w w w . U P S . e d U U n i v e r S i t y o f P U g e t S o U n d �

University of Puget Sound

M.A.t./M.ed. Program

Graduate Education Degree Candidacy Application

Application for

graduate education degree

� U n i v e r S i t y o f P U g e t S o U n d w w w . U P S . e d U

Admission And degree CAndidACyStudents admitted to study beyond the baccalau-reate degree are classified either with advanced standing or as degree candidates. A student with advanced standing may enroll in graduate courses (� units maximum) for the purpose of accumulating graduate credit or completing prerequisite coursework required by a school for acceptance into a master’s degree program, but is not eligible to receive a degree from University of Puget Sound.

to qualify for the M.A.t. or the M.ed. degree, a student must obtain advanced standing and be ac-cepted for candidacy by the School of education and the University office of graduate Study. this two-step application process is described below. All materials should be submitted directly to the office of Admission. Questions about the admis-sion process should be referred to the office of Ad-mission. Students applying to the M.ed. program may take two education courses with permission of the dean of the School of education prior to being admitted to the M.ed. program.

Admission With AdvAnCed stAndingin order to be admitted with advanced standing,�. Complete the Application for graduate Admis-

sion.�. forward official transcripts of all completed

college-level coursework. transcripts should be sent directly by each institution previously attended and reflect the completion of a bac-calaureate degree and any post-baccalaureate work from an accredited institution.

3. forward the application fee of $40 (not re-quired of a student previously admitted to the university).

Admission to degree CAndidACyApplication for M.A.t. degree candidacy should be made at the same time the Application for graduate Admission is submitted. Application for M.ed. can-didacy may be made concurrent with, or subsequent to, application for advanced standing.

in order to be considered for degree candidacy,�. Complete the steps described above.�. Complete the graduate education degree

Candidacy Application.3. forward the degree Candidacy Application

fee of $�5 (required of all students seeking degree candidacy).

4. Arrange to have scores from the graduate record examination graduate Aptitude test (gre) forwarded from the educational testing Service.

5. Arrange to have two Appraisal of Applicant for degree Candidacy forms completed and submitted.

6. All candidates seeking an endorsement to a new or existing washington teaching cer-tificate will be required to take the weSt e assessments and meet the minimum passing score(s) for their chosen endorsement area. the tests will be required for entry into our Master of Arts in teaching Program.

7. the state of washington currently requires a basic skills assessment for prospective teachers. the washington educator Skills test—Basic (west B) measures reading, mathematics, and writing skills and is based on the basic skills and understanding required for teaching program applicants. M.A.t. can-didates should arrange to have scores from the washington educator Skills test-B (west B) forwarded from neS.

8. Counseling students should arrange to have a personal interview and develop a proposed course of study with one or more members of the faculty. interviews required for candi-dates for M.ed. only. An interview for M.A.t. candidates may be requested by the student or by the School of education Admission Committee.

9. Submit an essay which states in concise terms reasons for undertaking graduate study in the program to which admission is being sought. As appropriate, include a discussion of how professional and educational experiences to date and the proposed area of study are related to professional goals. generally, but not exclusively, most essays are 300–500 typewritten words in length.

�0. international students, in addition to the above, musta) Submit minimum scores of 550 (paper-

based exam) or ��3 (computer-based exam) from the test of english as a foreign Language (toefL), if english is a second language;

b) Satisfy visa application requirements by showing adequate financial resources to cover the anticipated period of study. this is done by completing and submit-ting an international Student Application, financial Statement, and a bank certifica-tion letter documenting available funds. these forms are available from the office of Admission.

A candidacy decision will be based on the admis-sion committee’s assessment of the applicant’s potential as a professional in his or her chosen field. the indicators upon which this judgment is based are drawn from the above material as well as performance in any courses already taken in the School of education. Modest deficiencies in any category will be considered in context. in no instance will a candidate be considered without all evidence requested. the intention of the faculty of the School of education is to choose the best candidates from among the applicant pool to fill a limited number of available openings. we seek students who are mature, flexible, motivated, and bright. we have also found that varied life experiences and broad educational backgrounds contribute to a student’s ultimate success.

M.A.t. applicants for secondary certificates are presumed to have met endorsement requirements in their teaching areas of choice. incomplete preparation could extend the period of study before applicants are accepted to degree can-didacy.

AppliCAtion deAdlinesApplication deadline for the M.ed. programs is March �. Candidates will be considered at other times on a space-available basis. in order to be considered for admission, candidates must have all their materials, with the exception of the inter-view, submitted to the office of Admission.

