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APPENDIX C

APPLICATION TO ENROLL IN INTERNET MAT COURSES
Directions: The purpose of this form is to establish student eligibility to enroll in 100% Internet MAT courses. To be eligible, employment must be full time as the teacher of record in the grade level and area of certification pursued. Please fax this form and required documents to the Master of Arts in Teaching Program 985-549-5239, Attention: Dr. Paul Goodwin. If you have transmission difficulties, please call 985-549-5736.
***TO BE COMPLETED BY THE STUDENT***

Directions: Please complete the form below to verify employment in the area and grade level of the certification pursued at Southeastern Louisiana University.
Name_________________________________________ SLU ID#__________________
Home Address__________________________________City/State/Zip______________
Phone Numbers (Home and Cell)____________________________________________
School_________________________________________________________________
School Address_________________________________ City/State/Zip_____________
School Phone Number____________________________________________________
Certification Area________________________________________________________
If Secondary, Specialty Area________________________________________________
I. Verification of Employment: Attach a copy of your contract/employment agreement

for the 2005-2006 school year. The verification can be:



  1. A copy of your 2005-2006 contract with appropriate signatures;

  2. A copy of the school board minutes approving your employment;

  3. A letter from your Human Resources Administrator on office letterhead

II. Teaching Schedule: Attach a copy of your teaching schedule for 2005-2006 clearly

stating the subject, grade level, and number of students in each class. Students in the

Elementary/Special Ed. program must indicate the number of regular and

mild/moderate students in each class. The teaching schedule must be signed by the

principal. Note: A new signed teaching schedule must be submitted each semester

for approval to enroll in internet courses.



III. MAT Course Information: Indicate below the courses you plan to take this

semester. Indicate the year by the semester.

Summer______ Fall______ Spring_____

MAT Course Numbers (List Below)

___________________________________________________________________
***TO BE COMPLETED BY THE SCHOOL PRINCIPAL***
Directions: Please provide the information requested below:
This is to verify that the MAT student_______________________________________
is a full time teacher of record at _____________________________________School
during the _______________________academic year.
_________________________________ _________________________

Principal’s Name (Type or Print) Principal’s Signature


School is State Approved (Required) ___Yes ___No
Regionally Accredited (Required for Secondary) ___Yes ___No
School Classification ____Public ___Private
Evidence of Cultural Diversity

  1. Attach a copy of the school profile or

  2. A statement demonstrating evidence of open enrollment


Attach the Following Documents

  1. Copy of the Principal or Assistant Principal or Designated Supervisor’s Certificate (Must be certified in principalship)

  2. Verification of Years of Employment of Principal or Assistant Principal or Designated Supervisor (Minimum of three (3) years in role is required)

  3. Copy of Mentor Teacher’s Certificate

  4. Verification of Years of Employment of Mentor Teacher (Minimum of three (3) years preferably in the area of the student’s certification)

  5. Copy of Regional Accreditation Certificate (Required for secondary placements)

________________________________________________________________________
Notes:
Students enrolled in the Elementary and Special Education (Mild/Moderate) MAT program after the Fall Semester 2004 must teach in an Inclusive classroom (grades 1 to 5). The classroom must have a minimum of sixteen (16) students with a minimum of three (3) students with active IEPs.
Students enrolled in the Secondary MAT program must be teaching a majority of the time in the area of certification. They must teach a minimum of 12 students per class average.


APPENDIX D

APPLICATION FOR SARTE IN THE MAT DEGREE AND ALTERNATIVE CERTIFICATION PROGRAM
*******FOR OFFICE USE ONLY*******

Speech: ___________ Hearing: ______________ PPST/CBT Reading (172/319):______

MAT 610 Grade (B minimum): _____________________ PPST/CBT Writing (171/316): _______

Group Interview : __________Yes __________NO PPST/CBT Math (170/315): ______

GPA: ______ Sem. Added in SARTE: __________ Principles Learn/Tch (161) : ______

STATUS: ______ Provisional _____ Full _____ Ineligible Specialty Area: _______, _______

*************************************************

APPLICATION FOR SELECTIVE ADMISSION AND RETENTION IN TEACHER EDUCATION (SARTE)
INSTRUCTIONS: To apply for admission to the Professional Teacher Education Program: 1) review the Selective Admission and Retention in Teacher Education policies in the University Catalogue; 2) complete this form; 3) return the form to your MAT 610 instructor(s), Department of Teaching and Learning, SLU 10879, Hammond, LA 70402 or Fax to 985-549-5009, Attn. MAT.
Name:________________________________________________________________________________________________________

Last First M.I.

