Graduate Certificate Form

Email Address

First Name

Last Name

Note: Certificates with an asterisk (*) are only open to graduate degree seeking students.

Certificate

You must have a teaching license or be working on a teaching license to add this certificate.

Note: If you are an incoming student, your Certificate Start Term must be the same or after your Degree Start Term.

Certificate Start Term

Please enter Unique ID (not Banner ID) so that it will match to your existing record.

Unique ID (i.e., DOEJR)

Expected MU Graduation Term

Discipline-Specific Mentored Teaching Experience

Course Number (must be 600 level)

Course Name

Number of Credits to Be Earned

Faculty Mentor

Experience Description

What is the the overall category of the experience in the above 600 level course (e.g. teaching, curriculum development, etc.)? Provide details about the teaching/learning setting/context.

In what ways will you interact with and get support from your mentor? How frequently will you interact with your mentor?

What will you be doing to build expertise during the 600-level course? Be specific and include the role of resources/literature and feedback from students and your mentor.

How will your progress be evaluated by your mentor during your 600-level course?

How will you collect feedback from your students and how do you plan to use this feedback to improve your teaching?

How do you plan to monitor, reflect on, and continuously improve your teaching skill development?

Statement of Purpose

Provide a statement of purpose outlining your academic interests, professional goals, and reasons for selecting this graduate program at Miami University.

Please respond to the two questions below in less than 300 words:

1. Why have you chosen to enter the field of Child Life?
2. What experiences do you have working with children?