Application materials for the M.A.t. degree, with the exception of the optional interview, must be submitted on or before March � for admission the following September. Candidates submitting materials after March � will be considered on a space-available basis.

Candidates who do not hold a valid washington certificate will be required to complete the Character and fitness supplement as part of the application for washington certification. this application includes a washington State Patrol and fBi fingerprint clearance. Candidates with any previous criminal conviction, serious behav-ior problem, or previous license revocation must be cleared by the office of the Superintendent of Public instruction prior to student teaching or internships. Questions and requests for ad-ditional information should be addressed to the certification officer in the School of education �53.879.338�.

University of puget sound is accredited by the Commission on Colleges of the northwest Association of schools and Colleges, an institutional accrediting body recognized by the United states department of education. the school of education at University of puget sound is accredited by the national Council for Accreditation of teacher education, a specialized accrediting body recognized by the United states department of education.

w w w . U P S . e d U U n i v e r S i t y o f P U g e t S o U n d 3

name: _______________________________________________________________________________________ date: ______________________ LASt firSt MiddLe (CoMPLete)

Address: ________________________________________________________________________________________________________________ nUMBer And Street

City or town StAte ziP/PoStAL Code CoUntry

Phone: _________________________________________________________e-mail: _________________________________________________ (AreA Code) nUMBer

Citizenship: ❍ U.S. ❍ Permanent resident U.S.* ❍ other ______________ CoUntry

visa type: _______________________________________________visa number: ____________________________________________________

*If you are a permanent U.S. resident, please submit a photocopy of your Alien Registration (green card) with your application to Puget Sound.

Social Security number: _________________________________________________________________________________________

graduate record examination taken/to be taken: date: _____________________________ Sent to Puget Sound? ❍ yes ❍ no

weSt B date: _____________________________ Sent to Puget Sound? ❍ yes ❍ no

weSt e date: _____________________________ Sent to Puget Sound? ❍ yes ❍ no

If you have taken graduate courses at the University of Puget Sound or at other universities and want to apply them toward your degree, please list them below. To be acceptable, graduate units must form an integral part of the degree program. A maximum of 3 units of graduate credit, including all credit from Puget Sound and other institutions, may be applied toward a degree at the time candidacy is granted. Note: Transfer credit is not usually granted toward the M.A.T. program.

note: All applicants seeking degree candidacy must submit the degree candidacy application form and $�5 processing fee. this application is also

required for all applicants seeking certification only.

Signature: _____________________________________________________________________________ Date:_____________________________

prev ioUs degree(s ) inst itUt ion mAjor dAte reCe ived

CoUrse nUmber CoUrse t itle University dAte Credit grAde

personAl dAtA

University of Puget Soundgraduate education degree Candidacy Applicationp l e A s e t y p e o r p r i n t

i am applying for:

❍ fall ________________ yeAr

❍ Spring ________________ yeAr

❍ Summer ________________ yeAr

$25 App. Fee / oFFiCe Use only

Please send to Office of Admission, University of Puget Sound, 1500 N. Warner St. #1062, Tacoma, WA 98416-1062

M.A.t. only

4 U n i v e r S i t y o f P U g e t S o U n d w w w . U P S . e d U4 U n i v e r S i t y o f P U g e t S o U n d w w w . U P S . e d U

Action on Candidacy Application for graduate degree(Form to be included in file when forwarded to dean of graduate study.)

name of Applicant: ____________________________________________________________________ date: _____________________________

recommended by school:

❍ no action, prerequisite course(s) needed

❍ no action, retake gre and score at 50 percent or higher

❍ Provisional Candidacy, condition: _____________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

❍ deny

❍ Candidacy

�. Specific program (if applicable)

�. graduate Advisor

3. when combined, Puget Sound and transfer credits accepted toward degree (A and B below) may not exceed a total of 3 units (�� semester or �8 quarter hours)

A. Puget Sound work accepted (may be up to � unit):

Course School

B. transfer work accepted (may not exceed � units in an 8-unit program, etc.):

Signature (dean/director of School): ________________________________________________________date: ___________________________

Action by dean of graduate study: ❍ Approve ❍ Deny

Signature (dean/director of School): ________________________________________________________date: ___________________________

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personAl dAtA

Legal name: _________________________________________________________________________________________________________ LASt firSt MiddLe (CoMPLete) jr., etC.

