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Saint Mary's College of California
GPS KSOE Bilingual Certificate Program Application (External Applicants ONLY)
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Intended Term of Enrollment
Spring 2025 - The application deadline for the spring term is November 1, 2024.
Summer 2025 - The application deadline for the summer term is April 1, 2025.
Apply for the Saint Mary's College KSOE Bilingual Authorization Certificate Program.
Personal Information
First Name*
Preferred Name
Last Name*
Personal Email* (for registration confirmation; do not use work email, due to firewalls)
Mobile*
Phone*
Birthdate*
Birthdate*
January
February
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1901
1900
Mailing Address*
Mailing Address*
Country
Street
City
Region
Postal Code
Ethnicity*
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific
White
Hispanic or Latino [Hidden]
Yes
No
Federal guidelines mandate that we collect data on the legal sex of all applicants. Please report the legal, biological sex as indicated on your birth certificate. Additionally, we encourage you to share your gender identity and gender pronouns in the comments section below.
Gender - Legal, Biological Sex (as indicated by your birth certificate)*
Female
Male
Gender Identity
Agender
Cisgender man
Cisgender woman
Genderqueer
Nonbinary
Trans man
Trans woman
Transgender
I prefer not to respond
Pronouns
He/him/his
She/her/hers
They/them/their
Ze/hir/hirs
Use my name as pronoun
Please enter your 9 digit Social Security Number (without dashes)
SMC Graduate*
Yes
No
SMC ID Number, if an SMC Graduate
Employment
Do you hold a preliminary or clear credential?*
Do you hold a preliminary or clear credential?*
Preliminary Credential
Clear Credential
When did you receive your teaching credential?
What kind of credential do you hold?*
What kind of credential do you hold?*
Multiple Subjects
Education Specialist
Single Subject
Other
If Single Subject, which subject?
If Other, which type of credential do you hold?
What is the Document Number of your credential, as shown on the CTC's web site?
Are you currently teaching in a bilingual classroom?
Are you currently teaching in a bilingual classroom?
Yes
No
Why are you interested in the Bilingual Added Authorization program?*
Agreement
The above information is true and correct. In place of your signature, please type your full legal name:*
Submit