Application for  Doctor of Philosophy (Ph.D.)
Department of Theory & Practice in Teacher Education
College of Education, Health, & Human Sciences
University of Tennessee, Knoxville


  1. Last Name: _______________________________ First________________ Middle____________________

  2. Address: _______________________________________________________________________________

  3. City: ________________________________  State: _________________________ Zip:_______________

  4. Phone: __________________________  E-mail Address:_________________________________________

  5. Social Security Number:__________________________________________________________

  6. Are you or have you ever been licensed to teach? ________________

  7. If yes, please list subject and grade level. ___________________________________________________________

  8. Please check desired course of study:

Although the Ph. D. major is in Education, having a primary Concentration allows the student to study in a specialized area within the context of the major. Students may choose a specialization that is related to and supportive of the major. Please indicate your desired course of study:

Concentration (required)

Specialization (optional)


____ Literacy Studies

____ Special Education

____ Teacher Education


____ ESL Education
____ Early Childhood Education
____ Elementary Education
____ English Education
____ Mathematics Education
____ Reading
____ Science Education
____ Social Science Education

  1. Provide information about all colleges or universities attended or attending:

Dates of Attendance                          Institution                             Major                          Degree Earned

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

  1. Beginning with the most recent, list relevant occupational experience (Professional, Military, or Teaching Experience, including Assistantships

    Position Title & Description                       Location                              Dates                 Paid or Volunteer

    ________________________________________________________________________________________________

    ________________________________________________________________________________________________

    ________________________________________________________________________________________________

    ________________________________________________________________________________________________

  2. Citizenship (Country): 
    (  )  US
    (  )  Canada
    (  )  Other (Specify) ______________
    (  )  Permanent US Resident Alien

  3.  International Applicant Visa Status:   
    (  )  Student Visa
    (  )  Immigrant Visa
    (  )  Other (Specify) ____________

  1. Check box if you are applying for financial assistance (application must be made directly to the office concerned, that is, the department, Graduate School, etc.)

□ Graduate Assistantship       □ Fellowship/Traineeship        □ Other-specify_____________

In answering questions 14-20, if you require more space than is provided, please use a separate sheet and attach it to the application.

  1. Academic honors, prizes, election to honorary societies, distinctions, scholarships, fellowships, professional society memberships (High School, College and Post Baccalaureate):

  1. Publications (Complete Reference):

  1. Type, Level, and Agency/State of Certification/Licensure:

  1. Please identify (a) any involvement in research that you have accomplished (such as science fair or contest, involved in a research study alone or with others, etc.), (b) your research interests, if known, and (c) your research plans beyond the Ph.D. degree.

  1. Discuss your career objectives. Include in your discussion how the program and degree for which you are applying can assist you in reaching these objectives. Remember that the Ph.D. in Education program places emphasis on your being prepared to conduct research in your concentration, specialization, or education in general.

  1. Is there other information you would like the Department faculty to consider in reviewing your application? If so, please comment.

  1. If your GRE scores are below the required minimum, please provide information (other than previous GPA) suggesting your ability to successfully complete the Ph.D. in Education program.

  1. I certify that the foregoing statements and all other information and transcripts submitted by me in connection with this application for admission are true and correct. I understand that falsification or deliberate omission of information is grounds for rejection of the application or dismissal from the school.

    ___________________                      ____________________________________________________
    Date                                                    Applicant’s Signature

Additional Data

Please have one official transcript of all undergraduate and graduate work and the official record of your GRE scores sent directly to the GRADUATE AND INTERNATIONAL ADMISSIONS, 218 Student Services Building, The University of Tennessee, Knoxville, TN  37996-0220. Send this form, three recommendations/rating forms and a sample of your written work (thesis, term paper or publication for which you are the sole author) directly to:  Department of Theory & Practice in Teacher Education, College of Education, Health, and Human Sciences, A226 Jane & David Bailey Education Complex, Knoxville, TN  37996-3442.

    The University of Tennessee does not discriminate on the basis of race, sex, color, religion, national origin, age, disability or veteran status in provision of educational programs and services or employment opportunities and benefits. This policy extends to both employment by and admission to the University.
   The University does not discriminate on the basis of race, sex, or disability in its education programs and activities pursuant to the requirements of Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act (ADA) of 1990.
    Inquiries and charges of violation concerning Title VI, Title IX, Section 504, ADA or Age Discrimination in Employment Act (ADEA) or any of the other above referenced policies should be directed to the Office of Equity and Diversity (OED), 1840 Melrose Avenue, Knoxville, TN 37996-3560; telephone (865) 974-2498 (TTY available).Requests for accommodation of disability should be directed to the ADA Coordinator at the UT Office of Human Resources, 600 Hensley Street, Knoxville, TN 37996-4125.