Certification Admission/ Planning Form (CAP)
Rio Salado College in Partnership with Northcentral University
Undergraduate Teacher Preparation Program
Elementary Education 1-8
This form is required and must be submitted with the Teacher Education Program Application. Students will
benefit from mapping out an education plan prior to enrolling in the Undergraduate teacher education courses.
Rio Salado College advisors or EDU staff members are available to assist as needed. Failure to submit a
completed Certification Admission Plan to the Rio Salado Program Admissions office may impact students’
ability to receive financial aid awards and/or plan for student teaching. Upon submission of this form, students
will be notified within two weeks of ADMISSION into the Rio Salado Teacher Preparation Program. FORMAL
ADMISSION into Level II occurs upon completion of all Level I courses with an overall GPA of 3.0. EDU
Courses taken with a final grade of “D” or ”F” must be retaken regardless of GPA. In addition, students need a
passing score on the AEPA/NES subject knowledge exam, as well as satisfying all other requirements and
documentation outlined in the formal admission application.
ITEMS TO CONSIDER PRIOR TO ENROLLING IN COURSEWORK
Rio Salado College's academic calendar is divided into 16 blocks each semester (fall, spring and
summer). Each block is 16 weeks long. When registering for classes at Rio Salado, you select a start
date for your classes. Your start date will determine your block for that semester. You will take all of
your classes that semester within your block's start and end date. For example, in the Fall Semester,
Block 1 begins in August and ends in December. All of your classes must be completed within that
timeframe. If you complete courses early, you must still wait until your block end date before beginning
the next semester’s classes. Taking your classes block by block provides you with a roadmap to
follow toward the completion of your educational goals.
For flexibility, some courses are offered in an 8-week format. Field experience courses, however, are
scheduled for 14-weeks to allow time to arrange and complete the required field experience
placements. Please note that field experience courses are
not
available during some of the blocks
due to school district availability. In other blocks, field experience courses have limited availability,
meaning field experience hours must be scheduled either at the very beginning or end of your course
due to school district scheduling. Refer to the calendar on page 7 of this document for assistance
building your block schedule around field experience coursework availability.
If you are requesting financial aid, it is important to understand that 12 credits per semester is
considered full-time. Please be sure to speak with a financial aid representative to determine your
funding expectations if you are enrolling in less than 12 credits.
By using this form, you are planning your academic success in the Teacher Education Program. Keep
the original planning form and send a copy to Teacher Education with your Teacher Education
Program Application. Complete pages 2 through 6 and mail, fax or email with your application to Rio
Salado College, Program Admissions, 2323 W. 14
thSt., Tempe, AZ 85281, Fax 480-377-4712 or
10/2/2013 g:\education\check sheets\cap\cap undergraduate\cap ncu 15-18\ncu elementary cap 2015-2018.docx
Rio Salado College in Partnership with NCU
Name Rio ID#
Phone Email Date
Teacher Education Program Application
LEVEL I – CERTIFICATION ADMISSION/PLANNING FORM
Coursework Level I,
8 or 14 week
(**VFE= Virtual Field experience)
***Field experience hours for Coursework
Level I, 14 week only
Requires IVP Fingerprint Clearance
EDU285AD – 1 credit
EDU287AD – 1 credit
EDU220 – 3 credits
**VFE10hrs
EDU224 – 3 credits
EDU230 – 3 credits
EDU272 – 3 credits
EDU222* – 3 credits*** 25 hrs
EDU228AA – 3 credits*** 10 hrs
EDU253 – 3 credits*** 25 hrs
EDU228AC–3 credits
**VFE 10hrs
EDU204 – 3 credits
OR
●EDU221 – 3 credits ***30 hrs
*EDU222 is part of general education core
Students must complete these 29 credits and AEPA/NES before applying for
Formal Admission into Level II
Use charts below to outline your schedule:
Fall
Spring
Summer
Note: You must call for field experience placements within one week of your start date, see course syllabi.
BLOCK #:
START DATE:
END DATE:
Sem
Course Field experience/No Field experience Credits 8 wk 14 week Course Start Date Course End Date
EDU285AD 1
EDU287AD 1
Fall
Spring
Summer
Note: You must call for field experience placements within one week of your start date, see course syllabi.
