NPD Scholarship Application Form

Name: ______Student ID: ______

Address: ______Street City Zip Code Phone: ______Email: ______

Please State Ethnicity: ______(for statistical purpose only) Credential Objective: ( ) Multiple Subject ( ) Single Subject. Subject matter: ______( ) Bilingual Credential (or Certificate)

Bilingual proficiency? Yes ( ) Somewhat ( ) No ( ); Which Asian Language? Cantonese/Mandarin ( ) Korean ( ) Vietnamese ( ) Filipino (Tagalog) ( ) Hmong ( ) If so, have you already passed the CSET: LOTE II or III? Yes ( ) No ( )

Received B.A./B.S.? Yes ( ) Not yet ( ) From what school? ______If not, when do you expect to receive your degree? ______What was your undergraduate major? ______

Undergraduate GPA (freshman-senior years): ______Undergraduate GPA (junior and senior years): ______(optional) (Optional) Graduate Studies in ______GPA: ______

Have you been accepted to the credential program at CSUN? Yes ( ) No ( ). If not, which CSU have you been accepted for your Asian Bilingual Authorization? ( ) When do you expect to begin your credential or certificate coursework? ______Semester / Year Have you passed the CSET (for subject matter)? Yes ( ) No ( )

Have you passed the CBEST? Yes ( ) No ( ) CBEST Writing Score:______Check the ones you’ve passed: Writing ( ) Reading Comprehension ( ) Mathematics ( )

Have you fulfilled your Upper Division Writing Proficiency requirement? ( ) Yes, received CBEST writing score of 41 or higher ( ) Yes, completed coursework in English 305 or 406 ( ) Did not yet complete the Writing Proficiency requirement

Do you have any teaching experience? Yes ( ) No ( ) If yes, please explain where, what, for how long, and in what capacity (as teacher, T.A.):

Please choose the one that describes you: __ Recent College Graduate ___ College Senior __ Mid-Career Professional

By submitting the application and signing below, I understand that as a scholarship recipient, I will be required to attend additional workshops in instructional technology and multicultural education, and to complete the CSUN or another CSU teaching credential or Bilingual Authorization program successfully.

______Signature Date