Current Student Graduate Certificate Application

Student Details

Are you a current KU graduate student?

Yes

This application is available for current KU graduate students only. Please submit a full application for admission instead.

KU Student ID Number

First Name

Preferred First Name

Last Name

Email Address

Phone Number

The University of Kansas has an affirmative action program and is an equal opportunity institution. In order to comply with federal government regulations under Title VI of the Civil Rights Act, Title IX of the Education Amendments, the University seeks disclosure of information from applicants for reporting purposes only. Birth date information will be used for identification purposes when there is duplication of students' names. This information will not affect decisions on admission, assistantships, or awards.

Birthdate

Sex

Mailing Address

Country

Street

City

Region

Postal Code

Permanent Address

Country

Street

City

Region

Postal Code

Are you a United States Citizen?

Yes

HIDDEN: US Citizen

Are you approved for or pending U.S. permanent residence, refugee status, or political asylum (not typical for students on F-1 status)?

Yes

Country of Citizenship

Current Visa Type

Other Visa Type

Other Visa

Please upload proof of approved/pending permanent residence, refugee status, or asylum. *

Are you a current resident of the state of Kansas? *

Yes

Have you ever lived in the state of Kansas? *

Yes

Beginning Date of Residency *

End Date of Residency *

Last year, did anyone claim you as a dependent for income tax purposes? *

Yes

Claimant First Name *

Claimant Last Name *

Claimant Relationship to You *

Claimant City of Residence *

Requested Enrollment Term

Current KU Graduate Department

HIDDEN: Level

HIDDEN: Round

HIDDEN: Round Always Create

HIDDEN: Generate PIN

HIDDEN: Submitted

Are you applying to a fully online program?

Yes

At which location do you intended to take the majority of your coursework?

Academic Area of Interest

Certificate Program of Interest

Certificate Subplan

Licensure Information

Do you hold a general/initial education teaching license/certification?

Yes

What age/grade level?

What subject area, if appropriate?

What state?

Is this license conditional in any way?

Yes

Please explain.

Are you currently licensed/certified/endorsed to teach special education?

Yes

What age/grade level?

What area of exceptionality, if appropriate?

What state?

Will you have, or you have, or can you set up access to students with Autism Spectrum Disorder? This will be required for a one credit observation course as part of your certificate program.

Yes

Applicant Acknowledgement and Agreement

I confirm that I understand that this program WILL NOT lead to any initial teacher licensure/certification or endorsement for the state of KS. State-by-state requirements vary and it is my responsibility to verify with my employer and/or home state department of education as to whether this program will meet my needs/requirements.

I understand

Please read the following information.

The licensure-only route in the School of Education at KU is designed for individuals who have completed a master’s and/or doctorate in education related fields and are now considering being licensed as a building level administrator. The approved program consists of a minimum of 24 credit hours in building level leadership courses that fulfill Kansas state standards and prepare the student for the building level certification examination states require for licensure. These are integrated courses with hands-on/case study experiences that meld theory and practice together.

To be admitted, you must have:

A current teaching license (with 3-5 of years' experience in schools)
Currently hold a master's or above degree from an accredited program in an education field of study

By selecting "I agree" below, I am acknowledging that I have read and understand the licensure statement above.

Please read the following information.

To be admitted, you must have:

A current teaching license (with 3-5 of years' experience in schools)
Currently hold a master's or above degree from an accredited program in an education field of study

By selecting "I agree" below, I am acknowledging that I have read and understand the licensure statement above.

I understand and agree to the above statements.

The Department of Special Education (SPED) online programs are comprised of rigorous eight week courses. A majority of the work is completed asynchronously, meaning that it does not happen “live.” Courses are eight weeks long (2 courses per a typical semester) and typically contain multiple milestones throughout the course. Students are expected to follow the course modules in order, submit assignments on time, and participate in online discussions with classmates. Potential students must ensure that they are prepared to be successful by indicating their agreement with the following statements:

It is my responsibility to meet all course expectations.
My online coursework will require approximately 15- 20 hours of undivided attention per week (including readings, online discussions, individual projects, etc.)
My online program will require consistent access to high speed internet services (basic broadband- 1Mbps) and a personal computer that features Office 2016 or equivalent.
I will not depend on a tablet or mobile device (i.e., smartphone) as my primary computer or primary means of accessing the Internet for my online coursework.

Please indicate your agreement below.

It is my responsibility to meet all course expectations.
My online coursework will require approximately 15- 20 hours of undivided attention per week (including readings, online discussions, individual projects, etc.)
My online program will require consistent access to high speed internet services (basic broadband- 1Mbps) and a personal computer that features Office 2016 or equivalent.
I will not depend on a tablet or mobile device (i.e., smartphone) as my primary computer or primary means of accessing the Internet for my online coursework.

Please indicate your agreement below.

I understand and agree to the above statements.