Prefer to be called: ___________________________________________________________________________________________________ (niCknAMe)

former last name(s), if any: _______________________________________________________________________ ❍ Male ❍ female

Social Security number, if any – – Birth date: ______________________________________ Month / dAy / yeAr

Permanent home address: _____________________________________________________________________________________________ nUMBer And Street

____________________________________________________________________________________________________________________ City or town StAte ziP/PoStAL Code CoUntry

Permanent home phone: __________________________________________ e-mail: _____________________________________________ (AreA Code) nUMBer

if different from above, please give your mailing address for all admission correspondence: from: _____________to: _______________ Month / dAy / yeAr Month / dAy /yeAr

Mailing address: _____________________________________________________________________________________________________ nUMBer And Street

____________________________________________________________________________________________________________________ City or town StAte ziP/PoStAL Code CoUntry

Mailing address phone: _______________________________________________________________________________________________ (AreA Code) nUMBer

Citizenship: ❍ U.S. ❍ Permanent resident U.S.* ❍ other ______________ CoUntry

visa type ________________________________________________visa number _________________________________________________

*If you are a permanent U.S. resident, please submit a photocopy of your Alien Registration (green card) with your application to Puget Sound.

Last high school attended: ____________________________________________________________________________________________

____________________________________________________________________________________________________________________City or town CoUnty StAte ziP/PoStAL Code

Any health/medical problems or limitations of which we should be aware: ____________________________________________________

____________________________________________________________________________________________________________________

College plAnsWhat major course do you expect to follow at puget sound?

❍ M.A.t. residency teaching Certificate ❍ Agency Counseling ❍ Pastoral Counseling ❍ School Counseling

do you plan to complete requirements for a degree at puget sound?

❍ yes ❍ no Master’s ________________________________ other ______________________________________________

do you plan to complete requirements for certification?

❍ yes ❍ elementary

❍ no ❍ Secondary endorsement area: ___________________________________

University of Puget SoundApplication for graduate Admissionp l e A s e t y p e o r p r i n t

i am applying for:

❍ fall ________________ yeAr

❍ Spring ________________ yeAr

❍ Summer ________________ yeAr

$40 App. Fee / oFFiCe Use only

M.A.t. only

PLACe of Birth _______________________________________________________

if other thAn engLiSh, whAt iS the PriMAry LAngUAge SPoken in

yoUr hoMe? __________________________________________________________

PLeASe CheCk ALL thAt APPLy:

❍ AfriCAn AMeriCAn/BLACk

❍ ALASkAn nAtive

❍ ASiAn

❍ CAUCASiAn/white

❍ hiSPAniC/LAtino

❍ nAtive AMeriCAn

❍ nAtive hAwAiiAn

❍ PACifiC iSLAnder

❍ other __________________

6 U n i v e r S i t y o f P U g e t S o U n d A P P L i C A t i o n P A r t o n e

edUCAtionAl experienCe

Please list all colleges and universities you have attended beginning with the college in which you are currently or were most recently en-rolled. failure to complete accurately may be considered a breach of academic honesty and may result in dismissal from the university.

have you previously attended University of Puget Sound? ❍ yes ❍ no dates of attendance? _____________________________________

the foLLowing iteMS Are oPtionAL:

Do you plan to apply for need-based financial aid through Student Financial Services? ❍ Yes ❍ No

List of significant work experiences: ________________________________________________________________________________________

Present employer: ________________________________________________________________ how long employed? _____________________ firM City

note: All applicants for advanced standing must submit this application form, a $40 processing fee, and official transcripts from each college

attended. disregard application fee if you have previously applied or been accepted.

signAtUre (reqUired oF All AppliCAnts)

My signature below indicates that all the information contained in Part one of this application is factually correct and honestly presented.

Signature: ____________________________________________________ date: ___________________________________________________

sChool City, stAte, Zip/postAl Code dAtes degree enrollment stAtUs

from:to:from:to:from:to:from:to:from:to:from:to:from:to:

❍ Less than half time❍ half time or more❍ Less than half time❍ half time or more❍ Less than half time❍ half time or more❍ Less than half time❍ half time or more❍ Less than half time❍ half time or more❍ Less than half time❍ half time or more❍ Less than half time❍ half time or more

equal opportunity policyUniversity of Puget Sound does not discriminate in education or employment on the basis of

sex, race, color, national origin, religion, creed, age, disability, marital or familial status, sexual

orientation, veteran status, gender identity, or any other basis prohibited by local, state, or fed-

eral laws. this policy complies with the spirit and the letter of applicable federal, state and local

laws, including title iX of the education Amendments of �97�, Sections 503 and 504 of the

rehabilitation Act of �973, and the Americans with disabilities Act of �990. Questions about the

policy may be referred to the university’s affirmative action officer (�53.879.399�) or the office of

Civil rights, department of education, washington, d.C. �0�0�.

services for persons with disabilitiesinformation on services for persons with disabilities may be obtained from ivey west, coordinator of

disabilities services, University of Puget Sound, �500 n. warner St. #�096, tacoma, washington

