To the Candidate To be considered for Randolph College's master's programs, you must submit both the application and recommendation/transcript forms no later than May 1.
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 2011 Summer 2012 Fall 2012 Summer 2013 Fall 2013 Summer 2014 Fall 2014 Summer 2015
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
Sal.
Mr. Ms.
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)
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...
What is your country of citizenship?
Are you a permanent U.S. resident? Yes No Number of years in U.S.
Is English your first language? Yes No
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 admissions@randolphcollege.edu. If you are submitting separately, please indicate in the box below that you are going to do so.