Application to Graduate Program

Application to Graduate Program

Semester ____________________
Cohort (if any) ____________________

Please select the Graduate program and/or Credential you are applying for or continuing with:
Master of Arts in Education, option: Advanced Credential:
♦ Reading/Language Arts ♦ Reading and Literacy Leadership Specialist Credential

Last Name ____________________ First Name ____________________ Middle Initial ____________________ Former Name ____________________ Student ID ____________________

Educational Background

Undergraduate Degree ____________________ Major ____________________ Institution ____________________ Term Graduated ____________________
Graduate Degree ____________________ Major ____________________ Institution ____________________ Term Graduated ____________________
Current California Credential- Type of Credential ____________________ Institution ____________________ Date Expires ____________________

Application Requirements

1. Proof of application to Fresno State or current enrollment at Fresno State
   • Cal State Apply confirmation page
   • Transcripts showing current enrollment
2. Transcripts (copy of official or unofficial)
3. Statement of Purpose
4. 3 Letters of Recommendation (including rubrics)
5. Proof of Writing Competency (any of the items below will satisfy the requirement)
   • CBEST – score of 41+ on writing section OR pass all sections of the entire test
   • CSET –pass all three sections of the Multiple Subject test and the Writing Skills test
   • Upper Division Writing Exam (UDWE)
   • Any Fresno State “W” course with “B” or better
   • Substitution request approved by Graduate Coordinator (form available on Kremen website)
6. Advanced credential requirements - proof of valid teaching credential and CBEST

Please print application packet and include all required documents as detailed above. Bring the completed application packet to the Education Student Services Center, ED 100 or mail to:
Kremen School of Education and Human Development
Attn: Graduate Admissions Analyst
5005 North Maple Ave. M/S 301
Fresno, CA 93740-8025

Home phone# Cell phone# Email

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Statement of Purpose

Last Name ____________________ First Name ____________________ Middle Initial ____________________

In the space provided below (or an attached page), provide relevant information about yourself including goals, objectives, and experiences related to the master’s degree and/or advanced credential/certificate program to which you are applying. Please focus primarily on your short-term and long-term professional goals. You may attach additional pages. (1-2 pages maximum)

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Letter of Recommendation Rubric

Signed ____________________ Date ____________________ Position ____________________
Contact Number ____________________ Email ____________________
This rubric and a letter of recommendation is to be included with other application materials and submitted in one complete packet. Do not send separately.
Last Name ____________________ First Name ____________________ Middle Initial ____________________

To the Applicant: Complete the information requested above and give to the person(s) providing the reference(s). Please note that, generally, confidential recommendations often provide more useful information. In accordance with the Family Education Rights and Privacy Act of 1974, the California Information Practices Act of 1977, and the related policies and regulations, it is also understood that upon request, this letter will not be made available to the applicant (or candidate) for examination. If you agree, you may sign the waiver below. The decision is up to you.

I waive the rights to see or inspect this form or any statement sent to the indicated program as a result of this request.
Signature ____________________ Date ____________________

Evaluator please complete the section below

The Kremen School of Education and Human Development would appreciate a statement from you evaluating the person named above for enrollment in and successful completion of an advanced credential and/or Master degree program. If additional space is needed, the back of this form may be used. Please provide the applicant with this form and a letter of recommendation in a sealed envelope with your signature across the seal.

Please rate the applicant with other individuals seeking comparable experiences.

If you alone were making the decision as to whether or not the applicant should be accepted, which of the following would you do?

Signed ____________________ Date ____________________ Position ____________________
Contact Number ____________________ Email ____________________

This rubric and a letter of recommendation is to be included with other application materials and submitted in one complete packet. Do not send separately.

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Letter of Recommendation Rubric

Signed ____________________ Date ____________________ Position ____________________
Contact Number ____________________ Email ____________________
This rubric and a letter of recommendation is to be included with other application materials and submitted in one complete packet. Do not send separately.
Last Name ____________________ First Name ____________________ Middle Initial ____________________

To the Applicant: Complete the information requested above and give to the person(s) providing the reference(s). Please note that, generally, confidential recommendations often provide more useful information. In accordance with the Family Education Rights and Privacy Act of 1974, the California Information Practices Act of 1977, and the related policies and regulations, it is also understood that upon request, this letter will not be made available to the applicant (or candidate) for examination. If you agree, you may sign the waiver below. The decision is up to you.