984�6-�096. telephone: �53.879.3395. tdd: �53.879.3399. e-mail: iwest@ups.edu.

return to: office of Admission, University of puget sound1500 n. Warner st. #1062, tacoma, Washington 98416-1062telephone: 253.879.3211 or 800.396.7191Fax: 253.879.3993; e-mail: admission@ups.edu

A P P L i C A t i o n P A r t o n e U n i v e r S i t y o f P U g e t S o U n d 7

(over)

University of Puget Sound graduate StudyAppraisal of Applicant for degree Candidacy

proposed AreA oF grAdUAte stUdy

master of Arts in teaching:

______ elementary

______ Secondary master of education:

______ Counseling

pArt i: to be Completed by the AppliCAnt

Applicant

name: ___________________________________________________________________

Address: ___________________________________________________________

_________________________________________________________________________City StAte ziP/PoStAL Code

Social Security number: ___________________________________________________

I waive my right to see this appraisal. I do not waive my right to see this appraisal.

Signature of the Applicant Signature of the Applicant

pArt ii: to be Completed by the respondentthe applicant is seeking admission to the University of Puget Sound graduate Program. your thoughtful appraisal of the candidate’s abilities and potential can be most helpful in reaching a decision. All appraisal letters will be destroyed after the candidacy decision has been made and prior to the student’s enrollment in the university.

Please rate the applicant on the following scales in relation to other persons in comparable categories. with what category are you comparing this candidate (e.g., senior majors of the last five years, students in x class, elementary school teachers, secondary school teachers, etc.)?

loWest 25%

WeAK0–24%

middle 50%

beloW AverAge25–49%

Above AverAge50–74%

no bAsis For jUdgment

highest 25%

very good75–89%

oUtstAnding90–100%

Analytical power, rigor of thought, Critical Facility, and reasoning Ability

ChArACteristiC

effectiveness of oral Communication

independence, originality,imagination, and Creativity of thought

Working relations with peers, subordinates, and supervisors

effectiveness of Written Communication

persistence, self-discipline, industry, and motivation

leadership Ability

mastery and Application of Knowledge in Field

judgment, maturity, Conscientious-ness, and Common sense

ranking of Candidate overall

8 U n i v e r S i t y o f P U g e t S o U n d A P P L i C A t i o n P A r t o n e

How long, in what connection, and how well have you known the applicant?

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Do you know of any special circumstances in the applicant’s background that should be considered in evaluating the information normally used in making graduate candidacy decisions?

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Please give your candid evaluation of this applicant, particularly including observations bearing on 1) academic promise, 2) professional potential, 3) personal character, and 4) ethical conduct.

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

name of respondent: _______________________________________________________ Phone number: _______________________________

Signature of respondent: ___________________________________________________ title: ________________________________________

organization: ______________________________________________________________ date: ________________________________________

Please return directly to: office of Admission telephone: �53.879.3��� or 800.396.7�9� University of Puget Sound fax: �53.879.3500 �500 n. warner St. #�06� e-mail: admission@ups.edu tacoma, wA 984�6-�06�

Prompt completion of this form will be appreciated by both the applicant and the university because a candidacy decision cannot be made until your recommendation is received. Thank you for your cooperation.

(over)

University of Puget Sound graduate StudyAppraisal of Applicant for degree Candidacy

pArt i: to be Completed by the AppliCAnt

Applicant

name: ___________________________________________________________________

Address: ___________________________________________________________

_________________________________________________________________________City StAte ziP/PoStAL Code

Social Security number: ___________________________________________________

I waive my right to see this appraisal. I do not waive my right to see this appraisal.

Signature of the Applicant Signature of the Applicant

pArt ii: to be Completed by the respondentthe applicant is seeking admission to the University of Puget Sound graduate Program. your thoughtful appraisal of the candidate’s abilities and potential can be most helpful in reaching a decision. All appraisal letters will be destroyed after the candidacy decision has been made and prior to the student’s enrollment in the university.

