Mailing Address ___________________City__________________Zip Code________Phone____________
                                                                       
Permanent Address _________________City__________________Zip Code________Phone____________
                                                        
Major ________ Date of Grad.__________  Degree: (BA__or__BS) Institution _______________________ 

Deadlines:  Application deadline for the Fall semester credential program is February 1st.  Application deadline for the Spring semester is October 1st.   It is important for you retain copies of the application for your personal file.  Incomplete applications will not be considered for review.

___1.  GPA - Overall Comulative______ Include the last semester completed.

___.2. NTE or PRAXIS/MSAT; or NTE or PRAXIS/MSAT waiver program (not  applicable to Liberal Studies Major, Emphasis in Education, Foreign Language  Specialization)

 a) NTE scores attached_______Date NTE passed_______Number of times NTE taken_____OR
 b) PRAXIS/MSAT scores attached Date PRAXIS/MSAT passed
      Number of times PRAXIS/MSAT taken
 c) NTE/PRAXIS/MSAT waiver program form attached___Name of Institution___________

___3.  CALIFORNIA BASIC EDUCATION SKILLS TEST (CBEST) {please complete}
 a) Scores attached ________________ d) Scores: Writ___Read___Math___
 b) Date CBEST passed ______________ e) Will take CBEST on______________
 c) Number of times CBEST taken_______

___4.  LANGUAGE PROFICIENCY & CULTURAL AWARENESS TEST {please complete}
 a) Scores attached  (write your scores in the space provided below)
 b) Sections passed:  Oral___Prof. Vocab_____Gram_____Reading___Obj___C.Incident___
 c) Will take Spanish test on ___________

___5.  Indicate your status in the following prerequisite courses and highlight courses in your transcripts. - Attention: Courses with C- letter grades can be petitioned.  Courses below C- grades are not acceptable. 

	IN PROGRESS	COMPLETED	WHEN	NSTITUTION	COURSE NO.
___LI 420 or_____LI520	.	.	.	.	.
___LI 452	.	.	.	.	.
___LI550	.	.	.	.	.
___ED451	.	.	.	.	.
___PLC 515	.	.	.	.	.
___MATH 210	.	.	.	.	.
___ART100,101,     ___or DRAMA 105,                  ___or MUSIC 102	.	.	.	.	.
___ENS241A&B	.	.	.	.	.

 ___6. Negative TB test verification - TB test taken on:__________

___7. Official transcripts from all colleges/universities

___8. U.S. Constitution for non CSU students.  Satisfy by:_____College level courses (American Institution) 
      ____U.S.Constitution examination.  Please highlight U.S. Constitution in your  transcripts

___9. Appl. for Student Teaching, Autobiography Goals and philosophy, - 1st and 2nd semester

___10. Verification of 60 hours of prior experience with children (K-8 classroom)

___11. Letters of Recommendation (use Recommendation form included in the packet)

___12. Copy of Certificate of Clearance: Obtained___not obtained___but applied for on ______
      Receipt #________attached.  You can obtain the Certificate of Clearance packet from any college or         or university that has a credential program.

___13. Waiver statement from the Credentials Office of the Univ. where the waiver program was completed.

APPLICATION MATERIALS: Applicants should complete application procedures for acceptance to SDSU and the Policy Studies Department the semester prior to beginning the credential program.  If applicant is going to graduate from SDSU prior to enrolling in the bilingual credential program, student must reapply as a post-graduate student to the University.  If you are requesting a course to be waived, submit a waiver petition (included in your application packet.

Please verify by your signature below that you have read and understand the following:
 
IT IS MY UNDERSTANDING THAT NO ACTION WILL BE TAKEN ON MY ADMISSION TO THE CREDENTIAL PROGRAM UNTIL ALL APPLICATION MATERIALS ARE COMPLETED. I ALSO UNDERSTAND THAT MATERIALS WHICH I HAVE FURNISHED TO THE POLICY STUDIES DEPARTMENT CANNOT BE RETURNED NOR COPIES FURNISHED TO ME. (Please retain copies for your personal file).