Application to Certify Completion of Competency Examination Requirements
--January 2008--
Assessment and Teaching Enhancement Center
Campus Box 4074, Morse Hall Room 23
Emporia, Kansas 66801
(620) 341-5103
IMPORTANT: This form is NOT required for: a) for students seeking degrees in Teacher Education who achieve passing scores on the reading, writing, and mathematics subtests of the Pre-Professional Skills Test (PPST); or Collegiate Assessment of Academic Proficiency (CAAP) test. (This form is necessary ONLY if the student is seeking a degree in Teacher Education, AND qualifies for the Window option); or b) for other students who fulfill the requirement by achieving passing scores on the PPST or the (CAAP) test.
Full Name ___________________________________ ID #________________________________
Address _______________________________________________________________________
_______________________________________________________________________________
Phone _________________________________________________________
I am NOT seeking a degree in teacher education and wish to fulfill all or a portion of the Competency Examination Requirement in the following manner.
Writing (Check one of the following)
____I earned a grade of "A-" or higher in EG102 Composition II during the ______ Semester of______________, in a resident, on-campus class.
____I earned a grade of "A-" or higher in a course equivalent to EG102 from another accredited university or community college during the ______ Semester of __________.
____I earned a grade of "B" or higher in an EG105 Honors Composition II or EG301 Advanced Composition during the _________ Semester of _____________.
____I achieved a score of 550 on the Test of English as a Foreign Language (TOEFL). Attach documentation.
____ Receiving credit by examination for EG102 - CLEP, Dept. test outs, or Advance Placement test. Attach documentation.
Mathematics (Check one of the following)
____I earned a grade of "A-" or higher in MA110 College Algebra during the ______ Semester of ____________, in a resident, on-campus class.
____I earned a grade of "A-" in a course equivalent to MA 110 from another accredited university or community college during the __________ Semester of__________ .
____I earned a grade of "C" or higher in any approved general education mathematics course beyone MA110, (e.g., MA160 Functions of Calculus, MA161 Calculus I or MA165 Basic Calculus) during the ____________ Semester of ____________.
____Receiving credit by examination for either MA110 or MA161, CLEP, Dept. test outs, or Advance Placement tests. Attach documentation.
Reading (Check one of the following)
____I achieved a Reading score of 18 or higher on the ACT Assessment.
____I achieved a score of 550 on the Test of English as a Foreign Language (TOEFL). Attach documentation.
____I achieved passing scores on the reading subtest of a nationally standardized college-level examination. Attach documentation.
____I completed the ESU General Education requirements with a grade of “B minus” or higher in each course used to meet the general education requirements. Not attached from advisor.
Signature _______________________________________________Date_____________________
Approved ______________________________________________ Date _____________________
Please mail this form to: Emporia State University 1200 Commercial St., Campus Box 4074 Emporia, KS 66801
Last Updated February 27, 2008