MAT Program Admission Application

Name*
First Middle / Maiden Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone (home)
Phone (cell)
Email*
Sex
- Female
- Male
Race
- White (non-Hispanic origin)
- Black (non-Hispanic origin)
- American Indian
- Alaskan Native
- Asian or Pacific Islander
- Hispanic
- Other
Anticipated Licensure Area
Content Area*
Grade Span*
Admission Requirements (Pending Upon Receipt in MAT Office):
- Admission to Graduate School
- Official Copies of Undergraduate Transcripts (3.0 GPA or higher required overall or in the last 60 hours for full admission. Possible conditional admission for a 2.7 to 2.99 overall GPA)
- Basic Skills test scores (see below)
- Praxis II Content Area Scores(s)
- Background Check
- Disposition Evaluation (to be completed by advisor)

Basic Skills Test Scores*

Test	Reading	Writing	Math

Examples -- Test: CORE, Reading: 156, Math:150, Writing: 162; Test: ACT, Reading: 19, Math: 19, Writing: 6; Test: SAT, Reading: 510, Math: 510, Writing: 510 Test: GRE, Reading: 151, Math: 153, Writing: 3.74

Praxis II - Content Scores*

(see the ETS website for passing scores based on AR requirements)
Undergraduate GPA*

You must have a GPA of 3.0 or higher on your undergraduate transcripts and the MAT offices must have a copy of your transcripts. There is a possible conditional admission for a 2.7 to 2.99 overall GPA or for one outstanding test. Contact program director for more information.
Terms and Conditions

By submitting this form, I understand that I must maintain a GPA of 3.0 or higher. I am allowing MAT program faculty and the AFEL office to talk to current and prospective employers in regards to my progress in the program and my current licensure status. I also acknowledge that I have received and understand the dispositions requirements as defined by the Educator Preparation Provider. I understand I must have taken and passed the PLT by the time I graduate for standard licensure.

Anticipated Licensure Area

Admission Requirements (Pending Upon Receipt in MAT Office):

Terms and Conditions

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Anticipated Licensure Area

Admission Requirements (Pending Upon Receipt in MAT Office):

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