Professional Disposition Assessment Acknowledgement

The various educator preparation programs at the University of Kansas are committed to developing successful educators. Our mission is to serve Kansas, the nation and the world by (1) preparing individuals to be leaders and practitioners in education and related human service fields, (2) expanding and deepening understanding of education as a fundamental human endeavor, and (3) helping society define and respond to its educational responsibilities and challenges.

Candidates must interact effectively with students, families, colleagues and communities in ways that properly reflect their profession and standards. Dedicated to cultivating exceptional educators, KU’s School of Education, according to state and national accreditation regulations, works to ensure that our advanced educator candidates have the proper personality, attitudes, values, and beliefs to be effective in serving a diverse group of students; are learned persons, who are excited about children learning; and have knowledge in not only the subject matter, but in conveying their lessons clearly and accurately to their students.

Standards
It is expected that all candidates develop professional dispositions as they progress through the Educator Preparation Programs. Therefore, candidates will be assessed multiple times on the following expectations:

Research and best practices: Candidates display a dedication to using research in their pedagogy. In addition, they value teaching to high standards and using scientifically based teaching practices.
Content and pedagogical knowledge: Candidates demonstrate high standards and expectations for their students. They exhibit respect for individual differences and vary teaching practices in ways that allow all students the opportunity to learn. Their teaching content is positive and proactive and based on measuring and developing student learning.
Professionalism: Candidates provide and accept critiques on teaching, understand and comply with laws and regulations, behave appropriately in all situations, take strong ethical stands, and collaborate with other professionals to improve student learning.
Communication methods: Candidates deliver their lessons in caring, fair, professional, respectful and responsible ways. In both written and verbal communication, they interact effectively, empathetically, and honestly with the diverse groups they serve, including students, parents, and colleagues to insure that all children can learn.

Assessments
To ensure that our candidates are meeting these high expectations, all educator preparation programs will assess professional dispositions during the candidate’s professional coursework and field experience in their classroom. The information gathered from these assessments will be shared with both the candidate and his/her academic advisor. If a student does not conform to these expectations on semester-based disposition assessments, he/she will not be allowed to complete the program.

Please indicate your agreement below.

Research and best practices: Candidates display a dedication to using research in their pedagogy. In addition, they value teaching to high standards and using scientifically based teaching practices.
Content and pedagogical knowledge: Candidates demonstrate high standards and expectations for their students. They exhibit respect for individual differences and vary teaching practices in ways that allow all students the opportunity to learn. Their teaching content is positive and proactive and based on measuring and developing student learning.
Professionalism: Candidates provide and accept critiques on teaching, understand and comply with laws and regulations, behave appropriately in all situations, take strong ethical stands, and collaborate with other professionals to improve student learning.
Communication methods: Candidates deliver their lessons in caring, fair, professional, respectful and responsible ways. In both written and verbal communication, they interact effectively, empathetically, and honestly with the diverse groups they serve, including students, parents, and colleagues to insure that all children can learn.

Please indicate your agreement below.

I have read and agree to these dispositional expectations.

Prerequisite for admission: Which two MATH graduate courses from those listed in the Certificate Requirements have you completed (or will you complete this semester)?

Course 1:

Course 2:

Future enrollment: Which courses do you plan to take to complete the certificate? Please Note: Two of the four classes for the certificate must be 700+ level. Also, students must enroll in the certificate before completing their final course.

Course 1:

Course 2:

Coursework Plan

More information about this certificate can be found here.

Please indicate below when you plan to complete these required courses:

ABS 710: Community Health and Development
3 hrs; typically Fall semester
ABS 876: Practicum in Community Development
3 hrs; typically Fall semester
ABS 875: Practicum in Community Health Promotion
3 hrs; typically Spring semester

Area of Musical Interest

Please upload your repertoire list.

Resume/CV

Please upload a copy of your resume or CV.

Statement of Purpose

Please upload a cover letter outlining your candidacy for the program.

Please upload your statement of purpose.

Specify why this program is the area of emphasis within the Department of Special Education you have selected for concentration of study. Tell us your current licensure/endorsement status (e.g., type of undergraduate degree, area of licensure, and other licensure or endorsement information).

Specify why Low-Incidence Disabilities is the area of emphasis within the Department of Special Education you have selected for concentration of study. Please be sure to fully address each of the following:

(1) What are your career objectives related to improving outcomes for students with extensive and pervasive support needs in inclusive settings?

(2) What is your current licensure/endorsement status (e.g., type of undergraduate degree, area of licensure, and other licensure or endorsement information)?

(3) What experiences have you had working with people with disabilities, including those with extensive and pervasive support needs?

(4) What experiences have you had as an advocate or ally for people with disabilities seeking more inclusive and strengths-based experiences and supports?

Writing Sample

Please upload a writing sample below.

Letter of Support

For current KU graduate students outside of EPSY, a letter of support from your graduate degree program is required. This letter should indicate approval of adding the certificate to your course load.

Please upload the letter of support.

Please have your letter of support sent directly to Jess Wagner at jess.wagner@ku.edu.

Letter of Introduction

Please upload a letter of introduction following the guidelines provided by the Department of Special Education.