ࡱ> ] ybjbjRR 78$b8$bz r r 8:k.L}L!L#-------$1m4-E#}}##-%.%%%#R-%#-%%VV,@, $R, -;.0k.,T4a$4,4,##%#####--%###k.####4#########r B :  College of Education 215 Ball Hall Memphis, TN 38152 Phone: 678-2363 Instruction and Curriculum Leadership Applicant Information for Education Specialist Application Deadlines: Fall - April 1 Spring - October 1 Summer- February 1 *IDT Deadline February 1Name:  FORMTEXT Last name, First name Middle name   SSN: FORMTEXT xxx - xxx - xxxSemester Applying For: FORMDROPDOWN Address:  FORMTEXT       FORMTEXT City  FORMTEXT State FORMTEXT Zip codeName on University Records: FORMTEXT      Email: FORMTEXT      Phone: FORMTEXT      List Colleges Attended: Full Name of College Degree Earned Major  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Concentration Area and Emphasis:  FORMCHECKBOX  Early Childhood  FORMCHECKBOX  Instructional Design and Technology*  FORMCHECKBOX  Reading  FORMCHECKBOX  Special Education:  FORMCHECKBOX  Applied Behavior Analysis Fall Only Admission  FORMCHECKBOX  Early Childhood  FORMCHECKBOX  Modified  FORMCHECKBOX  Comprehensive  FORMCHECKBOX  Instruction and Curriculum:  FORMCHECKBOX  Elementary/Middle  FORMCHECKBOX  Instruction and Curriculum  FORMCHECKBOX  Secondary  FORMCHECKBOX Elementary/Middle Test Information: Taken GRE: Yes - List Scores Verbal:  FORMTEXT       Quantitative:  FORMTEXT       Writing:  FORMTEXT       No - When do you plan to take it?  FORMTEXT       Where did you learn about the ICL EdS program? 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