PRELIMINARY APPLICATION - Queens University of Charlotte

Completed application due in Jernigan 102 Due in Fall on 9/15 and in Spring on 2/15
CATO SCHOOL OF EDUCATION PRELIMINARY APPLICATION
Queens University of Charlotte
Teacher Education Program (TEP)
This is a preliminary application for students who intend to work toward a teaching license. All students
must apply to the Wayland H. Cato, Jr., School of Education for admission to the teacher licensure program.
To be officially admitted, a student must have:
• positive recommendations by two Queens faculty members;
• a completed self-assessment;
• an overall grade point average of 2.500 after two semesters or four classes at Queens University;
• satisfactory scores on the mathematics, reading and writing components of the (PPST or CBT)
Praxis I Test or comparable SAT or ACT scores; and
• approval of the Teacher Education Committee.
A Pre-Elementary student may not take more than six of their professional education (EDUC) courses
before being officially admitted to the Teacher Education Program. Any Secondary Education
student can only take two EDUC courses before getting admitted in to the TEP. Your completion of this
preliminary application does not automatically qualify you for student teaching. A formal application for
student teaching must be completed the semester prior to student teaching.
Date: ______________
Queens ID: ______________________
Name: _________________________________________________________________________________
First MI Last
Address: _______________________________________________________________________________
Telephone: ________________________________
Major(s): __________________________________
E-Mail Address: ____________________________
Advisor: __________________________________
Cumulative Hours: (check) __ Sophomore __ Junior __ Senior __ Non-Degree
Licensure Pursuit: (check)
____ Elementary (K-6) Special Subjects: ___French (K-12) or ___Spanish (K-12)
____ Secondary English ( 9-12), ____Mathematics ( 9-12), ___Biology (9-12),
____ History (9-12), ____ Social Studies (9-12)
Are you a NC Teaching Fellows? ________ yes ________no
What year do you plan to student teach? Semester and Year: _____________________________________
List the two instructors at Queens, preferably full-time, who know you best:
______________________________________________________________________________________
______________________________________________________________________________________
(Please give the attached recommendation forms directly to these faculty members.)
IMPORTANT: Please describe your interest in education and reasons for wanting to become a teacher.
(Please type one-page statement on a separate page)
The above information is, to the best of my knowledge, accurate and truthful.
Signature _______________________________________ Date _________________________
Revised 7/22/10

Completed application due in Jernigan 102 Due in Fall on 9/15 and in Spring on 2/15
WAYLAND H. CATO, JR., SCHOOL OF EDUCATION
STUDENT RATING FORM FOR TEACHER EDUCATION
TO: ________________________________________________________
(Faculty Member)
The student named below has submitted a preliminary application for the teacher education program at Queens and has listed your
name as an instructor who knows her/him best. Will you please complete this recommendation form in her/his behalf?
This information is important in considering the applicant for admission to the teacher education program at a later date. Some of
the criteria include emotional stability, moral and ethical fitness, general intelligence, professional interest and motivation,
and interest in working with children.
Name of Student: ________________________________________________________
Proposed Major(s): _____________________________ Date: ___________________
Check one to show your general recommendation:
_____ Very promising
_____ Appears to be acceptable
_____ Should be discouraged
Comments or general recommendation: (Use back of sheet if necessary.)
Please return as soon as possible to Marianne Boglovits – Wayland H. Cato, Jr., School of Education – Jernigan – Room 102.
_____________________
Date
__________________________________________
Signature
Revised 7/22/10

Completed application due in Jernigan 102 Due in Fall on 9/15 and in Spring on 2/15
WAYLAND H. CATO, JR., SCHOOL OF EDUCATION
STUDENT RATING FORM FOR TEACHER EDUCATION
TO: ________________________________________________________
(Faculty Member)
The student named below has submitted a preliminary application for the teacher education program at Queens and has listed your
name as an instructor who knows her/him best. Will you please complete this recommendation form in her/his behalf?
This information is important in considering the applicant for admission to the teacher education program at a later date. Some of
the criteria include emotional stability, moral and ethical fitness, general intelligence, professional interest and motivation,
and interest in working with children.
Name of Student: ________________________________________________________
Proposed Major(s): _____________________________ Date: ___________________
Check one to show your general recommendation:
_____ Very promising
_____ Appears to be acceptable
_____ Should be discouraged
Comments or general recommendation: (Use back of sheet if necessary.)
Please return as soon as possible to Marianne Boglovits – Wayland H. Cato, Jr., School of Education – Jernigan – Room 102.
_____________________
Date
__________________________________________
Signature
Revised 7/22/10

Completed application due in Jernigan 102 Due in Fall on 9/15 and in Spring on 2/15
STUDENT NAME __________________________ DATE _____________________
Queens University of Charlotte
Wayland H. Cato, Jr., School of Education
Student Self Assessment for Admission to Teacher Education Program
Queens University of Charlotte has identified the crucial role of the teacher as that of an independent learner. It is critical that
teachers keep abreast of current knowledge and skills in their field of study. Their task is to be a model of a learned/learning
person for students and through role modeling and instruction to give students the tools that enable them to become independent
learners themselves.
At the admission stage, students must demonstrate an awareness of these dispositions; therefore, students seeking admission to the
program must complete the following disposition checklist as a self-assessment.
If an assessment cannot be made for any area, please indicate with “NA”. On a 4 – 1 scale; with 4 representing outstanding, 3
satisfactory, 2 marginal, and 1 unacceptable; please place a check in the appropriate rating in each of the following:
Candidate Disposition(s)
1. The candidate is
flexible—solves problems
critically and logically;
demonstrates creativity in
dealing with practical,
ethical, and theoretical
processes.
4 -
Outstanding
3 –
Satisfactory
2 –
Marginal
1 -
Unacceptable
NA
2. The candidate asks
questions of self and
others.
3. The candidate explores
and tries new alternatives.
4. The candidate draws on
an increasing repertoire of
strategies to solve
problems.
5. The candidate
challenges philosophy
and practices.
Revised 7/22/10

Completed application due in Jernigan 102 Due in Fall on 9/15 and in Spring on 2/15
Candidate Disposition(s)
6. The candidate questions
content for accuracy.
4 -
Outstanding
3 –
Satisfactory
2 –
Marginal
1 -
Unacceptable
NA
7. The candidate values
multiple perspectives.
8. The candidate is open to
alternative views/new ideas.
9. The candidate, as an
independent learner, has a
high level of curiosity and is
intrinsically motivated.
10. The candidate, as an
independent learner, reflects
on their needs, set personal
goals, and develops an
action plan to attain the
goals.
11. The candidate, as an
independent learner,
practices problem solving,
critical thinking and inquiry
skills to identify and locate
resources needed to achieve
the goal; and evaluates the
degree to which the goal is
achieved.
12. The candidate
demonstrates compassion,
empathy with students and
colleagues.
13. The candidate is willing
to accept criticism because
of desire to grow, holds self
accountable, and is
committed to ongoing
personal/professional
growth.
Revised 7/22/10

Candidate Disposition(s)
14. The candidate
demonstrates personal
characteristics of the
following:
Completed application due in Jernigan 102 Due in Fall on 9/15 and in Spring on 2/15
4 -
3 –
2 – 1 - Unacceptable
Outstanding Satisfactory Marginal
NA
Fairness
Goal oriented
Organized
Punctual
Accountable
Dresses appropriately in
professional situations
Polite, courteous
Motivated
Reflective
Leadership qualities
Accepting of others whom
are different then themselves
Additional Comments/Concerns:
Last Updated: July 22, 2010
Revised 7/22/10