Seacoast Montessori Teacher Education Program Application

Montessori Teacher Education Program Application

Complete all information to create your file. Return this to seacoastbusinessoffice@gmail.com .
In hiring, promotion, and provision of training we do not engage in any form of discrimination based on race, religion, sex, origin, disability, age, or gender identity.
Last Name*
First*
E-mail:*
Program Location*

Bluffton SC/Savannah GASyracuse NYOther
Level*

EC (2.5-6)EL I (6-9)EL II (9-12)Other
Your address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Education

Please arrange for original academic transcripts of the last two degree programs completed to be sent to our office address at: Seacoast Center for Education, Box 292, Warren ME 04864
Level of Education*
Year Completed*
Degree granted by*
Major/Concentration
Level of Education
Year Completed
Degree granted by
Major/Concentration
Do you have a MACTE-accredited Early Childhood Credential?*

YesNo - I understand that I will need an Early Childhood Overview before I can be recommended for certification.I am applying to the EC level and no Overview is required.
If Yes, Credential issued by:
Year
If applying for EL II only and you already hold an accredited EL I credential, provide the following information:
Program
Year Granted
Portions of this program are delivered via distance. Please indicate your comfort level.

I have taken online coursework previously.I am comfortable in basic use of mobile phone, computer, and or tablet technology.I may need support in understanding specific programs or tools but am willing to tryOther
Most recent employment
Institution*

Last Employment

Street Address

CityState / Province

Postal / Zip CodeCountry
Position
Check if this is your practicum site:

Yes
Administrator/Contact
Phone Number

Area CodePhone Number
References

Please ask these individuals to contact us via the online recommendation form at www.seacoastenter.com. We do not initiate contact.
Full Name*

First NameLast Name
E-mail
Full Name*

First NameLast Name
E-mail
Full Name*

First NameLast Name
E-mail
Application Fee Payment

Application may be submitted without fees if you are sending check or receiving school sponsorship.
Form of payment*

by purchase order or checkinvoice my schoolcredit card (Please call our business office for instructions.)
School contact name for invoice:
Email
example@example.com
School Contact telephone

Area CodePhone Number
Acknowledgement by the applicant

Please read carefully before submitting the application or fees.
Cancellation

YOU MAY CANCEL THIS APPLICATION ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF ITS SUBMISSION AND RECEIVE A FULL REFUND OF ANY FEES PAID.
I certify that the above information is correct to the best of my knowledge. I authorize Seacoast Center for Education to contact my references for further pertinent information regarding my candidacy. I further recognize that Seacoast Center for Education cannot guarantee employment or salary upon completion of this program and release it from liability for circumstances arising from relationships between my practicum site and myself. I understand that upon enrollment full tuition is due notwithstanding any payment plan agreements I may enter into with Seacoast Center for Education, and that should I not complete the course(s) in which I enroll for any reason refund of tuition will be in accordance with published policies of Seacoast Center for Education as prescribed by the State of New Hampshire. For citizens of countries outside the U.S.: I understand it is my responsibility to establish eligibility to study and/or work in the United States and not that of Seacoast Center for Education and that evaluation of degrees issued outside the US is required by AMS and MACTE at my own expense.
Full Name*

First NameLast Name
Date*
Submit application

If you wish to keep a copy of this application for your records please click "Print Form" before submitting.
Application Fee
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Application Fee$175.00
Please read carefully before submitting.

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Montessori Teacher Education Program Application

Education

Most recent employment

References

Application Fee Payment

Acknowledgement by the applicant

Cancellation

Submit application