Social Security Number: SLU ID Number: ___________________________

Date of Birth: Gender: ____M ____ F

Month Day Year

Ethnic Background: ______ White _____Black _____ Hispanic ______ Asian ______ Pacific Islander __Other

Permanent Mailing Address: __________________________________________________________________________

P.O Box or Street Number City State Zip

Home Telephone Number: (_____)______________ Alternative Telephone Number: (____)_________________

E-Mail Address: ___________________________________________________________________________________

MAT Concentration: ______Elementary/M-M Special Education _____Secondary Education ____________________Specialty Area

IMPORTANT

The teaching profession is highly demanding and remarkably complex. A person desiring to become a teacher must maintain academic standards and demonstrate qualifications for successful teaching including satisfactory performance in field experiences. Therefore, the College of Education and Human Development at Southeastern Louisiana University reserves the right to recruit, admit, and retain in the Professional Program in Teacher Education only those students who show evidence of being capable of performing in an acceptable professional manner. Enrollment in the Professional Program does not guarantee that a student will receive the degree and certification sought simply because he/she completes a number of courses or is in the field the required number of hours.


Louisiana Law prohibits any person convicted of a felony from obtaining teacher certification. I hereby certify that I have never been convicted of a felony.


Signature of Applicant Date

I certify that I have read and understand the requirements for graduation and certification in my selected teaching curriculum and the provisions of selective admission and retention in teacher education. I further certify that I have completed this form correctly and that any falsification will be just cause for the Committee on Selective Admission and Retention in Teacher Education to question my qualifications for admission into the Professional Program in Teacher Education.

______________________________________________________________________________

Signature of Applicant Date

///////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////


MAT 610 INSTRUCTOR(S)
Do you have concerns regarding the admission of the applicant to the Professional Program in Teacher Education?
______ No
______ Yes (If yes, please specify reasons in the space provided below (i.e. punctuality, judgment, response to

feedback, etc).

_______________________________________________________ ____________________________

Signature of Instructor (s) Date


////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////
______________________________________ __________ Approved________________

Chair, SARTE Committee Date

Disapproved: _____________

__________________________________________ __________ Approved: ________________

Dean, College of Education and Human Development Date

Disapproved: ______________




APPENDIX E

SPEECH AND HEARING SCREENING FORM
NAME: _______________________ DOB: ________GENDER: _________W#:________

ADDRESS: ____________________CITY/STATE/ZIP: _____________________________

TEL: ( ) _____________________E-MAIL: ____________________________________
HEARING SCREENING: SPEECH SCREENING:

Passed _____ Passed _____

Recheck ____ Recheck _____

Check frequencies missed: Area to be rechecked:

Right Ear Left Ear _____ Voice

500 ____ 500 ___ _____ Articulation

1000 ____ 1000 ___ _____ Fluency

2000 ____ 2000 ___ _____ Other: ___________

4000 ____ 4000 ___
NAME SPEECH AND HEARING SPECIALIST: ______________________________

ADDRESS: _____________________________________________________________

TEL.: __________________________________________________________________ SIGNATURE:________________________DATE:_____________________________
NOTE: If recheck is marked, student will need to make an appointment for a recheck and diagnostic counseling within one month following the original examination. If you are a student on campus, contact the Clinic Director for speech rechecks and the Clinic Audiologist for hearing rechecks at 985-549-2214 to make appointments. If an online student, make an appointment with your speech and hearing specialists.
DIAGNOSTIC COUNSELING:

RECOMMENDATIONS:

___ Passed speech recheck

___ Passed hearing recheck

___ Complete audiological evaluation

___ Complete Speech/Language evaluation

___ Medical referral

___ Dental referral

___ Other: __________________________
COMMENTS:

_____________________________ ___________________________________

FACULTY SIGNATURE/DATE FACULTY SIGNATURE/DATE

_______________________________ (I have been counseled and understand the.

STUDENT SIGNATURE/DATE recommendations as stated above)

Student, please return this form to your MAT 610 professor at the Department of Teaching and Learning, SLU 10879, Hammond, LA 70402 or Fax to 985-549-5009.


APPENDIX F
APPLICATION FOR ADMISSION TO CANDIDACY FOR

THE MASTER OF ARTS IN TEACHING DEGREE (FULL SARTE STATUS)

Name: W number: .


SS number:

Degree: Master of Arts in Teaching Concentration:

Anticipated Graduation Date by: .

D

ate of Coordinators’ Approval of Degree Plan: Praxis I Scores: Reading: . Writing: Math:



P

raxis II -Specialty Area Score

Specialty Area Test:
Date of Regular Admission Status Approval:

C

ommittee: .



