| Application for Admission Teachers College Mexico City Submit your application to: Teachers College Mexico City Office of Admissions Apartado Postal 92 Capulines No. 41 Jardines de San Mateo Naucalpan, Edo. de México Código Postal 53240 Tel/Fax (55) 5373 6702 Please type or use black ink. Fee for processing application form (includes verification of data) *$50USD must accompany this document. *Fee will be waived until May 2011. (applicants will not be required to pay this fee) Have you ever applied to Teachers College? No Yes if yes, when?_______________________ Have you ever attended Teachers College? No Yes If yes, when?________________________ __________________________________ ______________________________________ Associate Degree Graduate Studies PERSONAL INFORMATION RFC_____________________________________CURP______________________________ Title: Ms. Mr. Other_________________ Name_______________________________________________________________________ Last/Family Name First/Given Name Middle Name (Non-citizens must write full name above exactly as it appears on passport or national ID) NOTE: Your application will be processed under the name given above. If you were registered at any of the institutions listed in this application under any other name or any variations of your name as given above, please write that name below. Any prior last/family name______________________________ _______/_______/______ ___________ Date of Birth (Month/Day/Year) Sex (M/F) Permanent Address ______________________________________________________________________________ Street 1 ______________________________________________________________________________ Street 2 _____________________________________________________________________________ City State Zip Code Country ______________________________________________________________________________ Daytime Telephone Evening Telephone E-Mail Address PERSONAL STATEMENT. Please attach a brief (1-2 pages), typed, and signed statement describing your background, your past work in your intended field of study, and your plans for graduate study and a professional career. Resumé. Please attach a resume or chronological listing of employment and other significant activities. In which languages do you have adequate proficiency to translate scholarly material? References. Give the name, official position, address, and phone number of three persons you have asked to write references: Name Title Address Phone ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ INFORMATION ABOUT YOUR COURSE OF STUDY Please indicate the program to which you are applying. (Please specify only one) ____________________ _________________ _______________________ Teachers Certicate Masters Degree Associate Degree TESOL APPLIED LINGUISTICS EDUCATIONAL HISTORY Record of Preparation. Supply FULL information regarding ALL college preparations to date. LIST EVERY INSTITUTION from which you have received a degree/diploma first, followed by any other institutions attended in chronological order. NOTE: ANY AND ALL undergraduate and graduate work MUST be listed. Use additional sheets if needed and be sure that your name is on all additional sheets. Failure to disclose this information may result in the cancellation of your application or your admission. Transcripts. One official transcript from each college or university attended must be included for this application to be considered. Date of Institution and Department/ Degree, Diploma Date of Attendance Location Program Certificate, License, etc. GPA Award ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Test Requirements. Please refer to the entrance requirements stated on the College website www.colegiodeprofesores.com to determine if there are any test requirements for the program you are applying to. Official scores must be sent directly to the Office of Admission by the appropriate application deadline. A TOEFL EXAMINATION IS REQUIRED FOR BOTH NATIVE AND NON-NATIVE STUDENTS AND MUST INCLUDE ESSAY WRITING. NO EXCEPTION. TEST TOEFL ITP CBT iBT SCORE DATE Your full name as on your passport/voter´s credential IFE ID card: _______________________________________________________________ Please send a copy of the ID page (s) of your passport.) I attest that the information provided in this application is true. Signed_____________________________________Date_____________________ Reminder: It is your responsibility to complete your application with all supporting material by the deadline. DO NOT WRITE BELOW THIS LINE _______________________________________________________________ Admission Office Recommended I II III Pro Defer NRec Signature___________________________Date__________________________ _________________________________________________________________ Department Recommended Pro NRec Signature___________________________Date__________________________ _________________________________________________________________ |