Preliminary Screening Form: Spring 2017 Bilingual-ESL Endorsement

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In response to high demand, Roosevelt University and the Chicago Teachers Union are forming a cohort consisting of licensed CPS teachers who wish to earn an ESL or Bilingual endorsement.

The 6 course sequence consists of two courses each semester, one online and one face-to-face:

Spring 2017 | March - May | READ 473 & READ 474
Summer 2017 | May - Aug. | READ 458 & READ 476
Fall 2017 | Aug. – Dec. | READ 468 & READ 475

The Spring 2017 online class will begin on March 20, 2017. The face-to-face class will begin on April 1. All face-to-face classes will be held at CTU Headquarters, 1901 West Carroll. Parking is free.

The cost per course is $1,080. For more information, contact Laura Lag at 312-853-4753 or llag@roosevelt.edu.

Please provide your last name in the space below. *

Please provide your first name. *

Please provide your date of birth. *

YYYY

Please provide your complete home address. *

Please provide the best email address to use to contact you about this cohort program. *

Please provide a phone number at which you can be reached (cell phone preferred). *

Please identify the school and district in which you work. *

Which endorsement are you most interested in? *

Bilingual

ESL

Required

Why do you want to earn an endorsement? *

Have you previously earned a Masters degree? *

Yes

Required

Please select the option that best describes your intentions. *

I give permission to Roosevelt University to enroll me immediately in the Spring 2017 courses outlined above.

I am interested in the cohort, but unsure about whether or not it is right for me. Please call to discuss.

I am just exploring at this point. Please email me more information.

Please select the option that best describes your intentions. *

I expect to pay my tuition in full when I am registered.

I will need to set up a tuition payment plan.

My school/principal has agreed to pay part or all of my tuition.

I would like to speak to a financial aid advisor.

Describe how you found out about our cohort. *

Email from CTU

Email from Roosevelt

Email from CPS

CTU newsletter

Other:

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