Students must submitall of the required documents listed below to the Graduate Division in order to complete the CCCIP application submission process.
Student Name: / Last: / First:Student ID Number:
REQUIRED
CCCIP Cover Sheet/ Checklist
CCCIP Application-Must have all required signatures
Statement of Purpose: Please describe your aptitude and motivation for teaching, including your experience and future career goals. Please be specific about why teaching in a community college would be an especially good fit.
Letters of Recommendation: Two letters of recommendation; one from your faculty advisor and one from a faculty member who has recently supervised your teaching and/or observed your teaching.
Teaching Evaluations:Please attach the most recent three teaching evaluation summaries (please do not provide raw data) completed by the students. If your teaching evaluations are mostly from outside the university, please provide those evaluations and describe your experience.
***The attached teaching evaluations are true or actual university or other institutional records.
STUDENT SIGNATURE: / DATE:DEADLINE FOR RECEIPT OF APPLICATIONS: Friday, March 9, 2018
STUDENT / Please complete this section and submit this application, along with other requested documentation detailed below, to Graduate Division, 120 Aldrich Hall, (Attn. Andrea Bannigan). The deadline for submission is Friday, March 9, 2018.Student Name: / Student ID Number:
Last / First / Middle
Student Phone: / () / Student E-mail Address:
Department/Program: / Degree Title:
Eligibility Requirements: Applicants must be UCI MFA or Doctoral students who have advanced to candidacy by the end of summer 2018, are in good academic standing, will enroll full-time during the quarters for which they are applying, have at least minimum teaching experience (3 quarters at UCI or equivalent outside experience), and have personal transportation. In addition, they must be willing to commit to a minimum of 40 hours over the course of the academic year – this could be accommodated in 2 or 3 quarters, depending on the interests and written agreement between the student and the affiliated partner. Fall 2018 must be one of the quarters within which the student will participate.
Degree Goal: M.F.A Ph. D.
Quarter/Year you advanced to candidacy: Fall Winter Spring
Year
If you have not advanced, then indicate the quarter/year you plan to advance: Fall Winter Spring
Year
Quarter/Year you plan to graduate: Fall Winter Spring
Year
Cumulative G.P.A.:
Do you plan to pursue teaching as a career? Yes No
Do you have a specific interest in teaching in a community college? Yes No
Are you interested in pursuing a career in educational administration or policy? Yes No
If yes, is this a short term or long-term goal?
Have you had any experience at a community college, either as a faculty or as a student? Yes No
If yes, please describe.
Teaching Experience at UCI
Class / Title* / Qtr. / Year / Type of Class & Size**
Teaching Experience outside UCI
Class / Title* / Qtr. / Year / Type of Class & Size**
*Title (e.g., TA, Reader, Tutor, Associate, Lecturer, etc.) ** Type of class (e.g., lab, lecture, seminar, etc.)
Please List all subject areas which you feel competent to teach at an introductory level:
STUDENT SIGNATURE: / DATE: / / / /
FACULTY ADVISOR SIGNATURE: / DATE: / / / /
FACULTY ADVISOR NAME: / DEPT.
Please Print
APPLICATION DEADLINE: Friday, March 9, 2018
CCCIP Application UCI Graduate DivisionRevision date: 01/18/2018
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