MA in Special Education Application to Graduate Program

(for current postbac students only)

Semester

Cohort (if any)

Check the box next to the statement that applies to you:

☐ I have or will receive my California Preliminary Education Specialist Credential from Fresno State

☐ I have obtained my California Preliminary Education Specialist Credential from another institution

Last Name First Name Middle Initial

Educational Background

Former Name Student ID

Undergraduate Degree Major Institution Term Graduated

Graduate Degree Major Institution Term Graduated

Current California Credential- Type of Credential Institution Date Expires

Application Requirements

Kremen School of Education and Human Development mailing address and application instructions

For currently enrolled post baccalaureate students only

Please complete the application packet and include a copy of unofficial transcripts. You may submit the completed application packet to:

Department of Literacy, Early, Bilingual, and Special Education (ED 250), or email the application to kremengradapp@mail.fresnostate.edu, or mail to:

Student Data Sheet

Semester

Cohort (if any)

Check the box next to the statement that applies to you:

☐ I have or will receive my California Preliminary Education Specialist Credential from Fresno State

☐ I have obtained my California Preliminary Education Specialist Credential from another institution

Last Name First Name Former Name Student ID

1. transcripts

2. Proof of admission status:

GPA:

UGRD Cumulative_______

PBAC Cumulative_______

Fresno State PBAC________

Last 60 Units________

3. Copy of Preliminary EducationalSpecialist or Level I Specialist Credential

Faculty Review Notes

Master’s Program: Admit Deny

Admit Conditions:

Reasons Denial:

Coordinator Date

FOR OFFICE USE ONLY

Student Data Sheet form with admission review section and signature lines Checkbox for Admit Checkbox for Deny

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