Educational Leadership Application

EDUCATIONAL LEADERSHIP
CERTIFICATION PROGRAM ONLY –APPLICATION FOR ADMISSION
Admission Requirements
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Hold a specialist or doctorate degree
Be employed in a leadership role as defined by the local system
Submit the EDL Certification Only Application Form
Submit Letter of Recommendation from local school principal or district
Have at least three years of teaching experience
Options:
A. Hold the EDS or Doctorate in School Leadership
B. Hold the EDS or Doctorate in other fields.
Cohort Information
Location for 2014
Forsyth Campus
300 Aquatic Circle, Cumming, GA
30040- Usually Monday or
Wednesday evenings 5:30-9:00
Start Date
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May/June 2014 with Prerequisite Requirement
August without Pre-requisite
Requirement
Deadline to Apply
May 19, 2014
June 15, 2014
Important Cohort Notes
The Educational Leadership Add-on Certification Program (PL-6) is a Professional Learning Unit (PLU)
program that will lead to Performance Leadership -L6- Certification. The total program cost is as follows:
Option A: EDL Certification Program-EDS or Doctorate in School Leadership
• One required course (5 PLU) and a four semester internship(12 PLU) =$2,550
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Additionally, a $50.00 non-refundable application fee is required.
Cohort payment is due by the first day of class each semester
No government financial aid can be requested for this program
Option B: EDL Certification Program-EDS or Doctorate in Other Fields
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Pre-requisite requirement (two courses) plus four required courses and a four semester
internship=$6,300
Four required courses and a four semester internship =$4,800
Additionally, a $50.00 non-refundable application fee is required.
Cohort payment is due by the first day of class each semester
No government financial aid can be requested for this program
Upon completion of the EDL Certification Program you will receive PLU Credits from UNG School of
Education. Documentation of the completed PLUs will need to be submitted, along with the Professional
Standards Commission Certification Application, to the Certification Official at the University of North
Georgia. The recommendation form will be completed by the Certification Official and forwarded to the
Georgia Professional Standards Commission for certification. During your last semester of the program,
you will be given information regarding completing the certification process.
EDUCATIONAL LEADERSHIP ADD-ON
CERTIFICATION PROGRAM APPLICATION
Admission Information
1.
Last Name
4.
First Name
7.
Permanent Mailing Address
11. County
5.
Middle Name
12. Phone
2.
Birth Date
3.
6.
Other names previously used
8.
City
9.
Social Security Number
State
10. Zip
13. E-mail Address
Home (_______)______________
Work (_______)______________
14. Sex (optional)
□ Male
□ Female
15. Marital Status (optional)
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□
□
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□ American Indian/Alaskan Native
□ Asian or Pacific Islander
□ White (Non-Hispanic Origin)
□ Black
□ Hispanic
□ Multi-Racial
Married
Single
Divorced
Widowed
17. Citizenship Status
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16. Ethnic Origin (optional)
U.S. Citizen by birth
Naturalized U.S. Citizen
18. Residency Status
Legal Resident of Georgia?
Non-Resident Alien –Visa type__________(submit copy)
□ Yes
Resident Alien (Submit copy of documentation)
Country of Citizenship (if not USA) _________________
□ No
Since ________/_______
Mo.
Yr.
__________________
County of Residence
Please attach explanation.
19. In case of emergency notify:
Name/Phone/Relationship
20. Have you ever been suspended or expelled from a college or university for
disciplinary reason?
□ No □ Yes If yes, please attach explanation.
21. Have you ever been convicted of a felony?
□ No □ Yes If yes, please attach explanation.
Educational Information
Please list all colleges and universities attended. One official transcript from the institution (except UNG) where a graduate degree was
earned must be submitted.
Institution
City/State
Degree/Major
Graduation Date
Month
Year
Leadership & Teaching Certification Information
Teaching Certificate:
Level
_________________________________
Leadership Certificate Number: ____________________________
Level__________________________________________
Years Leadership Experience_________ Position:
_______________
Expiration Date _________________________________
Years Teaching
Experience_______________
(3 Required)
Expiration Date
________________________
I certify that the information provided on this application is true and correct to the best of my knowledge.
Signature of Applicant
________________________________________
Options: Which program are you applying for?:
A. Hold the EDS or Doctorate in School Leadership-- B. Hold the EDS or Doctorate in other fields.
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APPLICATION CHECKLIST
Read and complete your application.
