Graduate Advising Contract

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Graduate Advising Contract: Signature Page I have read the Graduate Advising Contract: Definitions and Responsibilities, and I am aware of my responsibilities as a graduate student in the College of Education. To be completed by Student: Student Signature_______________________________________________ Date________________ Please Print Name_______________________________________________ UTA ID# (10 digit number found on admission letter) 1000_______________ Email Address__________________________________ Phone___________________________________ Program Seeking (check only one): ____Teacher Certification only (if so list Grade Level of Certification_____________Area____________) ____Master of Education in Teaching (if so list Level of Certification_____________Area____________) ____M.Ed. Curriculum and Instruction (if so, list focus area_________________________) ____ESL Certificate only ____Bilingual Certificate only ____Gifted and Talented Certificate only ____Reading Specialist Certificate only ____Master Reading Teacher Certificate only ____M.Ed. in Leadership and Policy Studies ____Principal Certification only ____Superintendent Certification only To be completed by Advisor: Graduate Advisor Signature______________________________________ Date________________ Program Listed in MyMav_______________________________________ Change of Program needed_______________________________________ Any missing advising materials____________________________________ Academic Hold Removed date____________________________________ Emailed date___________________________________________________ Additional comments: Please complete form in its entirety and return to your Graduate Advisor at your scheduled orientation. Update 03-20-08

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