ࡱ> 695a ubjbj 4M\M\u j j  =('''''''$3*,'''999 '9'99\$h%ir'F$' (0=($-- %-%9'')=(-j > : DEPARTMENT OF SPECIAL EDUCATION Program Application Form for Students Transferring to TU Intended Program: _____Integrated Early Childhood-Special Education (ECSE) _____Integrated Elementary Education-Special Education (EESE) _____Special Education Elementary/Middle _____Special Education Middle School Science _____Special Education Middle School Math _____Special Education Secondary/Adult Math _____Special Education Secondary Adult/Social Science _____Special Education Secondary/Adult English Start date of program (circle program and record year): Fall 20_____ OR Spring 20_____ NAME: ___________________________________ TOWSON ID #:_____________________ PERMANENT ADDRESS: Department correspondence will be sent to this address _________________________________________________________________________________________ Street Address _________________________________________________________________________________________ City State Zip Code CELL PHONE: _________________________ CURRENT EMAIL: ____________________________ Items Included (REQUIRED): _____This form _____Copy of transcript(s) from prior institutions _____One-page, double-spaced essay explaining reasons for entering the teaching profession _____Copy of Score Report for Basic Skills (Record scores below) *Praxis Core: Reading _____ (min= 156) Writing _____ (min= 162) Math ______ (min= 150) SAT: Reading: _______ Math: _______ Total _______ (Min. Combined= 1100) ACT: _______ (Minimum composite score= 24) _________________________________________________________ __________________ Applicants Signature Date --------------------------------------------------------------------------------------------------------------------------------------- Mail application and all required documentation to the address below. Incomplete applications will not be processed. Towson University Department of Special Education 8000 York Rd. Towson, MD 21252 Attn: Mrs. March Priority deadline for fall programs is Feb. 9, and for spring programs is Nov. 1. Interested applicants who meet the requirements may continue to apply after the deadline, and will either be accepted based on availability or may select another available program. *If Praxis Core is not passed, include previous score report and list date of next attempt here. ___________  YZ[bq  j k  3 9 H N V q  Z \ ) 1 H K M R T ̼|ph`h& />*OJQJh& />*OJQJh& /OJQJhc{"OJQJh`h& /OJQJh`h& /CJOJQJaJh& /5CJOJQJaJh`h& /5CJOJQJaJh`h& /5OJQJh& /5OJQJh-[h& /6CJOJQJaJh-[h& /CJOJQJaJ, YZl? 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