CTCP Transcript Evaluation Request Form - College of Education ...
CTCP Transcript Evaluation Request Form - College of Education ...
CTCP Transcript Evaluation Request Form - College of Education ...
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REQUEST FOR TRANSCRIPT EVALUATION ‐ CHINESE TEACHER CERTIFICATION PROGRAM (<strong>CTCP</strong>)__________________________________________________ ___________________________________Name (First, Middle Initial and Last)E‐mail Address_________________________________________ __________________________ ______ _____________Street Address including number City State Zip Code_____________________________ _____________________________ _____________________________Phone Numbers: Home, Work, Cell (include area code)Do you have a bachelor’s degree? YES NO (If “NO,” your degree must be pending.) __________________________Date <strong>of</strong> Degree (awarded or pending)__________________________________________________ ___________________________________Name <strong>of</strong> the University/<strong>College</strong> where your bachelor degree was granted Degree Major1) List ALL Community <strong>College</strong>s, <strong>College</strong>s and Universities Attendeda) _______________________________________________ b) _______________________________________________c) _______________________________________________ d) _______________________________________________I have attached un<strong>of</strong>ficial copies <strong>of</strong> transcripts for each institution listed above (check box to confirm).2) Certification Desired (check one): ELEMENTARY: Chinese Major and the Elementary Planned Program (Recommended) ELEMENTARY: Chinese Minor, ESL Minor and the Elementary Planned Program ELEMENTARY: Other Major:___________________________, Chinese Minor and the Elementary Planned Program ELEMENTARY: Chinese Minor, Other Minor: ___________________________ and the Elementary Planned Program SECONDARY: Chinese Major and ESL Minor (Recommended) SECONDARY: Chinese Major and Other Minor: ___________________________ SECONDARY: Other Major: ___________________________, Chinese Minor ENDORSEMENT (Currently Certified Teachers Only): Chinese Major (K‐12) or Chinese Minor (6‐8 or 6‐12)3) The Michigan Teacher Certification Code: Rule 390.1201 & Public Act 68 <strong>of</strong> 1993 Sec. 1230The State Board <strong>of</strong> <strong>Education</strong> may refuse to grant a teaching certificate to an applicant convicted, as an adult, <strong>of</strong> an act <strong>of</strong> immoral conductcontributing to the delinquency <strong>of</strong> a child, or a felony conviction.1. Have you ever been convicted <strong>of</strong> a felony? yes no2. Have you ever been convicted <strong>of</strong> any other <strong>of</strong>fense? yes no3. Have you ever had a pr<strong>of</strong>essional license or certification,denied, suspended (for cause) or revoked? yes noIf you answer “yes” to question 1 or 2, you must provide a current (less than 6 months old) statewide Criminal History Check from the MichiganState Police website at http://apps.michigan.gov/ICHAT/. Complete a search for your own record, print out the report, and attach it to thisform. You should also provide a short narrative describing the incident(s) reflected. A “Judgment <strong>of</strong> Sentence” will be required for admission tothe teacher certification program. Public Act 68 <strong>of</strong> 1993 Sec. 1230 requires public and non public schools to conduct a criminal history check <strong>of</strong>new teachers, school administrators, school psychologists and other personnel required to hold State Board <strong>of</strong> <strong>Education</strong> approvals.I certify that the above information is complete and accurate.__________________________________Signature (required)_______________Date (required)Your transcript evaluation will be mailed to you.Return completed form with transcripts to:Dr. Cynthia Ward489 <strong>College</strong> <strong>of</strong> <strong>Education</strong>Wayne State UniversityDetroit, MI 48202Revised: 03/01/2010
REQUEST FOR TRANSCRIPT EVALUATION INSTRUCTIONSREQUEST FOR <strong>CTCP</strong> TRANSCRIPT EVALUATION INSTRUCTIONS1. Please carefully read the Certification Information Handbook before filling out the<strong>Request</strong> for <strong>Transcript</strong> <strong>Evaluation</strong>.2. Fill out the <strong>Request</strong> for <strong>Transcript</strong> <strong>Evaluation</strong> completely and return it with copies <strong>of</strong>transcripts from ALL schools attended. Student copies <strong>of</strong> transcripts are acceptable forevaluation purposes.3. If your transcript does not indicate semester or quarter hour credits, or credit isreported in other units, include a key to the transcript.4. If your transcripts are from a foreign institution, you must first contact World<strong>Education</strong> Services and request a course‐by‐course evaluation <strong>of</strong> your records:World <strong>Education</strong> Services(212) 966‐6311http://www.wes.orgDivision <strong>of</strong> Academic Services489 <strong>Education</strong>5425 Gullen MallDetroit, Michigan 48202(313) 577‐1605 (313) 577‐ 7904 FAXOnce WES has evaluated your transcripts, submit this form and your WES course‐bycourseevaluation.5. Your transcripts will be evaluated by Dr. Cynthia Ward, Graduate Academic ServicesOfficer in the <strong>College</strong> <strong>of</strong> <strong>Education</strong> and by Dr. Yue Ming, Advisor for Chinese Languageand Culture Courses and Testing, Teacher <strong>Education</strong> Division. You will receive anevaluation through the mail.6. Prerequisites must be completed at Wayne State University. Any request to takeprerequisites at any other institution must be made in writing [with reasons for thisrequest] and attached to this form.7. Michigan Test for Teacher Certification (Basic Skills and Subject Area Tests) ReportingRequirements. Michigan Test for Teacher Certification (MTTC) examination scoresmust be furnished directly to Wayne State University by <strong>Evaluation</strong> Systems Group <strong>of</strong>Pearson, the MTTC testing agency. When registering for the MTTC, select “WayneState University (31)” as a “<strong>College</strong> or University to Receive Scores.” If yourexamination scores were not released to Wayne State University, please request anoriginal score report from <strong>Evaluation</strong> Systems Group <strong>of</strong> Pearson. From the ScoreReport Explanation link on the MTTC website (http://www.mttc.nesinc.com/), selectTest Results <strong>Request</strong> <strong>Form</strong> and enter 31 for the Institutional Code to have your scoressent to Wayne State University (31). Your scores must be mailed directly from<strong>Evaluation</strong> Systems Group <strong>of</strong> Pearson to Wayne State University. An original scorereport is required by the Michigan Department <strong>of</strong> <strong>Education</strong> for verification <strong>of</strong> testscores.