state or country,” (Montana Annotated Code, Sec. 20-4-110).
In order to meet the requirement for question #3 (above), you need to answer the following questions:
a.
Have you ever been convicted of a crime more serious than a minor traffic violation? This disclosure must
be made irrespective of whether the record was sealed or expunged, you served a sentence and had your civil
rights restored, the sentence was deferred or suspended, or the charge was dismissed after conviction.
Yes
No
If your answer to the above question is a “Yes”, explain fully below, specifying the nature of the offense(s),
the date(s) it/them occurred, the name and location of the court (s), and the sentence(s) imposed. This
disclosure must be made irrespective of whether you served a sentence and had your civil rights restored.
Use additional pages if necessary.
b. Are you currently on probation, deferred prosecution, suspended sentence?
Yes
No
If your answer to the above question is “Yes”, explain the circumstances and include the restrictions imposed
by the courts. Use additional pages if necessary.
Schools will require a criminal records check before placement in public schools. MSU will receive your complete criminal
record before placing students.
I hereby certify that the above information is true and correct, and I understand that any misrepresentations on this
application may be grounds for denial of the application. By signing below, I acknowledge that all the information is accurate,
and I give the Montana State University Education Department permission to verify any information provided.
____________________________________________________
Signature
_______________________________________
Date
Catalog: 2004-2006
English Extended Major
Montana State University
Secondary Teacher Education Preparation Program
ID:
Name:
Social Security #
Date:
Last Name
First Name
Initial
Local Address:
m/d/yr
Phone:
Street
City
State
Zip
Degree:
College Degree Completed
College Degree Sought
Academic Courses
Subject
#
Course Title
Substitution Courses
CR
Grade
Subject
Take all of the following:
ENGL
121W
College Writing I
3
ENGL
123IH
Intro to Literary Studies
3
ENGL
212
Biblical and Classical Literature
3
ENGL
216
Survey of British Literature I
3
ENGL
217
Survey of British Literature II
3
ENGL
218
Survey of American Literature I
3
ENGL
219
Survey of American Literature II
3
ENGL
221
College Writing II
3
ENGL
300
Survey of Literary Criticism
3
ENGL
308
Multicultural Literature
3
#
Course Title
CR
Grade
ENGL
440
World Literature
3
ENGL
338
Language for Teachers
3
ENGL
339
Teach Comp, Rhetoric & Speech
3
ENGL
461
Integrative Teach Methods
3
Take two of the following:
ENGL
431RH
Study in a Major Author
3
ENGL
432RH
Shakespeare
3
ENGL
340
Old/Mid Engl Lit
3
ENGL
341
16th/17th Century Brit Lit
3
ENGL
342
Rest/18th Century Brit Lit
3
ENGL
343
19th Century Brit Lit
3
ENGL
360
Early American Lit
3
ENGL
361
19th Century Amer Lit
3
ENGL
371
20th Century Brit/Amer lit
3
ENGL
372
Contemporary Brit/Amer Lit
3
Take one of the following:
ENGL
441
Study in Emergent Literature
3
ENGL
442
Imaginative Genres
3
ENGL
420
Critical Theory
3
ENGL
337
Oral Traditions
3
ENGL
414
Literature of Place
3
Take one of the following:
ENGL
304
Children’s & Young Adult Lit
3
ENGL
330
Women and Literature
3
ENGL
326
Advanced Composition
3
ENGL
429
Professional Writing
3
ENGL
385
History of the English Language
3
ENGL
428
Creative Writing
3
ENGL
450
His & Theory of Rhetoric/Comp
3
Academic Courses
Subject
#
Course Title
Take One of the Following:
HDCF
150IS
Lifespan Human Develop
3
HDCF
160
Hum Dev: Conception to Adol
3
Secondary Professional Preparation
EDCI
102
In-School Experience
1
EDCI
209
Ed Psychology & Adol Dev
3
EDCI
320
Found of Instructional Compu
2
EDCI
360
Foundations of Assessment
2
HDHL
106
Drug/Health Issues for Educ
1
EDSD
363
Multicultural Education
1
EDSD
457
Methods of Teaching English
3
HDCF
356
Exceptional Needs (0-21)
3
EDSD
Substitution Courses
CR
Grade
Subject
#
Course Title
CR
Grade
301
Paraprofessional Experience
1
EDSD
410
Student Teaching (10-12 CR)
EDSD
413C
Professional Issues
2
MATH
ENGL
121W
College
Writing I
3
COM*
110US
Intro to
Public
Commu
nication
3
*May take approved courses with the letters US for
University Seminar Core.
For Office Use Only:
First Aid with CPR
Paraprofessional Experience
Disclosure Statement
_____________________________________________________________________________
Student's Signature
________________________________
Date
_____________________________________________________________________________
Advisor’s Signature
________________________________
Date
_____________________________________________________________________
____________________________
Certification Officer's Signature
Date
For Use When Completing Student Teaching Application:
* Taking this course Spring Semester
** Taking this course Fall Semester or Summer Semester