Form

Washburn University Department of Education

Application for Admission to Professional Teacher Education Program
Application Checklist for Degree Seeking Candidates

General Education:

Completion of 24 credit hours of approved general education applicable to the program

being pursued with a grade point average (GPA) of 2.75, to include:

EN 101 Freshman Composition 3 (Minimum Grade of C)

MA 116 or MA 110 or MA 112 3 (Minimum Grade of C) (or C or better in a mathematics course with MA 116 as prerequisite)

Social Science General Education Course 3 credits

Natural Science General Education Course 3credits

Additional Approved General Education Courses 12 credits

Professional Sequence:

Completion of the following professional education courses:

ED 150   EPIC (Minimum grade of C)3 credits

ED 200   Educational Psychology (Minimum grade of C)3 credits

Recommendations:

University/Professional Recommendation (Direct the writer to the Washburn University Department of Education webpage for the link to the online recommendation form.)

Note: EPIC Cooperating Teacher Evaluation will be a part of your application.

Professional Conduct Dispositions form signed.

Check Declaration of Major to ensure it is correct.

Reviewed Application with advisor to ensure it iscorrect.

Grade Point Average/Exam Requirements:

General Education – GPA of 2.75 or better in 24 credit hours of approved general education courses selected from the Washburn University approved general education list.

Teaching Specialty –Elementary (K-6), Secondary (6-12) & All Levels( P-12 ) candidates at the time of application to the Professional Teacher Education Program must earn a grade of C or better in major courses depending upon their programs of study. Elementary candidates must earn a grade of C or better in the emphasis courses.

Professional Sequence – All students must earn a grade of C or better in the required professional sequence courses.



Cumulative GPA – An overall cumulative GPA of 2.50 or better.

Pre-Professional Skills Test (PPST) – It is the candidate's responsibility to ensure that official copies of PPST scores have been submitted to the Department of Educatiion. The minimum acceptable scores are: Writing 172; Reading 173; and Mathematics 172 . Please see the ETS website for additional information about this requirement.

*Candidates pursuing an Elementary K-6 degree must select and complete one of 5 emphasis areas. These are: Early Childhood Unified Birth-3rd, Middle School English 5-8, Middle School Math 5-8, Middle School History 5-8, and Adaptive Special Education K-6.
Personal Information
Student's Full Name*
First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Washburn E-mail*
Local Phone Number*
- Area Code Phone Number
WIN*
Academic Information
Status*

Sophomore (24 - 53 credit hours) Junior (54 - 87 credit hours) Senior (88+ credit hours) Licensure Only
PPST Reading*
PPST Writing*
PPST Mathematics*
Please Indicate Program*

Personal Professional Reflection Statement

Dimensions of Reflection

The purpose of this statement is for you to reflect on the experiences you have had in your education courses in relation to the four dimensions of the Washburn Department of Education Conceptual Framework. Your reflection should include specific emerging professional teaching goals, at least two for Dimension 1, and one for Dimension 2 and 3.

Scoring Rubric

Your reflections will be reviewed as per the following criteria. In the event an overall evaluation receives an "Inadequate" level, additional information and/or a meeting with members of the Undergraduate Admissions Committee may be requested.

High Level of Reflection

Reflections are directly related to the dimensions and specific goals based on those reflections are clearly articulated. Evidence of careful consideration of the needs of the profession with the development of specific personal professional development skills and experiences. Well-written with correct punctuation, spelling, and a professional tone.

Adequate Level of Reflection

Reflections are generally related to the dimensions. Goals are presented but may lack specificity. Some consideration is given to the needs of the profession in relation to personal professional development. The writing is acceptable but may not be clear and/or lack a professional tone.

Inadequate Level of Reflection

Reflections do not relate to the dimensions or are too broad to provide evidence of careful consideration of the needs of profession with the development of personal professional development. Poor writing and/or a general lack of professionalism.
1. Reflection on Self as Emerging Professional What experiences in schools, on campus, in educational settings, etc. have contributed to your decision to become a teacher? What goal(s) do you have as a result?*
2. Reflection on the Context of Teaching and Learning What goal(s) may you have for understanding student differences and their impact on teaching and learning?*
3. Reflection on Student Diversity What goal(s) may you have for recognizing the importance of social and cultural influences on learning?*

In the summary comments section please share any additional information you would like the committee to consider.
Summary Comments
Review Date
/ Month / Day Year
at
: Hour Minutes
SUBMISSION of this application AFFIRMS all INFORMATION Provided IS TRUE and ACCURATE.
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Academic Information