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Student Information

First Name

Last Name

MI

Sacramento State Student ID

Birthdate

Address (Street)

City

State

Zip

Email Address

Primary Phone Number

Alternate Phone Number (NA if not applicable)

Please check one

US Citizen
Permanent Resident
US National

Ethnicity

Disabled

Yes
No

Gender

Male
Female

Academic Information

Major

Cumulative GPA

Degree(s) completed with year of completion

How will you meet the California Subject Matter Requirement?

Subject Matter Waiver Program
CSET

If CSET, please provide the following information

Test dates

Scores

Submit a copy of your official score report ( Please redact Social Security number)

Teaching credential to be sought (please check one):

Single Subject Math
Single Subject Science-Biology
Single Subject Science-Chemistry
Single Subject Science-Geosciences
Single Subject Science-Physics
Foundational Level Math
Foundation Level General Science

Year and semester you anticipate ENTERING the CSUS Teaching Credential Program :

Year

Semester

Please list your most recent career, if you are returning to school:

How long were you employed in most recent career, if this is a career change?

All applications must include the following:

At least one letter of recommendation UNLESS you are an incoming credential candidate; in that case, we will use the recommendation forms that have already been submitted.
Attach a 2 page Personal Statement describing:

Why you want to teach science or mathematics
Why do you want to teach in a high-need school? How are you prepared for the opportunities and challenges of teaching in such a school? In what areas do your knowledge and experience need strengthening?
How a Noyce scholarship would contribute to your professional development. You may also discuss any socioeconomic difficulties, disability, or other challenges you face.

Upload at least one letter of recommendation here ( If you are an incoming credential student, upload a PDF that says "You have my permission to use my recommendation forms.")

Upload a 2 page personal statement (PDF file format) here