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POST-BACCALAUREATE CANDIDATE APPLICATION
SPECIAL EDUCATION ADDED ENDORSEMENT


Please refer to the Online Academic Calendar for session start dates.
The deadline for application and supporting materials is two weeks before each session start.











 Zip:


 (123-45-6789)




Undergraduate Education Information (most recent first):


Please contact these colleges and have transcripts sent to Sterling College Online, 125 W. Cooper, Sterling, KS 67579.
# College Name Major Graduation Date
(mm/dd/yyyy)
GPA
College 1
College 2
College 3
Please check the box if you have attended more than three colleges.

Do you hold a current K-6 elementary education license?

No
Yes

License Information:

States where
Licensed (all)
Expiration Date
mm/dd/yyyy
Endorsement Area Level of Endorsement




REFERENCES: Please list individuals who are familiar with your academic or employment background or your skills in working with chidlren or handicapped individuals

Name Relationship Address City, State, Zip Phone


Sterling College and ACCK are committed to providing reasonable accommodations as described in the Americans with Disabilities Act. If you have a disability that would affect your ability to complete this program, what accommodations would you require?



Teaching or paid work experience in school or with young children:



Why are you interested in going into special education?



a. Have you ever been convicted of a felony?

No
Yes (If yes, please email a copy of the court documents regarding conviction. Email: online@sterling.edu)

b. Have you ever been convicted of ANY crime involving dishonesty, drugs, or a child?

No
Yes (If yes, please email a copy of the court documents regarding conviction. Email: online@sterling.edu)

c. Have you entered into a criminal diversion agreement after being charged with any offense described in question a or b?

No
Yes (If yes, please email a copy of the diversion agreement. Email: online@sterling.edu)

d. Are criminal charges pending against you in any state involving any of the offenses described in question a or b?

No
Yes (If yes, please email a copy of the court documents regarding your case.)

e. Have you ever had a license denied, suspended, or revoked, in any state?

No
Yes (If yes, please choose the action taken: denied, suspended or revoked. Which state(s)? )

      
      
      



The following items ask for your voluntary responses. The information will be kept confidential and will not be used in any way to evaluate your application for admission to this program.




Disability:



By clicking the submit button, this application is considered signed and you adhere to the following terms:

I certify that the information on this application is true and complete to the best of my knowledge. Furthermore, I understand the following requirements must be completed for acceptance to the Sterling Teacher Education Program (STEP) to add a special education endorsement to my license:

  1. I must submit the final official transcript from my undergraduate degree showing a minimum overall GPA of 2.5.
  2. I must provide evidence of a current, Kansas teaching license.
  3. I must maintain a 2.5 GPA in the ACCK special education courses.

Check this box if you agree with the Terms of Application.

(*Indicates a required field)



     Sterling College does not sell or share your information.