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MME Application

Part I: PERSONAL INFORMATION
First Name:
Middle Name:
Last Name:
Maiden Name:
Address:
City:
State: Zip:
County:
Home Phone:
Email Address:  
Date of Birth:
Gender:  
Are you currently employed in the teaching field?
If you answered "yes" to the above question, please complete Part II, otherwise, skip to Part III.
Part II: EMPLOYER INFORMATION
Work/School Name:
School District:
Work/School Address:
City:
State: Zip:
Work/School Phone:
Grade Level Currently Teaching:
Part III: PROFESSIONAL EXPERIENCE
What certification do you currently hold?
State:
Please list professional teaching experience including substitute teaching:
School/District:
City/State:
Date From:
Date To:
 
School/District:
City/State:
Date From:
Date To:
 
School/District:
City/State:
Date From:
Date To:
PART IV: EDUCATION AND ENROLLMENT

Please list the credits/degrees you have earned at the college level, including Lebanon Valley College

IMPORTANT: You must request an official transcript be sent from each of the colleges or universities to : MME Program, Lebanon Valley College, Annville, PA 17003.
College/University:
City/State:
Dates Attended:
Credits:
Degree:
 
College/University:
City/State:
Dates Attended:
Credits:
Degree:
 
College/University:
City/State:
Dates Attended:
Credits:
Degree:
Please list three individuals who you anticipate will be writing letters of recommendation for you.

UNDERSTANDING

By checking this box and submitting this on-line application, I hereby make application for admission and certify that all the information is complete and accurate to the best of my knowledge. I understand that all credentials submitted in support of this application become the property of the college and are not returnable. I have read all Lebanon Valley College policy statements relating to continuing education and agree to abide by them.

Additional Admission Requirements

All application materials must be received for an applicant to be considered for acceptance into the MME program. A photocopy of your current teaching certificate, three letters of recommendation, a resume, a personal statement (1 page) stating why you wish to pursue the MME program, and official transcripts from each of the colleges and universities you have attended must be sent along with a check for the $30.00 non-refundable application fee to:

MME Program
Office of Graduate Studies and Continuing Education
Lebanon Valley College
101 N. College Avenue
Annville, PA 17003

For additional information, please call 1-877-877-0423.

Lebanon Valley College does not discriminate on the basis of race, national or ethnic origin, sex, age, religion, sexual preference or handicap.