宅男研究所

宅男研究所 EDL Interest Form -- Master's Degree in Education (MSED)

Please complete this form if you are interested in possibly completing your Master's in Education/Teacher Leader (and/or the Principal Endorsement) Program.

THIS IS NOT an official admission form (visit www.eiu.edu/myeiu to apply).

* - Required fields

MSED Program (choose one):

MSED Program (choose one): Option #1 - Teacher Leader (33-hrs) Option #2 - Principal (33-hrs) Option #3 - Teacher Leader & Principal (42-hrs) ............ PEP - Non-Degree Principal only ............ ... not sure -- please tell me more
Cohort:

If your cohort location isn't available, please contact the Educational Leadership Department for more information about the possibility of new cohorts starting in your location. Phone: 217-581-2919 or E-mail: edadmin@eiu.edu
When do you plan to begin taking MSED courses? (SEM/YR; i.e. Spring/2026)
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Cell Phone Cell Phone - ### - ### ####
Home Email
Work Email
School & district currently employed
Position(s) held
Years of teaching experience
Locations of teaching experience
Years of administrative experience (if applicable)
Locations of administrative experience
Do you currently work in a public schools district?

Do you currently work in a public schools district? Yes No
Career goal in 5 years
Career goal in 10 years
Do you plan on becoming a public school administrator?

Do you plan on becoming a public school administrator? Yes No
If Yes,

If Yes, Within the next year Within the next 3 years Uncertain
Are there any special considerations we should be aware of in regard to your admission to our program?