M.T. Supplement and Professional Program in Education Application
Secondary Education Social Studies – M.T. Degree
DEADLINE - January 15th preceding the summer or Fall of anticipated enrollment in the M.T. program or October 15th
preceding the spring of anticipated enrollment in the M.T. program. Complete, print, and submit application to College of
Education Office of Student Services, Wardlaw 113.
Name: _____________________________________
USC ID Number __________________________
I. Validation of required pre‐requisite course work: No grade below C accepted on any of these courses. No substitutions for any of these courses will be accepted
without written permission from both your undergraduate advisor and your M.T. advisor.
Education Component – 12 Hrs EDFI 300 or EDFN 300 EDPY 401 EDSE 302 EDSE 500 Social Studies Courses – 30‐33 Hrs Credit Hours
Semester /Year (to be) Completed
3 3
3
3
Credit Hours
HIST 111 3
HIST 112 3
HIST 300+ course – HIST ________ 3
HIST 300+ course – HIST ________ 3
HIST 300+ course – HIST ________ 3
HIST 300+ course – HIST ________ 3
POLI 201 3
ECON 224 or ECON 221 AND ECON 222 GEOG 103 or GEOG 221 or GEOG 212 PSYCH or SOCY or ANTH course ________ ________ Grade Received
3 or 3 AND 3 3 3 Grade Received
Semester /Year (to be) Completed
II. Statement of Understanding regarding internships and licensure/certification. I understand and accept the
following statements regarding the M.T. degree program for initial teacher licensure/certification and the
application process for licensure/certification:
 The South Carolina Department of Education (SCDE) requires all students enrolled in initial teacher
licensure/certification programs to undergo SLED and FBI checks at the time they complete the
application for licensure/certification process which is approximately one year prior to enrolling in their
final internship ( also referred to as full-time clinical experience, and student teaching).
 The SLED and FBI checks require students to be fingerprinted electronically.
 The SCDE will consider all criminal offenses.
 Students must pass the SLED and FBI background checks and be cleared by the SCDE and USC for their
final internship.
 Some students may be required to undergo additional SLED and FBI checks prior to being licensed/
certified by the SCDE.
 Some school districts may have additional requirements (i.e., health screenings, additional background
checks, etc.) prior to being placed in that district.
 Admission to and graduation from the M.T. degree program for initial teacher licensure/certification does
not constitute automatic forgiveness for previous legal issues.
 Admission to and graduation from the M.T. degree program does not constitute automatic awarding of
teacher licensure/certification by the South Carolina Department of Education.
III. Waiver of Liability and Release of Information. I understand and accept the condition that the College of
Education, the University of South Carolina, and individual faculty members and other instructional staff are
released from any liability related to accidents or any other unexpected events which may occur in conjunction
with my participation in required or voluntary activities outside of the University of South Carolina-Columbia
campus. In addition, the College of Education Office of Student Services and Office of Clinical Experiences
staff have my permission to verify and release information on my application for the purpose of internship
placement.
IV. EEDA Statement of Understanding. I understand that all students must successfully complete the statemandated modules of the Education and Economic Development Act (EEDA) as one requirement for admission
to the Professional Program in Education. (EEDA modules are available to students once admitted to the M.T.
degree via Blackboard under “My Organizations”.)
V. Statement of Accuracy and Acceptance. I understand that internship placements are arranged with school
districts in the Columbia metropolitan area and that only with approval of the student’s M.T. advisor and
department chair and the Office of School University Partnerships would a student be allowed to complete
internship(s) beyond the Columbia area. I certify that all statements on this Application Supplement and
Professional Program Application, 5th Year M.T. Secondary Education Social Studies form are true and
accurate. Any misrepresentations or omissions of facts may result in my application and/or admittance to the
program being terminated. I further have read and understand the above statements and accept the conditions
stated.
By signature below, I certify that I have read, understand, and accept the statements listed herewith. _________________________________________
Applicant’s signature / Date
SS MT Supplement & PPE Application 4/2/2015