Secondary Education Certification Program Application
Name (Last, First, Middle Initial) *
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Date of Birth *
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Chestertown Address *
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Permanent Address (if different from above) *
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Email Address (Washington College) *
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Email Address (Permanent) *
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Phone Number *
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Previous Education (High School) *
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Previous Education (College - if applicable)
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Anticipated Graduation Year *
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Major(s) *
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Minor(s) / Concentrations (if applicable)
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Entry Requirement: Cumulative GPA *
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Entry Requirement: GPA in your Major / Certification Field *
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Entry Requirement: SAT (excluding writing), ACT, or GRE score
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Entry Requirement: Praxis Core - I passed the exams (if needed) and sent the scores to Washington College.
Entry Requirement: I have asked for a recommendation from a professor in my major department. The following professor will be completing the recommendation: *
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Experiences Working with Children (camp, babysitting, tutoring, coaching, etc.) *
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Will you have a car available during your internship? *
Required
If you will have a car, would you be willing to carpool with / drive others who might not have a car?
Internship Placement: Choose your Certification Area *
Internship Placement: What is your preferred teaching level? *
Courses Completed in Area(s) of Certification (list course title and number, grade earned) *
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Field Experience Completed: EDU 216 - include school, teacher, content area, and grade *
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Field Experience Completed: EDU 217 - include school, teacher, content area, and grade *
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Any Additional (Formalized) Field Experiences or 4-credit Externships in Schools - include school, teacher, content area, and grade
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Statement of Intent: Why do you wish to become a teacher? How will Washington College's Secondary Education Program help you achieve that goal? (400-600 words) It is recommended that you write your response in a Word document first to save, revise and edit as needed. THEN copy and paste it here. *
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If you have any other pertinent information for the Department, please share it here.
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I understand that if I have ever been convicted of a crime of violence or a crime against children, I cannot be certified to teach in the State of Maryland *
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