Gradute Candidacy Form: Master of Science: MSIT in CBIT

ADMISSION TO CANDIDACY FOR MASTER OF SCIENCE IN INFORMATION TECHNOLOGY DEGREE IN COMPUTER-BASED INSTRUCTIONAL TECHNOLOGY OPTION

All required fields are indicated by asterisk " * ".

For assistance completing application call at (479) 968-0398 between 8:00 a.m. - 5:00 p.m. CST.

ADMISSION TO CANDIDACY FOR MASTER OF SCIENCE IN INFORMATION TECHNOLOGY DEGREE IN COMPUTER-BASED INSTRUCTIONAL TECHNOLOGY OPTION

PERSONAL INFORMATION

Full Name

     First                     Middle                 Last
  *    *

Student ID Number

* T - -

Date of Birth

* (MM/DD/YYYY)

Gender

E-mail Address

Street Address

City

County (NOT Country)

State/Zip Code

* *

Home or Work Phone Number

*( ) - -

ACADEMIC INFORMATION

GPA

Expected Term/Semester of Graduation

Expected Year of Graduation

Course Substitution

I request permission to offer and/or substitute (give course, title, and number)

   For

   For

   For

List below complete program of courses by terms completed or to be completed:

Note:The application must include all courses to be submitted to meet degree requirements. This includes all courses completed, in progress, and to be completed in the future. Expected terms and years of graduation should be specified for any courses that have not been completed. For courses in progress or to be completed, N/A should be selected as grades.

Course Prefix	Course Number	Course Title	Completed	Term	Year	Grade
INFT
INFT
INFT
INFT
INFT
INFT
INFT
EDFD	6003	Educational Research
EDFD	6313	Principle of Curriculum Development
EDMD	6133	Production of Instructional Materials
EDMD	6313	Instructional Design
EDMD	6513	Computer Based Instruction

I WILL WRITE THE COMPREHENSIVE EXAM IN

This student has completed a minimum of twelve semester graduate hours and the program above will complete the requirements for the master of education degree.

Student: Date : (MM/DD/YYYY)

Advisor: Date :

Program Director: Date :

The above named student has met all requirements for admission to candidacy and is hereby recommended for admission to candidacy for the Master of Education Degree.

APPROVED FOR ADMISSION TO CANDIDACY

Dean of Graduate School: Date :

Revised 08-01-2006 ey

This page was updated on November 11, 2005

[Graduate Studies Home] [ATU Home] [Site Map] [Directory] [Search]