Please rate the applicant on the following scales in relation to other persons in comparable categories. with what category are you comparing this candidate (e.g., senior majors of the last five years, students in x class, elementary school teachers, secondary school teachers, etc.)?

loWest 25%

WeAK0–24%

middle 50%

beloW AverAge25–49%

Above AverAge50–74%

no bAsis For jUdgment

highest 25%

very good75–89%

oUtstAnding90–100%

Analytical power, rigor of thought, Critical Facility, and reasoning Ability

ChArACteristiC

effectiveness of oral Communication

independence, originality,imagination, and Creativity of thought

Working relations with peers, subordinates, and supervisors

effectiveness of Written Communication

persistence, self-discipline, industry, and motivation

leadership Ability

mastery and Application of Knowledge in Field

judgment, maturity, Conscientious-ness, and Common sense

ranking of Candidate overall

A P P L i C A t i o n P A r t o n e U n i v e r S i t y o f P U g e t S o U n d 9

proposed AreA oF grAdUAte stUdy

master of Arts in teaching:

______ elementary

______ Secondary master of education:

______ Counseling

� 0 U n i v e r S i t y o f P U g e t S o U n d A P P L i C A t i o n P A r t o n e

How long, in what connection, and how well have you known the applicant?

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Do you know of any special circumstances in the applicant’s background that should be considered in evaluating the information normally used in making graduate candidacy decisions?

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Please give your candid evaluation of this applicant, particularly including observations bearing on 1) academic promise, 2) professional potential, 3) personal character, and 4) ethical conduct.

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

name of respondent: _______________________________________________________ Phone number: _______________________________

Signature of respondent: ___________________________________________________ title: ________________________________________

organization: ______________________________________________________________ date: ________________________________________

Please return directly to: office of Admission telephone: �53.879.3��� or 800.396.7�9� University of Puget Sound fax: �53.879.3500 �500 n. warner St. #�06� e-mail: admission@ups.edu tacoma, wA 984�6-�06�

Prompt completion of this form will be appreciated by both the applicant and the university because a candidacy decision cannot be made until your recommendation is received. Thank you for your cooperation.

Campus Map

telephone directoryThe address of University of Puget Sound is:University of Puget Sound1500 N. Warner St.Tacoma, WA 98416 USATelephone: 253.879.3100

The School of Education is located in Howarth Hall.School of education ..................................... �53.879.3375School of education (fax) ............................. �53.879.39�6Certification ................................................ �53.879.338�Counseling Program ..................................... �53.879.3344

Listed below are offices to which inquiries of various types may be directed:

Admission ................................................... �53.879.3���Academic and Career Advising Services ......... �53.879.3�50Associated Students .................................... �53.879.3600Bookstore.................................................... �53.879.3604dean of Students ......................................... �53.879.3360Learning Center ........................................... �53.879.3395Library ........................................................ �53.879.3669registration ................................................ �53.879.3��7Student employment ................................... �53.879.3�6�Student financial Services ........................... �53.879.3��4Summer Session .......................................... �53.879.3�07transcripts/evaluations ................................. �53.879.3��9transcripts/records ...................................... �53.879.3530tuition/fees/Payment of Bills ........................ �53.879.3���

A P P L i C A t i o n P A r t o n e U n i v e r S i t y o f P U g e t S o U n d � �

19 Jones Circle

21 Jones Hall

6 Karlen Quad

8 Kilworth Memorial Chapel

18 Kittredge Hall and Art Gallery

33 Langlow House

39 Lower Baker Field

20 McIntyre Hall

5 Music Building/Schneebeck Concert Hall

1 President’s House

29 Regester Residence Hall

Parking for persons with disabilities

Entrance(s) and all or most floors wheelchair accessible

Entrance(s) and one level wheelchair accessible

2 Alcorn Aboretum

11 Anderson/Langdon Residence Hall

40 Baker Stadium/Peyton Field/Shotwell Track

46 Baseball Diamond

14 Ceramics Building

7 Collins Memorial Library

26 Communications House

32 Community Involvement & Action Center

24 Copy Services

43 East Athletic Field

41 Memorial Fieldhouse/ Pamplin Sports Center

3 Harned Hall

9 Harrington Residence Hall

22 Howarth Hall

31 Human Resources Office

17 Student Diversity Center

45 Tennis Pavilion

4 Thompson Hall

37 Todd Field

28 Todd/Phibbs Residence Hall

27 Trimble Residence Hall

47 Union Avenue Residences

12 University Residence Hall

R

F

G

V

LEGEND

Men’s and women’s restrooms wheelchair accessible

Resident student parking

General parking

Faculty/Staff parking

Visitor parking

10 Schiff Residence Hall

15 Sculpture Building

25 Security Services

30 Seward Residence Hall

13 Smith Residence Hall

42 Softball Field

34 South Hall

16 Student Activities

44 Volleyball Courts

35 Wallace Pool

36 Warner Gymnasium

23 Wheelock StudentCenter (WSC)

38 Wyatt Hall

University of Puget Soundoffice of Admission

�500 n. warner St. #�06�

tacoma, washington 984�6-�06�

nonProfit org.

U.S. PoStAge

PAidtACoMA, wA

PerMit no. 4