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Application For Admission

Carlos Quiros has submitted an application for admission to the credential and certificate programs at California State University, Los Angeles. He is applying for the summer quarter of an unspecified year. His objective is to obtain a Multiple Subject Teaching Credential. The application requests biographical information from Quiros such as name, address, date of birth, languages spoken, contact details, educational history and credentials already held. It informs him to submit official transcripts from all schools attended excluding Cal State LA to the Charter College of Education's Office for Student Services for review of his application, which should be allowed 4-5 weeks.

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24 views2 pages

Application For Admission

Carlos Quiros has submitted an application for admission to the credential and certificate programs at California State University, Los Angeles. He is applying for the summer quarter of an unspecified year. His objective is to obtain a Multiple Subject Teaching Credential. The application requests biographical information from Quiros such as name, address, date of birth, languages spoken, contact details, educational history and credentials already held. It informs him to submit official transcripts from all schools attended excluding Cal State LA to the Charter College of Education's Office for Student Services for review of his application, which should be allowed 4-5 weeks.

Uploaded by

CarlosQuiros
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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CALIFORNIA STATE UNIVERSITY, LOS ANGELES

CHARTER COLLEGE OF EDUCATION Date: April


6th 2015
Application for Admission
CREDENTIAL AND CERTIFICATE PROGRAMS
Please type CIN:
Name: Quiros Carlos Alberto SSN: 555797919
Last First Middle
List other names that may appear on your records: N/A
Address: 2037 N Screenland Dr Burbank CA
91505
Street City State ZIP
DOB: Aug 10 1981 Primary Language: English Email:
[email protected]
Telephone: Home Work 626.683.1242 Cell
626.755.3126
Gender: M F Ethnicity (Optional): Class Standing: Jr* Sr*
Grad
****************************************************************************
*********
*Anticipated date of Bachelor’s Degree: Undergraduate Major:
Degree(s) Held: (Blended Urban Learning )
BA BS Hospitality Mngmt Cal Poly Pomona 06.2008
Major University Date Awarded
MA MS
Major University Date Awarded
Other degree
Major University Date Awarded

Other college/universities attended and dates of attendance:


Note: You must submit ONE OFFICIAL SET OF TRANSCRIPTS FROM ALL SCHOOLS (excluding Cal State
LA) to the Charter College of Education, Office for Student Services. Transcripts from foreign universities must
be evaluated by an approved agency. See www.ctc.ca.gov/credentials/leaflets/cl635.pdf, for a list of approved
agencies.
****************************************************************************
*********
THIS APPLICATION IS FOR ADMISSION TO A CREDENTIAL/CERTIFICATE PROGRAM: Year:
Summer Quarter Fall Quarter Winter Quarter Spring Quarter
CREDENTIAL/CERTIFICATE OBJECTIVE:
Multiple Subject
Single Subject Physical Education
(Teaching area: i.e., English, Mathematics, Biology, Social Science, Art, Music)
Education Specialist
(Area: i.e., Early ChildhoodMild/Moderate, Moderate/Severe, Physical &Health or Visual Impairment)
Added Authorization
(i.e., Adapted PE or Education Specialist added authorization in ASD, OI, OHI)
Bilingual Authorization
(Language: i.e., Chinese, Korean, Spanish, Tagalog)
Services
(Area: i.e., Preliminary Administrative, School Counseling, School Psychology, Speech Language
Pathology)
Reading/Language Arts Specialist
Clinical Rehabilitation Services: Orientation and Mobility
Certificate
(Area: i.e., Computer Application, English as a Second Language, Autism, Transition Specialist)
Credential(s) Held
(Area: i.e., Multiple Subject-Preliminary, Single Subject English-Professional Clear)

RETURN COMPLETED APPLICATION PACKET TO


THE CHARTER COLLEGE OF EDUCATION, OFFICE FOR STUDENT SERVICES, KH-D2078
PLEASE ALLOW FOUR TO FIVE WEEKS TO REVIEW YOUR APPLICATION.

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