BLOCK #:
START DATE:
END DATE:
Sem
Course Field experience/No Field experience Credits 8 wk 14 week Course Start Date Course End Date
Fall
Spring
Summer
Note: You must call for field experience placements within one week of your start date, see course syllabi.
BLOCK #:
START DATE:
END DATE:
Sem
Course Field experience/No Field experience Credits 8 wk 14 week Course Start Date Course End Date
SEMESTER
:
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Elementary Education 1-8, Undergraduate
Rio Salado College in Partnership with NCU
Name Rio ID#
Phone Email Date
Projected date for Formal Application submission: __________________________________
(It is recommended to submit formal application 2 weeks prior to your end date of your last level I courses for expedited results)
Use the additional charts below to outline a 3
rdand 4
thsemester if needed:
Fall
Spring
Summer
Note: You must call for field experience placements within one week of your start date, see course syllabi.
BLOCK #:
START DATE:
END DATE:
Sem
Course Field experience/No Field experience Credits 8 wk 14 week Course Start Date Course End Date
Fall
Spring
Summer
Note: You must call for field experience placements within one week of your start date, see course syllabi.
Projected date to take AEPA/NES subject knowledge exam (Required) prior to Formal Admission into Level II
Date:______________________
BLOCK #:
START DATE:
END DATE:
Sem
Course Field experience/No Field experience Credits 8 wk 14 week Course Start Date Course End Date
SEMESTER
:
Elementary Education 1-8, Undergraduate
Rio Salado College in Partnership with NCU
Name Rio ID#
Phone Email Date
FORMAL ADMISSION INTO LEVEL II
(AEPA/NES REQUIRED)
Coursework Level II,
8 or 14 week
(**VFE= Virtual Field experience)
***Field experience hours for
Coursework Level II, 14 week only
Requires Fingerprint Clearance
EDU285AB – 1 credit
EDU287AB – 1 credit
EDU217 – 3 credits
**VFE 20 hrs
EDU227 – 3 credits ***20 hrs
EDU229 – 3 credits ***20 hrs
EDU231 – 3 credits ***20 hrs
All Level II Coursework must be completed in the term
prior to your student teaching
Fall
Spring
Summer
Note: You must call for field experience placements within one week of your start date, see course syllabi.
BLOCK #:
START DATE:
END DATE:
Sem
Course Field experience/No Field experience Credits 8 wk 14 week Course Start Date Course End Date
EDU287AB 1
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Fall
Spring
Summer
Note: You must call for field experience placements within one week of your start date, see course syllabi.
BLOCK #:
START DATE:
END DATE:
Sem
Course Field experience/No Field experience Credits 8 wk 14 week Course Start Date Course End Date
Elementary Education 1-8, Undergraduate
Rio Salado College in Partnership with NCU
Name Rio ID#
Phone Email Date
LEVEL III – STUDENT TEACHING
Student Teaching:
January
February
August
October 20____
Note: Student teach in Fall (August or October)—Student must be formally admitted by January 1
stof that year
Student teach in Spring (January or February)—Student must be formally admitted by August 1
stof prior
Year
Important Note: Student teaching is scheduled in a term AFTER completion of all other required coursework.
Students cannot be enrolled in Level II courses in the same term as student teaching. You need to decide if you
will be an Option A or Option B student teacher. See Handbook
Fall
Spring
BLOCK #:
START DATE:
END DATE:
Sem Course Title Credits Course Start Date Course End Date EDU277AA Undergrad Elementary Student Teaching 8
NOTE: By typing in my name below, I understand that changes to this plan could delay my completion of the
program and impact my eligibility for student teaching and /or federal financial aid.
Student Signature: ______________________________ Date ____________
(Type or write)
SEMESTER
:
For Staff use only:
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Educator Preparation Program
**Limited Field Experience Availability (LFEA) indicates that in-class field experiences are possible but may be difficult to complete due to individual district/school availability such as testing, spring, and summer breaks. During Limited Field Experience Availability the approval process for field experiences can take longer which, in turn, lessens the total number of weeks available to complete a field experience, i.e. if a field experience confirmation is obtained five weeks into a course a student must complete the field experience hours in the remaining nine weeks of the course. Please keep this in mind before scheduling a class during LFEA as exceptions will not be made.
