Illinois College -> Academics -> Masters in Education -> Online Application for Admission

Master of Arts in Education Application for Admission

*required fields

*Program for which you are applying

	Masters degree seeking
	Non-degree seeking - continuing education only

Personal Information

*Last Name

Maiden Name (if applicable)

*First Name

*Middle Name (complete)

Suffix (Jr., Sr., etc.)

*Permanent Home Address (Number and Street, Apartment #)

*City

*State

Country

*Zip/Postal Code

*Birth Date (mm/dd/yyyy)

Social Security Number (optional)

Home Phone Number

Cell Phone Number

*Email Address

Business Name

Business Address (Number and Street)

Business City

Business State

Business Zip

Education Information

List all colleges/universities attended, beginning with most recent.

Institution

Location

Dates Attended (mm/yyyy to mm/yyyy)

Degree

Major

Institution

Location

Dates Attended (mm/yyyy to mm/yyyy)

Degree

Major

Institution

Location

Dates Attended (mm/yyyy to mm/yyyy)

Degree

Major

Institution

Location

Dates Attended (mm/yyyy to mm/yyyy)

Degree

Major

Certification Information

Title of Current Teaching Certificate(s) Held:

Certificate Title

State

Certificate Title

State

Certificate Title

State

Title of Other Teaching Certificate(s) Held:

Certificate Title

State

Certificate Title

State

Certificate Title

State

Professional Experience
List full-time positions held in education and other fields, including military service. List current position first and continue listing in inverse chronological order.

School or Organization

Location

Position

Number of Years Full-Time

Dates (mm/yyyy to mm/yyyy)

Name/Title of Immediate Supervisor

School or Organization

Location

Position

Number of Years Full-Time

Dates (mm/yyyy to mm/yyyy)

Name/Title of Immediate Supervisor

School or Organization

Location

Position

Number of Years Full-Time

Dates (mm/yyyy to mm/yyyy)

Name/Title of Immediate Supervisor

School or Organization

Location

Position

Number of Years Full-Time

Dates (mm/yyyy to mm/yyyy)

Name/Title of Immediate Supervisor

I have additional professional experience

I will submit my additional professional experience to Illinois College via mail or email.

Recommendations
Applicants to the Master of Arts in Education program are to list the two people who will provide an appraisal of your personal and professional competence and your potential for graduate study through a letter of recommendation and completion of the Reference Form.

One of your recommendations should be a current or former administrator or supervisor:

Name

Title

Business

Name

Title

Business

Statement of Professional Goals

Describe your professional goals for entering the Master of Arts in Education program or the Continuing Education program and how you see it impacting your role as a teacher. (200 words maximuim)

Additional Information

In addition to this application, applicants to the Master of Arts in Education program are to submit official transcripts for all undergraduate and graduate course work completed or in progress. Students will also need to schedule an on-campus appointment to complete the writing assessment.

Signature

I certify that all information submitted as part of my application for admission is my own work, factually true and honestly presented. I understand that I may be subject to a range of possible disciplinary actions at any time should the information I've certified be false, including admission revocation or explusion. I understand it is my responsibility to update Illinois College should any of the information I've submitted change.

Please type your legal name in the box below.

Application Date