UNIVERSITY OF PIKEVILLE

Please attach a copy of your Kentucky teaching credentials. If you do not have an active Kentucky teaching credential, please contact us at TL@upike.edu for more information.

If you have ever held, or currently hold a professional license, credential, or other document issued to you by any other jurisdiction other than Kentucky within the United States or abroad, enclose a copy of the certificate(s) and provide the following.

If you have ever held, or currently hold a professional license, credential, or other document issued to you by any other jurisdiction other than Kentucky within the United States or abroad, enclose a copy of the certificate(s) and provide the following.

If you answer "yes" to any question below, SUBMIT a narrative with your application. The narrative should include dates, locations, school systems, court records, and any other information that explains the circumstances in detail.

Section 1. Certified personnel in the Commonwealth:

1. Shall strive toward excellence, recognize the importance of the pursuit of truth, nurture democratic citizenship, and safeguard the freedom to learn and to teach;
2. Shall believe in the worth and dignity of each human being and in educational opportunities for all;
3. Shall strive to uphold the responsibilities of the education profession, including the following obligations to students, to parents, and to the education profession:
   1. TO STUDENTS:
      1. Shall provide students with professional education services in a nondiscriminatory manner and in consonance with accepted best practice known to the educator;
      2. Shall respect the constitutional rights of all students;
      3. Shall take reasonable measures to protect the health, safety, and emotional well-being of students;
      4. Shall not use professional relationships or authority with students for personal advantage;
      5. Shall keep in confidence information about students which has been obtained in the course of professional service, unless disclosure serves professional purposes or is required by law;
      6. Shall not knowingly make false or malicious statements about students or colleagues;
      7. Shall refrain from subjecting students to embarrassment or disparagement; and
      8. Shall not engage in any sexually related behavior with a student with or without consent, but shall maintain a professional approach with students. Sexually related behavior shall include such behaviors as sexual jokes; sexual remarks; sexual kidding or teasing; sexual innuendo; pressure for dates or sexual favors; inappropriate physical touching, kissing, or grabbing; rape; threats of physical harm; and sexual assault.
   2. TO PARENTS:
      1. Shall make reasonable effort to communicate to parents information which should be revealed in the interest of the student;
      2. Shall endeavor to understand community cultures and diverse home environments of students;
      3. Shall not knowingly distort or misrepresent facts concerning educational issues;
      4. Shall distinguish between personal views and the views of the employing educational agency;
      5. Shall not interfere in the exercise of political and citizenship rights and responsibilities of others;
      6. Shall not use institutional privileges for private gain, for the promotion of political candidates, or for partisan political activities; and
      7. Shall not accept gratuities, gifts, or favors that might impair or appear to impair professional judgment, and shall not offer any of these to obtain special advantage.
   3. TO THE EDUCATION PROFESSION:
      1. Shall exemplify behaviors which maintain the dignity and integrity of the profession;
      2. Shall accord just and equitable treatment to all members of the profession in the exercise of their professional rights and responsibilities;
      3. Shall keep in confidence information acquired about colleagues in the course of employment, unless disclosure serves professional purposes or is required by law;
      4. Shall not use coercive means or give special treatment in order to influence professional decisions;
      5. Shall apply for, accept, offer, or assign a position or responsibility only on the basis of professional preparation and legal qualifications; and
      6. Shall not knowingly falsify or misrepresent records of facts relating to the educator's own qualifications or those of other professionals.

Admission to the TLP program requires three (3) Evaluations for Admission Forms from individuals who can provide information about your professional behaviors/dispositions. Once you identify these individuals, we will send them a password protected recommendation form to complete and submit on your behalf.

These recommendations will become part of your educational record. In accordance with the Family Education and Rights Privacy Act of 1974, you will have access to your record, including these forms unless you voluntarily waive your right to review the evaluations for admission forms. Below you will list the name, job title, and email addresses of the three individuals you have asked to serve as an evaluator and complete the required recommendation forms. For each individual’s evaluation form, you will indicate whether you waive your right to access the document. The Patton College of Education does not require you to waive access. It is a personal decision and does not impact the admission decision. If you fail to mark one of the options, you will automatically waive your right to review the form(s).

An agreement is required for admission to the University of Pikeville’s Graduate Teacher Education Program/Teacher Leader Program.

As the applicant, by submitting the details of your administrator below, you are agreeing to complete the program requirements if enrolled into the program.

We will send a password protected agreement to your administrator who will then permit or deny you the following in their school:

• gives permission for the candidate to complete all required clinical experiences.
• gives permission for the candidate to conduct the action research project in his/her classroom or designated classroom in which the candidate will collaborate with the teacher to complete all required clinical experiences if he/she is not employed within the school.
• gives permission for the candidate to present action research findings to the appropriate audience.
• gives permission for a P-12 teacher partner to mentor the candidate in the school setting.

There are a number of transition points built into the program that will enable UPIKE personnel to provide program participants guidance and support, helping ensure success in the program. The first transition point is successful admission to the program.