MST Preparatory Worksheet- Childhood Education (1-6)

Please complete the form below.

Name Name First Last
Telephone
Email
Date Date / MM / DD YYYY
Degree/Undergraduate Major
Banner ID #
GPA
Using your transcript(s), fill in the courses you've taken that best match the subjects/course in the following lists.
Be sure to include the course number/title, institution, number of credits, and course grade.
SED Requirements (grade must be "B" or better)

Using your transcript(s), fill in the courses you've taken that best match the subjects/course in the following lists.
Be sure to include the course number/title, institution, number of credits, and course grade.
SED Requirements (grade must be "B" or better) English Course (3 cr.) Englihs Course (3 cr.) Mathematics Course (3 cr.) Mathematics Course (3 cr.) Social Science Course* (3 cr.) Social Science Course* (3 cr.) Science Course (3 cr.) Science Course w/ Lab (4 cr.)
(English Course)
Please list all courses you have taken or will be taking in the areas listed below:
Course Number: Course Name: Where Taken: When Taken: # of Credits: Final Grade:
(English Course)
Please list all courses you have taken or will be taking in the areas listed below:
Course Number: Course Name: Where Taken: When Taken: # of Credits: Final Grade:
(Mathematics Course)
Please list all courses you have taken or will be taking in the areas listed below:
Course Number: Course Name: Where Taken: When Taken: # of Credits: Final Grade:
(Mathematics Course)
Please list all courses you have taken or will be taking in the areas listed below:
Course Number: Course Name: Where Taken: When Taken: # of Credits: Final Grade:
(Social Science Course*)
Please list all courses you have taken or will be taking in the areas listed below:
Course Number: Course Name: Where Taken: When Taken: # of Credits: Final Grade:
(Social Science Course*)
Please list all courses you have taken or will be taking in the areas listed below:
Course Number: Course Name: Where Taken: When Taken: # of Credits: Final Grade:
(Science Course)
Please list all courses you have taken or will be taking in the areas listed below:
Course Number: Course Name: Where Taken: When Taken: # of Credits: Final Grade:
(Science Course w/ Lab)
Please list all courses you have taken or will be taking in the areas listed below:
Course Number: Course Name: Where Taken: When Taken: # of Credits: Final Grade:
Complete Concentration area outlining 30-credits of liberat arts (e.g. ELA, STEM, Languages, Social Studies, Interdisciplinary Studies)
Please list for each course: Course Number: Course Name: Where Taken: When Taken: # of Credits: Final Grade:
Part Two:
This section must be completed by all applicants PRIOR to Student Teaching.
(Grade of 85 or higher on high school Regents exam will waive this course requirement)

Part Two:
This section must be completed by all applicants PRIOR to Student Teaching.
(Grade of 85 or higher on high school Regents exam will waive this course requirement) College-Level Foreign Language or Sign Language (6 credits sequential) OR one semester of intermediate level
(College-Level Foreign Language or Sign Language (6 credits sequential) OR one semester of intermediate level)
Please list all courses you have taken or will be taking in the areas listed below:
Course Number: Course Name: Where Taken: When Taken: # of Credits: Final Grade: