Please Note: If you do not receive an email confirmation that your application was successfully submitted, please try again. Phone This field is for validation purposes and should be left unchanged. The Sixth Year Planned Program listed here is for Connecticut Educators Only. If you or your district are interested in a similar program, please contact us. Application Please complete the form in its entirety. If you must leave the web page, please copy and save the URL or your information will not be saved and you will be required to reinput all information. Name* First Middle Last Email* Phone* Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Grade(s) taught or role* District* Please select which Sixth Year Planned Program you are applying for:* Teacher Leadership Track Technology Integration Track Early Childhood Education Trauma Informed Practices (Select only one) Background Information: Number of years in education? Current position Statement of Purpose The statement of purpose gives you an opportunity to describe your motivation and what you hope to accomplish throughout this unique professional learning experience. The statement of purpose must include; Background information (number of years in education, current position) A description of an educational experience that motivated you to apply to the Sixth Year Planned Program Certificate you selected How will your selected Sixth Year Planned Program Certificate support your professional goals. The statement of purpose should be no longer than one page. (500-1000 words). Are You Ready to Upload Your Documents? Check the box below to upload your documents* Yes, I would like to upload my documents with my application Statement of Purpose* Drop files here or Select files Max. file size: 100 MB, Max. files: 4. Transcripts* Drop files here or Select files Max. file size: 100 MB, Max. files: 6. Send your transcript to: Sixth Year Program Admissions Dominican University of CA 3941 Park Drive STE 20-349 El Dorado Hills, CA 95762 Reminder If you must leave the page and complete the form later, please copy and save the URL or your information will not be saved and you will be required to re-input all information. The Sixth Year Planned Program listed here is for Connecticut Educators Only. If you or your district are interested in a similar program, please contact us. Δ