FIELD EXPERIENCE AND FINANCIAL AID PLANNING CALENDAR
2015-2016 Calendar Year
Field
Experiences
Are Available
Limited Field
Experience
Availability
NO
FIELD
EXPERIENCE
Available
Fall
2015
Block
START
DATE
DATE
END
Spring
2016
Block
START
DATE
DATE
END
Summer
2016
Block
START
DATE
DATE
END
1 2 3 4 8/24/2015 8/31/2015 9/8/2015 9/14/2015 12/12/2015 12/19/2015 12/26/2015 1/2/2016 1 2 3 4 1/11/2016 1/19/2016 1/25/2016 2/1/2016 4/30/2016 5/7/2016 5/14/2016 5/21/2016 1 2 3 4 5/2/2016 5/9/2016 5/16/2016 5/23/2016 8/20/2016 8/27/2016 9/3/2016 9/10/2016 5 6 7 8 9/21/2015 9/28/2015 10/5/2015 10/12/2015 1/9/2016 1/16/2016 1/23/2016 1/30/2016 5 6 7 8 9 10 2/8/2016 2/16/2016 2/22/2016 2/29/2016 3/7/2016 3/14/2016 5/28/2016 6/4/2016 6/11/2016 6/18/2016 6/25/2016 7/2/2016 5 6 7 8 5/31/2016 6/6/2016 6/13/2016 6/20/2016 9/17/2016 9/24/2016 10/1/2016 10/8/2016 9 10 11 12 10/19/2015 10/26/2015 11/2/2015 11/9/2015* 2/6/2016 2/13/2016 2/20/2016 2/27/2016 11 12 3/21/2016 3/28/2016 7/16/2016 7/9/2016 13 14 15 16 11/16/2015 11/23/2015 11/30/2015 12/7/2015 3/5/2016 3/12/2016 3/19/2016 3/26/2016 13 14 15 16 4/4/2016 4/11/2016 4/18/2016 4/25/2016 7/23/2016 7/30/2016 8/6/2016 8/13/2016Note: Summer II block is not available for program seekers
*The arrows indicate the last fall block that the student can start classes and are still able to take classes in the Summer I bloc
2016-2017 Calendar Year
Field
Experiences
Are Available
Limited Field
Experience
Availability
NO
FIELD
EXPERIENCE
Available
Fall
2016
Block
START
DATE
DATE
END
Spring
2017
Block
START
DATE
DATE
END
Summer
2017
Block
START
DATE
DATE
END
1 2 3 4 8/22/2016 8/29/2016 9/6/2016 9/12/2016 12/10/2016 12/17/2016 12/24/2016 12/31/2016 1 2 3 4 1/9/2017 1/17/2017 1/23/2017 1/30/2017 4/29/2017 5/6/2017 5/13/2017 5/20/2017 1 2 3 4 5/1/2017 5/8/2017 5/15/2017 5/22/2017 8/19/2017 8/26/2017 9/2/2017 9/9/2017 5 6 7 8 9/19/2016 9/26/2016 10/3/2016 10/10/2016 1/7/2017 1/14/2017 1/21/2017 1/28/2017 5 6 7 8 9 10 2/6/2017 2/13/2017 2/21/2017 2/27/2017 3/6/2017 3/13/2017 5/27/2017 6/3/2017 6/10/2017 6/17/2017 6/24/2017 7/1/2017 5 6 7 8 5/30/2017 6/5/2017 6/12/2017 6/19/2017 9/16/2017 9/23/2017 9/30/2017 10/7/2017 9 10 11 12 10/17/2016 10/24/2016 10/31/2016 11/7/2016* 2/4/2017 2/11/2017 2/18/2017 2/25/2017 11 12 3/20/2017 3/27/2017 7/15/2017 7/8/2017 13 11/14/2016 3/4/2017 13 4/3/2017 7/22/201714 15 16 11/21/2016 11/28/2016 12/5/2016 3/11/2017 3/18/2017 3/25/2017 14 15 16 4/10/2017 4/17/2017 4/24/2017 7/29/2017 8/5/2017 8/12/2017
Note: Summer II block is not available for program seekers
*The arrows indicate the last fall block that the student can start classes and are still able to take classes in the Summer I block.