| First name * |
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| Last name * |
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| Preferred first name |
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| Maiden name |
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| Last 4 digits of Social Security # * |
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| Address * |
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| City * |
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| State * |
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| Work phone # |
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| Home phone # |
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| Cell phone # |
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| E-mail address * |
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| Date of birth (MM/DD/YYYY) * |
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| Citizenship * |
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| Gender * |
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Upon completion of all AMS requirements, students will be recommended to receive an AMS Montessori Certificate/Credential. Please indicate how you would like your name to appear on your certificate/credential, if applicable: |
PROGRAM(S) FOR WHICH YOU ARE APPLYING
New York – Summer Institute at the College of New Rochelle,
New Rochelle, NY
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| Introduction to Montessori
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Note: This course is a pre-requisite for Infant/Toddler and Elementary I students who do not have previous Montessori Early Childhood education.
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| Infant/Toddler |
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OR |
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| Early Childhood |
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OR |
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| Elementary I |
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OR
After submitting this form you will be presented |
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| Elementary II |
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| for AMS certification only |
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| Elementary I-II |
for students with Montessori 6-9 training who wish to obtain a 6-12 credential
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| School Management |
Note: Arrangements for Part IV (practicum phase) are handled directly with the program co-coordinator Marie Dugan. |
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Housing
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Are you interested in accommodations at the College of New Rochelle?
Returning School Management students may skip to the "Terms and Conditions" section below.
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New Jersey -
CMTE/NY at Christopher Academy, Westfield, NJ
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– for the academic year beginning in the Fall of 2010
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Master’s degree programs offered as a Partnership Program with the College of New Rochelle Indicate the program to which you are applying:
Master of Science in Education -- Early Childhood Education (birth to grade 2) Leading to Initial Certification and Certification in Early Childhood Montessori Education
Master of Science in Education -- Childhood Education (grade 1 to grade 6) Leading to Initial Certification and Certification in Elementary Montessori Education
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| Indicate the course(s) you wish to take during the summer of 2010:
Foundations of Education (EDU 512)
Differentiated Instruction (EDU 515)
Literacy Development through Arts Integration (EDU 519)
Note: The offerings above are core courses for both degree programs. |
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EDUCATIONAL BACKGROUND
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| HIGH SCHOOL |
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High school name
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Graduation date
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City
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State
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Diploma
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| COLLEGE |
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College/ University name
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Graduation date
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Major
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Degree
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| GRADUATE SCHOOL |
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Graduate school
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Graduation date
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Field of study
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Degree
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| MONTESSORI CREDENTIALS |
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Montessori credential
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Program
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Year
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| Other studies/workshops |
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Program
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Year
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| If your transcripts are from outside the USA, they must be evaluated by a U.S. evaluation service. |
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| EMPLOYMENT BACKGROUND |
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Present employer
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Position
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From To |
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Previous employer
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Position
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From To |
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| TEACHING EXPERIENCE |
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School
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Position
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From To |
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School
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Position
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From To |
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Other experience with children
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Teaching certificate
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REFERENCES
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| We will expect current letters on your behalf from the following three people: |
| 1) Professional reference name |
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Position/title
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Relationship
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| 2) Professional reference name |
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Position/title
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Relationship
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| 3) Personal reference name |
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Position/title
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Relationship
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| PRACTICUM PHASE |
| Have you made arrangements for a practicum site? |
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| Where did you hear about CMTE/NY? |
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| What other language(s) do you speak? |
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Additional info about your learning style.
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TO COMPLETE YOUR APPLICATION
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1. $250 NON-REFUNDABLE REGISTRATION FEE ($350 for international applicants) – Your application cannot be processed without this fee. Applications must be submitted one month before the program begins. Applications received after this deadline will be charged an additional $250 late processing fee. Payment is due in full before the program begins. Payment plans are available – these include a 10% carrying fee. Housing, transportation expenses, books and supplies are the responsibility of the student. The cost of books and supplies is approximately $200 - $500 depending on the course level and source.
After submitting this form, you will see a confirmation page. You may choose to mail a check to our office or to make your payment immediately by Visa or MasterCard via Authorize.net, a secure online payment gateway for credit card and debit cards.
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Payment Method *
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Pay with Visa or Master card now
Mail Check
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2. Please attach a personal statement of no more than 350 words demonstrating:
a) Why you wish to enroll in the CMTE/NY program
b) Your interest in the Montessori method of education
c) A desire to join the Montessori professional community
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| 3. Please have three current letters of recommendation and a copy of your teaching certificate (if you have one) mailed to CMTE/NY, 785 Mamaroneck Avenue, White Plains, NY 10605. Your references may also email the recommendation letters directly to
This e-mail address is being protected from spambots. You need JavaScript enabled to view it
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To expedite the process of students and staff getting to know each other, please attach a headshot of yourself:
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Photo upload
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It is the responsibility of the applicant to have two sets of official transcripts stating the degree(s) awarded from your most recent educational institution, along with letters of recommendation or other items not emailed, mailed to: CMTE/NY, 785 Mamaroneck Avenue, White Plains, NY 10605. Attention: Melanie Pappas
Terms and Conditions
CANCELLATION OF APPLICATION NOTICE: The applicant may cancel this contract and receive a full refund of all monies paid to date if cancellation is made in writing and mailed to Melanie Pappas, CMTE/NY, 785 Mamaroneck Avenue, White Plains, NY 10605, postmarked within five (5) days, excluding Saturday, Sunday and state and federal holidays, after the date of the signature on this application.
JOB PLACEMENT DISCLAIMER: This institution does not guarantee job placement to graduates upon program/course completion.
REFUND POLICY: If a student withdraws from the program one month prior to the program starting date, 100% paid tuition (less processing fee on credit card transactions) will be refunded. Refunds are computed from the date of official withdrawal, not from the time when the student ceases attending classes. The student is required to withdraw officially by writing a letter of intent to the Executive Director and Level Coordinator.
CMTE/NY admits students without regard to race, religion, sexual orientation, age, national or ethnic origin.
Upon receipt of your complete application package, we will notify you with regard to your acceptance.
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I acknowledge that I have read and understand all aspects of this application and do recognize my legal responsibilities in regard to this. I agree to be photographed or videotaped for promotional purposes. If I do not wish to be photographed or videotaped, I understand that it is my responsibility to notify CMTE/NY in writing. I understand that this agreement is not binding until it is accepted by a representative of CMTE/NY.
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* yes I agree to the terms and conditions
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