Graduate Curriculum (Initial 12 Hours)
Course Grade Hours Cumulative GPA

___________________________________ _____ _____ _____________

___________________________________ _____ _____ _____________

___________________________________ _____ _____ _____________

___________________________________ _____ _____ _____________
Signatures:

__________________________________________________________ __________________________

Student Date

__________________________________________________________ _________________________

Graduate Faculty Advisor Date

__________________________________________________________ _________________________

Graduate Coordinator Date

__________________________________________________________ __________________________



Dean of the Graduate School Date
NOTE: In order to file for admission to candidacy for the master’s degree, the student must have achieved regular admission status, complete 12 hours of graduate degree credit at SLU with a cumulative GPA of at least 3.0, and have a degree plan approved by the graduate coordinator/director or graduate major professor. The application for admission to candidacy for the master’s degree must be completed and signed by the student and by the graduate coordinator/director or graduate major professor and submitted with this form to the Office of the Graduate Dean no later than 15 days after the first day of class of the next semester or term in which the student is enrolled. Shadowed boxes will be completed by the Graduate Coordinator.

APPENDIX G- COURSE DESCRIPTIONS

610. Fundamentals I: Teaching and Learning for General Education. Credit 3 hours. Prerequisite: Provisional SARTE Status. An introduction to General and Special Education. Topics include contemporary issues such as the effective educator, school law, rights and responsibilities, inclusion, standards- based education, educational foundations and philosophies, and best practices including self-assessment. Classroom observations will be required.
615. Fundamentals II: Teaching and Learning for Special Education. Credit 3 hours. Prerequisites: Provisional SARTE Status and MAT 610 or concurrent enrollment. A continuation of Fundamentals I. Topics include instructional design, teaching strategies, IEP, ITP and other individualized plans. Observations and service learning experiences are required.
620. Learning and Behavior Theories in General and Special Education. Credit 3 hours. Prerequisites: Provisional SARTE Status and concurrent enrollment in MAT 610 and MAT 615. Full SARTE status if not taken with 610 and 615. The study and application of learning and behavioral theories including taxonomies of learning, pedagogical principles, child and adolescent development, and teaching and managing diverse populations.


  1. Classroom Management and Organization for Elementary and Special Education. Credit 3 hours. Prerequisites: Full SARTE Status and successful completion of MAT 610 and MAT 611 or MAT 615. The study and application of behavioral and humanistic approaches to classroom management, including information on working in inclusive classrooms. Best practices for classroom organization will also be addressed. Field experience will be required.




  1. Classroom Management and Organization for Secondary Education. Credit 3 hours. Prerequisites: Full SARTE Status and successful completion of MAT 610, MAT 611 or MAT 615 and MAT 620. A detailed investigation of behavioral and humanistic approaches to classroom management and motivation with an emphasis on processes, principles and theories related to changing inappropriate behaviors. This course includes group management, behavior modification, conflict resolution, assertiveness, responsibility training, anti-social behavior and youth at risk, aggression and mistaken goals and preventive discipline techniques. Field experience will be required.


630. Assessment I: General and Special Education. Credit 3 hours.

Prerequisites: Full SARTE Status and successful completion of MAT 610, MAT 611 or MAT 615, and MAT 620. Use of assessment in the modern school program. Topics will include matching objectives to assessment, informal teacher-made tests and performance-based assessment as well as an introduction to case study design, standardized tests, and curriculum-based assessment. Field experience will be required.



631. Assessment II: Elementary and Special Education. Credit 3 hours.

Prerequisites: Full SARTE Status and successful completion of MAT 610, MAT 611 or MAT 615, MAT 620, and MAT 630. Continuation and application of Assessment I. Topics will include reading diagnostics as well as advanced study of case study design, standardized tests, and curriculum-based assessment. Field experience will be required.


636. Assessment II: Secondary Education. Credit 3 hours. Prerequisites: Full SARTE Status and successful completion of MAT 610, MAT 611 or MAT 615, and MAT 630. This course is designed as a continuation and application of the concepts examined in Assessment I. Emphasis will be placed on partnerships with parents and colleagues regarding school and classroom expectations and student progress. Changes that have occurred in practice for student evaluation will be addressed. Field experience will be required.

640. Introduction to Reading and Language Arts for Elementary and Special Education. Credit 3 hours. Prerequisite: Full SARTE Status and successful completion of MAT 610, MAT 611 or MAT 615, and MAT 630. A study of the reading, writing, and language processes as a fundamental aspect of the elementary and special education curriculum.

Special attention will be given to the basic reading skills and strategies needed by mature readers. The latest in theories, methods, and materials will be appraised through study, observations, and demonstrations in classrooms. Field experience will be required.


