UTEP Miner Teacher Residency Alternative Certification Program Application

** All fields are required **

First Name:

Last Name:

TEA ID#:

Date of Birth

Address:

City:

State

Zip Code:

Home Phone:

Cell Phone:

Email:

PACT Score:

if test not taken yet, include the date the test will be taken (m/d/y).

Certification Area

Program Pathway

Alternative Certification Program only

MA in Education - Elementary Education

MA in Education - Secondary/All-Levels Education

MA in Education - Special Education

Placement Pathway

Resident Apprentice – Two-semester placement in a partner school district with highly-qualified Mentor Teacher with support from UTEP Site Coordinator

Resident Intern – Placement as Teacher of Record with support from UTEP Site Coordinator

Name and contact information for three references:

Reference 1

Name

Phone

Reference 2

Name

Phone

Reference 3

Name

Phone

By checking the box below, I acknowledge that I have read and understand the following statements:

Applicable qualifying exams per TExES exam

ACP candidates are required to pass all applicable qualifying exams. Upon successful completion of qualifying exams, candidates will receive clearance to register for their TExES state exams.

TExES exams

Effective September 1, 2017, ACP candidates are required to pass all TExES exams prior to obtaining a Probationary Certificate.

Texas Standard Teacher Certification

ACP candidates must complete and pass applicable TExES exams and edTPA in order to be recommended for Texas standard teacher certification.

Program Fees

*Upcoming Fees

Amount	Description
$50	ACP Application Fee
$45.00 or **$80.00	Graduate School Application Fee ** International applicants’ fee
$35	TEA Technology Fee
Fees vary/year	Tuition and fees
$3,000.00	Program Fee
$116.00+	Fee for each TExES exam required
$15.00	Fee for each qualifying exam attempted
$77.00	Standard Certificate Application fee
$37.75+	Background checks/fingerprints

*Possible Additional Fees

Amount	Description
$600.00	Probationary certificate extensions
$600.00	Estimate of other university cost per year that includes textbooks, parking permits, course materials, etc.
$25.00	Reactivation fee for students who have been inactive from 12-24 months
$50.00	Reapplication fee for students who have been inactive for over 2 years.

*All fees are subject to change

Please upload the following supporting documents:

File names cannot contain any special characters (periods, commas, hyphens, dashes, etc..). Only alphabet characters and spaces allowed.

*All Required

PACT Score (if already taken)

Upload as .png,.jpg,.pdf only

Essay
Click Here For Essay Prompts

Upload as .doc, .docx, .pdf only

Resume

Upload as .doc, .docx, .pdf only

Undergraduate Transcript

For candidates who are currently enrolled in a College of Education Master's program.
Upload as .doc, .docx, .pdf only

Candidate Signature

Date

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the information provided in this form.