EdTech Intent to Apply Form

* Fields marked with an asterisk (*) must be entered.

Salutation:

First Name:

Middle Initial:

Last Name:

Address Line 1:

Address Line 2:
(optional)

City:

State/Prov:

Country:

Zip Code:

Social Security Number:

- -

E-mail address (if applicable):

Phone:

- - Ext.

Pre-Program Deficiencies

* The department has designed two courses to ensure you have sound prerequisites to be successful in the program. In the table below, please indicate prerequisites ETEC 414 and ETEC 442 that you have either already taken or intend to do so.

* ETEC 414
Taken (please indicate below)
Will take (please indicate below)

*Semester:
*Year:

* ETEC 442
Taken (please indicate below)
Will take (please indicate below)

*Semester:
*Year:

Selection of Program Plan

The departmental brochure and/or the department chair have provided you with a detailed information about the importance of planning the Educational Technology Master's degree program at the University of Hawaii. Please, consider carefully the two time-sequence plans and the explanation provided with each. The department requires that you indicate which one of the two plans (3- or 2-year) you think you will most likely to pursue if admitted to the program. The final decision as to which plan you will eventually follow will need to be made at your first registration. Both plans assume that any pre-program deficiencies had been removed prior to the start of the program itself. The required courses already inserted in each schedule are set and may not be changed. The 2-year plan is rather ambitious, and it is imperative that you take into consideration all your personal commitments before you decide.

* Select your plan from the 2 options below:

Three-year Plan			Two-year Plan
Summer	Fall	Spring	Summer	Fall	Spring
YEAR 1			YEAR 1
414	600	603	414	600	603
442	602	602	442	602	601
YEAR 2				605	elective
elective	605	650	YEAR 2
	elective or 688	elective	elective	688	690
YEAR 3				elective	650
elective	elective	690		elective	elective
	elective or 688
I elect to take Three-year Plan			I elect to take Two-year Plan

NOTE:

In a regular semester, 9 credit hours are considered a full-time load, and students are discouraged to enroll in aditional coursess. Exceptions may be considered in consultation with the advisor, provided the student's performance has been excellent.

I am selecting the above option to undertake the program of study in Educational Technology. I understand the departmental rationale for prescribing the sequencing of courses, and do acknowledge that the final decision will have to be made at the time of my first registration for the next Fall semester of classes. If ETEC 414 and 442 had not been enrolled in as yet, I shall remove the identified pre-program deficiencies prior to my beginning of the program, or during the first semester at the latest. Submitting this form indicates your full understanding of the program requirements and the criteria and rules which govern the admissions to and operation of the program.

INTENT TO APPLY FOR ADMISSION

MASTER'S DEGREE IN EDUCATIONAL TECHNOLOGY, UNIVERSITY OF HAWAII