Master of Education (M.Ed.)

First Name:
Middle Name:
Last Name:
Preferred Name:
Former Name[s]:
Street Address:

Phone Number:
E-mail Address:
This application is for: Summer    Year:  
Will you be applying for federal financial assistance? Yes No
How did you hear about this program?
Note: This information is not used in the admissions decision, but for reporting purposes
Marital Status: Gender: Male Female  
U.S. Citezen or Legal Resident: Yes No - If No, Country of Citizenship
Military Service:
Date of Birth:
Religious Preference:
Place of Employment:
Will you be in need of any accomodations for classes or testing due to physical, psychological or learning disability? Yes No
If yes, please explain:
Ethnicity: Non-Hispanic-Latino Hispanic-Latino
Applicants must possess a current teaching certificate, must be under contract with a school or district, and must have at least taught for one year. In the space provided below, please indicate the school and district in which you work, the grade level/subject matter you teach, years of experience, and the name of your principal or building supervisor. If you have taught in multiple districts, also include the other districts in which you have worked. (Most recent first)
Name of School District Grade/Subject Years Principal
Applicants must possess a baccalaureate degree in education, or equivalent, from a regionally accredited college or university and have a maintained a 2.75 overall GPA with a 3.0 GPA in final two years of study. Indicate all institutions of higher education that you have attended and the degrees earned, with the most recent listed first.
College/University Major(s) Minors Years Attended Degrees Earned
Mount Marty College's Master of Education program is predicated on working around the inservice teacher's schedule. To the extent, our summer semester programming is hybridized: courses are offered face-to-face with some online work complementing the classroom work. The summer is comprised of three courses that are three weeks long per course. Classes will meet one day per week for roughly 8 hours per day and the remainder of the week's work will occur online. To accommodate schedules, we would like applicant's to rank order which days you think would best meet your summer and educational needs. The days to choose from are Tuesday, Wednesday, Thursday and Saturday.
   June Semester
   June-July Semester
   July-August Semester
I realize this application becomes a part of my permanent record at Mount Marty College. Having completed this application to the best of my ability, I hereby request admission to Mount Marty College. By submitting this application, you are confirming that the information contained on this application is correct, complete, and honestly represented.

Mount Marty College specifically prohibits discrimination in its policies and practices against any individual for reason of race, color, creed, age, national or ethnic origin, handicap, disability or gender.

Send Required Materials To:   Mount Marty College
 Admissions Office
 1105 W 8th Street
 Yankton, South Dakota 57078

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