| Part I: Applicant Information |
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| Candidate ID # (last 4 digits of your SSN):
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| Last Name:
First Name:
Middle Initial:
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Contact Information
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| Current Mailing Address:
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| City:
State:
ZIP:
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| Phone:
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Email Address:
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| Summer Mailing Address (if different):
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| City:
State:
ZIP:
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| Phone:
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Email Address:
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The following information is required for statistical reporting only. It is not used to identify any candidate and it does not affect the candidate’s application. |
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| Birthdate: (mmddyyyy)
Gender:
Ethnicity:
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When do you anticipate starting your professional program courses?
Have you taken the Praxis I ?:
Exempt
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Education Status: (check the appropriate box)
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| Semester Planning To Complete Teaching Internship:
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| Part II: Writing Sample |
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The USCA School of Education is committed to preparing candidates as Dynamic Educators who can plan, instruct, manage, communicate and grow professionally. Additionally candidates are expected to be able to teach all children. Please respond to the following question and be prepared to discuss your response in the interview.
What has been the impact of the federal legislation, No Child Left Behind on the public schools in South Carolina?
(Do not exceed 250 words.) |
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| Part III: Special Information |
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The following two statements require your attention.
STATEMENT 1:
USC Aiken provides affirmative action and adheres to the principle of equal educational and employment opportunity without regard to race, color, religion, sex, creed, national origin, age, disability or veteran status. This policy extends to all programs and activities supported by the university. Any person who feels they qualify for special accommodations due to a physical, learning, or psychological disability should contact the Office of Disability Services at (803) 641-3609 for a free, confidential interview.
STATEMENT 2:
Have you ever been arrested, convicted, found guilty, entered a plea of no contest, or had adjudication withheld in a criminal offense (including DUI) other than minor traffic violation; or are there any criminal charges now pending against you? Failure to answer this question accurately could cause denial of certification.
A Yes or No answer is required.
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Electronic Signature (Required) |
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