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Program Interests Teacher Credential Program Master of Arts in Teaching Intern Credential Program Administrative Credential UC/CSU Joint Ed.D.   Ph.D. (please skip this form and follow this link)    Credential Interests   Multiple Subject Single Subject   Art English Foreign Language Mathematics Music Sciences Social Studies    Contact Information   Name: (first & last) Mr. Ms. Email:   Title:     Company/School:     Address 1:     Address 2:     City:     State:     Zip:     Country:     Phone:  000-000-0000 Type   Phone 1: home work cell   Phone 2: home work cell   Phone 3: home work cell   Phone (fax):     Best way to contact: email phone mail   Please add me to the mailing list: Yes No      Education   Degree(s)  Major  Institution Year Degree Received or Expected BA: 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 <1980 MA: 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 <1980 MS: 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 <1980 EdD: 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 <1980 PhD: 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 <1980 Other: 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 <1980    How did you hear about us?   Through... (please identify as many as are applicable) Poster:   Friend: UCI Info Session:   Other Student: Brochure:   UCI Faculty/Staff: Email Announcement:   CSU Faculty/Staff: Web Search Engine:   Other Faculty: UCI Website:   Other Personal Contact: Other Online Announcement:   Infotable/Booth:   Other:   Newspapers... LA Times :   CSU Dominguez Hills: OC Register :   CSU Fullerton: UCI New U:   CSU Long Beach: Chapman:   Vanguard: Other:    I want to RSVP:   If you are RSVP'ing for an information session, please indicate which session you're interested in:   Special Events Credential Application Help Day (currently no dates scheduled)     Careers in Teaching Event (currently no dates scheduled)   UCI Teacher Credentialing Information Sessions (for all majors/anyone interested): April 1, 2008 (5:30-6:30pm) in BP 1111 April 14, 2008 (5:30-6:30pm) in Student Center, Emerald Bay A April 29, 2008 (5:30-6:30pm) in BP 1111 May 15, 2008 (5:30-6:30pm) in BP 1111 May 27, 2008 (5:30-6:30pm) in BP 1111   Mandatory Credential Enrollment Information Sessions (only for those credential students with admission invitations): (currently no dates scheduled)   UCI Intern Program Information Sessions (for all majors/anyone interested):   (currently no dates scheduled)   Mandatory Intern Enrollment Information Sessions (only for those intern students with admission invitations): (currently no dates scheduled)