Undergraduate Teacher Application

Applicant Name

*Must match name on file at ECSU

First Name

Middle Name

Last Name

Demographics and Contact

ECSU Student ID Number

Eastern Email Address

Birthdate

Gender

Race

Hispanic

Yes

No

US Veteran Status

None

Currently Serving

Previously Served

Current Dependent

Current Contact Telephone Number

Telephone Number Type

Mailing Address - Please enter an address that you will also use when registering for any teacher certification tests

Country

Street

City

Region

Postal Code

Application Details

This is my first CARE Application?

Yes

No

Which Teacher Certification Program Are You Applying To?

App Term

Prerequisite Course Information

Please provide prerequisite course information for the undergraduate certification program to which you are applying. These prerequisite courses will need to be completed prior to beginning CORE 1 of your certification track.

Have you completed ECE 215—Foundations of Early Childhood Education

Have you completed PSY 206—Psychology of Childhood

Have you completed EDU 200—Child and Adolescent Development and Exceptionalities

Have you completed EDU 210—Foundations of US Education OR EDU 357—International Cross-Cultural Education OR EDU 457—Global Field Experience

Have you completed EDU 200—Child and Adolescent Development and Exceptionalities

Have you completed EDU 210—Foundations of US Education OR EDU 357—International Cross-Cultural Educatio

Additional Higher Education Information

Major (other than Education)

My overall GPA meets or exceeds the minimum 2.70 CARE standard necessary for admission.

Yes

No

List all colleges and universities you have attended (Eastern included) as well as semester and year of original enrollment. List any previously acquired degrees of higher education, if applicable, including your major, the date your degree was attained, and your overall GPA.

College 1

Level of Study

Year of Original Enrollment

Semester of Original Enrollment

Did you attain a degree from this College/University?

Yes

No

Major

Degree Attained

Date Degree Attained

Overall GPA

College 2

Level of Study

Year of Original Enrollment

Semester of Original Enrollment

Did you attain a degree from this College/University?

Yes

No

Major

Degree Attained

Date Degree Attained

Overall GPA

College 3

Level of Study

Year of Original Enrollment

Semester of Original Enrollment

Did you attain a degree from this College/University?

Yes

No

Major

Degree Attained

Date Degree Attained

Overall GPA

College 4

Level of Study

Year of Original Enrollment

Semester of Original Enrollment

Did you attain a degree from this College/University?

Yes

No

Major

Degree Attained

Date Degree Attained

Overall GPA

College 5

Level of Study

Year of Original Enrollment

Semester of Original Enrollment

Did you attain a degree from this College/University?

Yes

No

Major

Degree Attained

Date Degree Attained

Overall GPA

For Applicants Transferring From Another Connecticut State University or Community College

I am transferring with an Associates Degree from one of the CT State Colleges and Universities.

Yes

No

I have successfully completed an Associates Degree in Early Childhood at a CT State Community College

Yes

No

Additional Notes

Please indicate below if there are any special circumstances or issues you wish to draw to the attention of the Committee on Admission and Retention in Education

Acknowledgements

As an applicant you will need to respond to the following questions and provide relevant documentation for any “Yes” responses to the Connecticut State Department of Education.

Have you ever been convicted of any crime, excluding minor traffic violations?

Yes

No

Please explain:

Have you ever been dismissed for cause from any position?

Yes

No

Please explain:

Have you ever surrendered a professional certificate, license, permit, or other credential (including, but not limited to an education credential); had one revoked, suspended, annulled, invalidated, rejected or denied for cause; or been the subject of any other adverse or disciplinary credential action?

Yes

No

Please explain:

Students with Disabilities

In order to be certified in the State of Connecticut, all teachers must demonstrate mastery of the Connecticut Teaching Competencies. The Education Department at Eastern Connecticut State University (ECSU) does not discriminate against students with disabilities.

Eastern Connecticut State University is committed to following the requirements of the Americans with Disabilities Act and Section 504 of the Rehabilitation Act. If you are at

student with a disability (or think you may have a disability), and require adaptations or accommodations, or assistance evacuating a building in the case of an emergency, please contact the Office of AccessAbility Services (OAS) at 860-465-0189 to discuss your request further. Any student registered with the OAS should contact course instructors as soon as possible for assistance with classroom accommodations. Please note that accommodations are not retroactive, and must be communicated through a Letter of Accommodation which is drafted by the OAS.

Please type your name to acknowledge the statement on students with disabilities.

Program Policies and Requirements

Please check to indicate that you have read and understood the following:

I have received a copy of the Education Unit’s CARE Policies and understand that it is my responsibility to read and adhere to the policies and procedures. I understand my responsibility to adhere to the course sequence as indicated.

Yes

I understand that I must meet all pre-education requirements before applying to CARE

Yes

I understand that I must maintain a cumulative GPA of 3.0 or better throughout my program of study

Yes

I understand that I must meet all state clearances and application requirements before beginning Student Teaching

Yes

I understand that I must meet the academic standards of the Education Unit for program completion

Yes

I understand that as a graduate of the Education Unit, I am expected to participate in alumni surveys.

Yes

I have access to the Connecticut Code of Professional Responsibility for Educators

Yes

Access to Student Teaching Handbook

Please affirm that you have access to Eastern’s Student Teaching Handbook.

I have been provided access to the Student Teaching Handbook and understand the policies therein. Please type your name to acknowledge.

Final Acknowledgement

By Signing and dating below, you attest that you have read and understand the information provided on this page and answered truthfully to the best of your knowledge.

Click to Sign...

CARE Application Supporting Documents

The following documents will be required for final admission to a teacher preperation program and can be uploaded in your status portal after submitting this application:

One of the following score reports required for program admission: SATs OR ACTs OR Praxis CORE
Unofficial ECSU Transcript
Unofficial Transcripts From Other Colleges and Universities Attended
Service Hours Form
Recommendation Forms

I am ready to upload SATs OR ACTs OR Praxis CORE now.

Yes

No

One of the following score reports required for program admission: SATs OR ACTs OR Praxis CORE

I am ready to upload my Unofficial ECSU Transcript now.

Yes

No

Unofficial ECSU Transcript

I am ready to upload Unofficial Transcripts From Other Colleges and Universities Attended

Yes

No

Unofficial Transcripts From Other Colleges and Universities Attended

I am ready to upload the service hours form now. Link to form here

Yes

No

Service Hours Form

Three recommendations are required for your application. Once you have submitted this application you will be provided with a link where you can add contact information for your three recommenders. Your application will not be considered complete until we receive completed recommendation forms from your three recommenders, so please follow up with your recommenders to ensure that they have completed their recommendations on your behalf.

15. CARE Interview Requirement

Before submitting this CARE application, you will need to sign up for a CARE Admissions Interview, which is the final step in the admissions process: (Sign-Up Genius link for CARE interviews). If you do not complete a CARE interview following the submission of you application, the CARE Committee will not be able to review your application for admission.