LTEC Intent to Apply Survey
Please complete the survey below.
Note: This is not the official application form for the Graduate Division. Please refer to the following website to obtain one:
1. Name:(Last, First)
2. Home address:(include: City, Island, and Country)
3. Home Phone:
4. Work Phone:
5. Cell Phone:
7. UH email:
9. UH ID # ( if already assigned):
8. Other email:
10. Program Preference:
Master's On-Campus 1st choice willing to be online
Master's Online 1st choice willing to be on-campus
Certificate in Online Learning and Teaching (COLT)
Graduate Certificate in Learning Design and Technologies for Teachers (TeachTech)
If you checked COLT or TeachTech, please indicate any LTEC electives taken that you believe may count toward the certificate. Please state the course number and name as well as the semester and year taken
11. Have you ever applied for this program before?
12. Do you have a UH position that potentially provides a tuition waiver?
13. Funding for education:
Graduate Assistant Waiver
Seeking Graduate Assistantship
If confirmed scholarship, please list:
14. Where did you learn about the program?
Broad researching online
From the UH College of Education Website
From a UH College of Education recruiting session
From student(s) who was(were) already in the program, or had finished the program
From taking an LTEC course
From my professor(s) or mentor(s) in my undergraduate studies
At the Graduate Fair at UH Manoa
Friend/Colleague (please note who in the "other" box)
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