College of Education, Health and Human Sciences  Education Specialist Program of Studies and Candidacy Form

Name:	U-Number:
Address:	City:

State:

Zip Code:

Phone: (H) () - (W) () -

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Degree Information

Prior
Degree	Major	Minor	Institution	Date

Degree
Desired	Major	Concentration

(Wording must be exactly as it appears in the Graduate Bulletin)

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Admissions Information

MAT Score:
or	Verbal	Quantitative
GRE Scores:

Date Admitted to Department:	Master's GPA:

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Program Target Dates

Proposed Dates		Course Work	Comprehensive Exam	Culminating Experience
of	Semester
Completion	Year

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Signatures:

	Date		Committee Members:	Date
Chair: ________________________________	_____		________________________________	_____
Dept. Chair: ___________________________	_____		________________________________	_____
Associate Dean of Graduate			________________________________	_____
Studies: ______________________________	_____		________________________________	_____

Major (21 hours)

	Dept.	Course #	Course Title	Grade	Hrs	Institution	Date

College Core (3 hours)

Cultural and /or Psychological Foundations (LDPS or EDPR prefixes). Students in Policy Studies or Educational Psychology will utilize this 3 hours for a course other than LDPS or EDPR.

	Dept.	Course #	Course Title	Grade	Hrs	Institution	Date

Research (3 hours)

A master's level introductory research course is assumed.

	Dept.	Course #	Course Title	Grade	Hrs	Institution	Date

Supportive Studies (6 hours)

	Dept.	Course #	Course Title	Grade	Hrs	Institution	Date

Total Hours:

The University of Memphis is an Equal Opportunity/Affirmative Action University