Send a copy of your transcript(s) with this application and request an official copy. Official transcripts
are required.
Enclose your letter of recommendation or have your Principal mail it directly to the address noted below.
Enclose the $50.00 non-refundable application fee.
Make Checks Payable to: Pioneer RESA
Send your completed application packet to:
College of Education-EDL Certification Program
ATT: Ms. Lori Brooksher/Dr.India Podsen
University of North Georgia
82 College Circle
Dahlonega, GA 30597
EDUCATIONAL LEADERSHIP (PL-6 )
ADD-ON CERTIFICATION PROGRAM ONLY –
University of North Georgia
PLAN OF STUDY –Professional Learning Units (17)
One Required Course in red
and Internship in blue )
0PTION A:
PL-6 ADD-ON CERTIFICATION PROGRAM ONLY
WITH ED.S/DOCTORATE IN SCHOOL LEADERSHIP
PLAN OF STUDY-(17 PLU))
COURSE
NUMBER
EDL 7101
COURSE TITLE
PLU)
Date
SCHOOL LEADERSHIP INTERNSHIP-: BUILDING or DISTRICT
LEVEL –Developing and Designing the Internship
3
FALL
EDL 7102
SCHOOL LEADERSHIP INTERNSHIP: BUILDING or DISTRICT LEVEL
3
SPRING
EDL 7103
SCHOOL LEADERSHIP INTERNSHIP: BUILDING or DISTRICT LEVEL
3
SU
EDL 7008
*SPECIAL EDUCATION:
5
FALL
3
FALL
EDL 7104
ORGANIZATIONAL OVERSIGHT AND
STAFF DEVELOPMENTSCHOOL LEADERSHIP INTERNSHIP: BUILDING or DISTRICT
LEVEL- Final Folio Due
PASS GACE TEST
17 PLU
EDUCATIONAL LEADERSHIP (PL-6 )
ADD-ON CERTIFICATION PROGRAM ONLY – University of North Georgia
Option B
PLAN OF STUDY –Professional Learning Units ( 32 or 42)
Four Required Courses in red with two transfer courses
(6 hours in black) and Internship in blue )
Pre-Service Educational Leadership Requirement
Prior to enrolling in required coursework, a candidate must meet the Georgia PSC pre-service requirement for
performance-based leadership preparation by:
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holding a clear/renewable Leadership (L) certificate at the master’s level or higher, OR
holding a master's/specialist degree in Educational/Teacher Leadership, OR
completing TCHL 7008 (Ethical and Legal Implications for Leadership) and TCHL7002, (Developing
Leadership Capacity in Schools and Communities). Topics addressed in these courses include school law and
ethics, organizational leadership, teaching and learning, and using data for school improvement.
COURSE NUMBER
TCHL 7002
COURSE TITLE
Pre-Req-Building Leadership Capacity in Schools-ONLINE
PLU
5
SU
TCHL 7008
Pre-Req- Exploring Professional Roles: Ethical and Legal ImplicationsONLINE
5
SU
EDL 7002
MANAGING HUMAN RESOURCES: MONITORING TEACHER QUALITY
& SCHOOL EFFECTIVENESS
5
FALL
EDL 7101
SCHOOL LEADERSHIP INTERNSHIP-: BUILDING or DISTRICT LEVEL –
Developing and Designing the Internship
3
FALL
EDL 7003
MANAGING THE ORGANIZATION: BUSINESS & RESOURCE
ADMINISTRATION
5
SPRING
EDL 7102
SCHOOL LEADERSHIP INTERNSHIP: BUILDING or DISTRICT LEVEL
3
SPRING
EDL 7006
LEADING & EVALUATING CHANGE: SCHOOL & DISTRICT LEVEL
INITIATIVES
5
SU
EDL 7103
SCHOOL LEADERSHIP INTERNSHIP: BUILDING or DISTRICT LEVEL
3
SU
EDL 7008
SPECIAL EDUCATION: ORGANIZATIONAL OVERSIGHT AND STAFF
DEVELOPMENT
5
FALL
EDL 7104
SCHOOL LEADERSHIP INTERNSHIP: BUILDING or DISTRICT LEVELFinal Folio Due
3
FALL
PASS GACE
32/42 PLU
Date

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