I waive the rights to see or inspect this form or any statement sent to the indicated program as a result of this request.
Signature ____________________ Date ____________________

Evaluator please complete the section below

The Kremen School of Education and Human Development would appreciate a statement from you evaluating the person named above for enrollment in and successful completion of an advanced credential and/or Master degree program. If additional space is needed, the back of this form may be used. Please provide the applicant with this form and a letter of recommendation in a sealed envelope with your signature across the seal.

Please rate the applicant with other individuals seeking comparable experiences.

If you alone were making the decision as to whether or not the applicant should be accepted, which of the following would you do?

Signed ____________________ Date ____________________ Position ____________________
Contact Number ____________________ Email ____________________

This rubric and a letter of recommendation is to be included with other application materials and submitted in one complete packet. Do not send separately.

---

Letter of Recommendation Rubric

Signed ____________________ Date ____________________ Position ____________________
Contact Number ____________________ Email ____________________
This rubric and a letter of recommendation is to be included with other application materials and submitted in one complete packet. Do not send separately.
Last Name ____________________ First Name ____________________ Middle Initial ____________________

To the Applicant: Complete the information requested above and give to the person(s) providing the reference(s). Please note that, generally, confidential recommendations often provide more useful information. In accordance with the Family Education Rights and Privacy Act of 1974, the California Information Practices Act of 1977, and the related policies and regulations, it is also understood that upon request, this letter will not be made available to the applicant (or candidate) for examination. If you agree, you may sign the waiver below. The decision is up to you.

I waive the rights to see or inspect this form or any statement sent to the indicated program as a result of this request.
Signature ____________________ Date ____________________

Evaluator please complete the section below

The Kremen School of Education and Human Development would appreciate a statement from you evaluating the person named above for enrollment in and successful completion of an advanced credential and/or Master degree program. If additional space is needed, the back of this form may be used. Please provide the applicant with this form and a letter of recommendation in a sealed envelope with your signature across the seal.

Please rate the applicant with other individuals seeking comparable experiences.

If you alone were making the decision as to whether or not the applicant should be accepted, which of the following would you do?

Signed ____________________ Date ____________________ Position ____________________
Contact Number ____________________ Email ____________________

This rubric and a letter of recommendation is to be included with other application materials and submitted in one complete packet. Do not send separately.

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Student Data Sheet

Semester ____________________
Cohort (if any) ____________________

Please select the Graduate program and/or Credential you are applying for or continuing with:
Master of Arts in Education, option: Advanced Credential:
♦ Reading/Language Arts ♦ Reading and Literacy Leadership Specialist Credential

Last Name ____________________ First Name ____________________ Former Name ____________________ Student ID ____________________

Home phone# ____________________ Cell phone# ____________________ Email ____________________

FOR OFFICE USE ONLY

1. Proof of admission status: Cal State Apply confirmation transcripts Dept. Rec. Change Major
2. GPA: UGRD Cumulative ______ PBAC Cumulative ______ Fresno State PBAC ______ Last 60 units ______
3. Statement of Purpose
4. Letters of Recommendation: 1)☐ 2)☐ 3)☐
5. Writing Competency
   • ☐ CBEST
   • ☐ CSET
   • ☐ UDWE
   • ☐ Fresno State “W” Course ____________________
   • ☐ Waived
6. TOEFL (if foreign student verified by International Admissions)

Additional requirements for advanced credential

• ☐ Valid teaching credential
• ☐ CBEST

Faculty Review Notes

Master’s Program: Admit Deny
Certificate Program: Admit Deny
Admit Conditions: ____________________
Reasons Denial: ____________________
Coordinator Date_

FOR OFFICE USE ONLY

Home phone# Cell phone# Email

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