642. Literacy Instruction for Secondary Education. Credit 3 hours. Prerequisites: Full SARTE Status and successful completion of MAT 610, MAT 611 or MAT 615, and MAT 630. A study of theories and methods for integrating literacy instruction in content area classrooms. Reading assessments and literacy strategies that are designed to increase vocabulary learning and comprehension of expository text are introduced and practiced. Field experience will be required.
650. Integrated Learning Methods: Math, Physical Science, and Information Literacy. Credit 3 hours. Prerequisites: Full SARTE Status and successful completion of MAT 611 or 615, and MAT 630, MAT 611, MAT 630, and MAT 640. Introduction to Reading and Language Arts for Elementary and Special Education. Integrated course in methodology for teaching math, physical sciences, and information literacy to diverse groups of learners in elementary and special education classes. Thematic units will be designed to include integrated content from the three subject areas. Development of literacy competencies for informational text and children’s literature are also integrated into instructional planning, teaching, and assessment. Field experience will be required.


  1. Integrated Learning Methods: Life Sciences, Health and P. E., and Information Literacy. Credit 3 hours. Prerequisites: Full SARTE Status and successful completion of MAT 610, MAT 611 or MAT 615, and MAT 630, and MAT 640. Integrated course in methodology for teaching life sciences, health, and physical education to diverse groups of learners in elementary and special education classes. Thematic units will be designed to include integrated content from the three subject areas. Development of literacy competencies for informational text and children’s literature are also integrated into instructional planning, teaching, and assessment. Field experience will be required.




  1. Integrated Learning Methods: Social Studies, Arts, Music, and Information Literacy. Credit 3 hours. Prerequisites: Full SARTE Status and successful completion of MAT 610, MAT 611 or MAT 615, and MAT 630 and 640. Integrated course in methodology for teaching social studies, arts, music, and information literacy to diverse groups of learners in elementary and special education classes. Thematic units will be designed to include integrated content from the three subject areas. Development of literacy competencies for informational text and children’s literature are also integrated into instructional planning, teaching, and assessment. Field experience will be required.


660. Specialty Area Learning Methods I: Secondary Education. Credit 3 hours.

Prerequisites: Full SARTE Status and successful completion of MAT 610, MAT 611 or MAT 615, MAT 630. Consideration of methods and materials in the student’s major content teaching field. The course includes field experience in secondary levels.


661. Specialty Area Learning Methods II: Secondary Education. Credit 3 hours. Prerequisites: Full SARTE Status and successful completion of MAT 610, MAT 611 or MAT 615, MAT 630, MAT 660. A continuation of the consideration of methods and materials in the student’s major content teaching field. The course includes field experience in secondary levels.
670. Research Design for General and Special Education. Credit 3 hours.

Prerequisite: Full SARTE Status and successful completion of MAT 610, MAT 611 or MAT 615, MAT 630, and 640. Principles and procedures for exploring, analyzing, and studying educational problems. Qualitative, quantitative, and single-subject research design methods will be examined in relation to their application for improving education for students in elementary and special education classes. Survey of significant research studies and application of research principles within action research in the classroom will be implemented. Field experience will be required.


681. Student Teaching in Elementary and Special Education.

Credit 6 hours. Prerequisites: See Requirements for Student Teaching section for the MAT degree program. All day all semester student teaching experiences, including observation, participation, and a minimum of 180 actual clock hours of teaching under the supervision of the assigned cooperating school teacher. Students may not student teach outside the service region of Southeastern Louisiana University. Available on a pass/fail basis only.



683. Internship in Elementary and Mild/Moderate Special Education. Credit 3 hours. Prerequisites: See Requirements for Internship section for the MAT degree program. To be repeated for two consecutive semesters for a total of six hours. An internship designed to meet the requirements for the Master of Arts in Teaching degree program. Students will enroll in this course for both semesters of the internship year. Approval of the Director of Performance Assessment is required. Available on a pass/fail basis only.     
686. Student Teaching in the Secondary Classroom. Credit 6 hours. Prerequisites: See Requirements for Student Teaching section for the MAT degree program. All day all semester student teaching experiences, including observation, participation, and a minimum of 180 actual clock hours of teaching under the supervision of the assigned cooperating school teacher. Students may not student teach outside the service region of Southeastern Louisiana University. Available on a pass/fail basis only.     
687. Internship in Secondary Education. Credit 6 hours. Prerequisites: See Requirements for Student Teaching section for the MAT degree program. To be repeated for two consecutive semesters for a total of six hours. An internship designed to meet the requirements for the Master of Arts in Teaching degree program. Students will enroll in this course for both semesters of the internship year. Approval of the Director of Performance Assessment is required. Available on a pass/fail basis only.

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