Longwood University

One Credit Graduate CourseREA 595: Word Study Pedagogy

Just $275.00 (PRD funds are available through ACPS as reimbursement)

Texts supplied by ACPS: Words their Way and Word Journeys

Class Meets

Sept. 22 (8-3) and Oct. 13 (8-11)

Northside Library, 3rd Floor

Instructor: Ann Blanche�e, Ed. D.

Enrollment Contacts: Alison Dwier-Selden (aselden@k12albemarle.org) or Maureen Jensen (mjensen@k12albemarle.org)or call Graduate & Professional Studies 434-395-2255

Are you new to word study and looking for traction with assessment and instruction? Do you have some experience and you feel like you are ready to take your practice to the next level? This 1-credit class will make sure you are grounded in the essence of word study pedagogy; con�dent in assess-

ing orthographic development; knowledgeable about the integration of spelling, reading, and writing development; and ready to meet your learners'

needs across the stages. Independent application and small group work will provide the opportunity for you to grow your knowledge regardless of

the experience you have and range of learners you serve.

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APPLICATION FOR IN-STATE TUITION RATES This form must be completed if you are claiming entitlement to Virginia in-state tuition rates pursuant to section 23-7.4, Code of Virginia. Supporting documents and additional information may be requested. NOTE: Answers to the questions must reflect information that is true for at least ONE YEAR PRIOR to the term in which you will enroll. Please print.

Name: Last First VISA Type Parent VISA Type

1. Where have you lived for the last two years? List current address first. Include dates.

From (mo./yr.) To (mo./yr.) Street Address City State Zip

2. Do your parents/legal guardian provide 50% or more of your financial support or

claim you as a dependent? Yes No 3. A. If you are married, do you wish to claim eligibility for in-state tuition rates based

on your spouse’s domicile? Yes No B. If “Yes,” does your spouse provide over 50% of your financial support?

Yes No 4. Do any of the following characteristics apply to you? Place a check mark beside all that

apply. Age 24 or older as of the first day of the term in which you intend to enroll Veteran or active duty member of the U.S. Armed Forces Graduate or first-professional student Ward of the court or was a ward of the court until age 18 If both parents are deceased, no adoptive or legal guardian Legal dependents other than a spouse

DIRECTIONS FOR COMPLETING THE REMAINDER OF THIS FORM: If your response to question #2 or #3B is “Yes,” complete both the shaded and unshad- ed areas of this form. If your response to question #3B is “No,” complete the unshaded areas of this form. If you did not check any of the items in question #4, complete both the shaded and unshaded areas of this form. If you checked any of the items in question #4 and answered “No” to question #2, com- plete only the unshaded areas of this form.

Note: For questions 6-10, you must answer the “B” question

if your response to the “A” question is “No.”

11. A. Are you a member of the U.S. Armed Forces? If “No,” go to #12

B. Have income taxes been paid to Virginia on all military income for the last year? If “No,” have income taxes been paid to another state?

C. Does the current Leave/Earnings Statement reflect Virginia withholding? If “Yes,” please provide copy.

13. If your spouse is in the military, will you have: A. Resided in Virginia for the past year? B. Been employed and earned at least $10,300 during

the past year? C. Paid income taxes to Virginia on all earned income?

14. If your parent/legal guardian is in the military, will the nonmilitary parent/legal guardian have: A. Resided in Virginia for the past year? B. Been employed and earned at least $10,300 during

the past year? C. Paid income taxes on all earned income? D. Claimed you as a dependent for federal and Virginia

income tax purposes?

15. If you have lived outside Virginia for the past year, will you have: A. Been employed in Virginia and earned at least $10,300

during the past year? B. Paid Virginia income taxes on all taxable income

Yes No ❏ ❏

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6. A. Have you been employed in Virginia for the past year?

B.If “No,” were you employed in: Student: Another state: Not employed:

7. A. Was a tax return filed or income taxes paid to Virginia as a full- or part-year resident on all earned income last year?

B. If “No,” were taxes paid to: Student: Another state: Didn’t file:

8. A. Are you a registered voter in Virginia? B. If “No,” are you registered in:

Student: Another state: Not registered:

9. A. Do you hold a valid Virginia driver’s license? B. If “No,” do you hold a license in:

Student: Another state: Not licensed:

10. A. Did you operate a motor vehicle registered in Virginia during the last year?

B. If “No,” is it registered in: Student: Another state: Not registered:

Student Yes No ❏ ❏

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earned in Virginia during the past year? ❏ ❏

16. If your parent/legal guardian has lived outside Virginia for the past year, will the parent/guardian have: A. Been employed in Virginia and earned at least $10,300

during the past year? ❏ ❏

B. Paid Virginia income taxes on all taxable income earned in Virginia during the past year? ❏ ❏

C. Claimed you as a dependent for federal and Virginia income tax purposes? ❏ ❏

17. Where have you lived for the last two years? (List current address first. Include dates) Street Address City State Zip From To

I certify that all of the information I provided in this application is true and accurate. I understand that this application is a legally binding document and that if I provide fraudulent information, I may be subject to repayment of tuition or dismissal. I agree to furnish the college with support- ing documentation related to my application, if I am requested to do so.

Signature of Applicant Date

Signature of Parent/Legal Guardian or Spouse Date

Section E: Certification and Signature(s)

Section D: Parent/Legal Guardian or Spouse Information

5. Are you completing the shaded areas for your (check only one): Father Mother Legal guardian Spouse

Section B: Domicile Information

Section A: Student Information

12. A. Is your parent/legal guardian or spouse a member of the U.S. Armed Forces? If “No,” go to #15.

B. Have income taxes been paid to Virginia on all military income for the last year? If “No,” have income taxes been paid to another state?

C. Does the current Leave/Earnings Statement reflect Virginia withholding? If “Yes,” please provide copy.

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Section C: Additional Information

Parent; Spouse or Guardian Yes No ❏ ❏

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Parent: Another state: Not employed:

Parent: Another state: Didn’t file:

Parent: Another state: Not registered:

Parent: Another state: Not licensed:

Parent: Another state: Not registered: