Apply for the Master's Programs in Education and Teaching

ENROLLMENT INFORMATION

Select a Program

Master of Arts in Teaching

Master of Education

Select an Endorsement Area

Curriculum and Instruction (preK-12)
Special Education - Learning Disabilities (preK-12)

Start Date

Fall 2008 Summer 2009 Fall 2009 Summer 2010 Fall 2010 Summer 2011 Fall 2011 Summer 2012

Enrollment Preference

Full Time (must start summer) Part Time

Residency Preference

If enrolled, will you request to be an on-campus residential student?
Yes No

STUDENT INFORMATION

First Name

Middle Name

Last Name

Preferred Name

Date of Birth

(MM/DD/YYYY)

Place of Birth

Social Security Number

CONTACT INFORMATION

E-mail

Home address

City, State, Zip

AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY ?

Country

Mailing address (if different)

City, State, Zip

AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY ?

Country

Phone

Cell Phone

EMPLOYMENT INFORMATION

Employer

Current Position

Work Phone

Work Fax

LICENSURE

Do you currently possess a valid teaching license? Yes No
If yes, indicate the licensing state.

CITIZENSHIP

Are you a U.S. citizen? Yes No

If no, then please answer the questions below...

OPTIONAL

Responses to questions about your race, your first language (if other than English), the language spoken in your home, family, and religion help us monitor our success in attracting a diverse group of applicants to Randolph. Your answer to any of these questions, or your decision not to respond, does not affect your chances of admission.

If you are a U.S. citizen or U.S. permanent resident, how would you describe yourself?
American Indian or Alaskan Native
Black or African American
Asian American or Pacific Islander
Hispanic
White or Caucasian
Other
If other, please specify...

What is your first language, if other than English?
What language do you speak at home?

Religion

DEGREE INFORMATION

Do you have a bachelor's degree?

Yes No
Major Field of Study

Do you have an associate's degree?

Yes No

Name of institution granting degree

Completion Date

GPA at time of application (if known)

TEST SCORES

PRAXIS

Reading Writing Math
Date Taken

SAT

Total Verbal Math
Date Taken

PROFESSIONAL COURSEWORK

Please list/describe any professional courses you have completed along with any grades you received.

SCHOOLS ATTENDED

Higher Education

High School

Please provide your former name(s) at the time of attendance at above institutions that will appear on transcripts from these institutions:

How did you learn about the master's program at Randolph?

Please submit a written statement of 500 words describing your educational goals and your reasons for entering the master's degree program. This statement may be mailed separately or submitted via e-mail to primetime@randolphcollege.edu. If you are submitting separately, please indicate in the box below that you are going to do so.