The University of Tennessee at Chattanooga College of Health, Education and Professional Studies

School of Education

APPLICATION FOR ADMISSION TO THE

TEACHER EDUCATION PROGRAM

NAME SS#

Last First Middle/Maiden

UTC ID#

LOCAL ADDRESS: PERMANENT ADDRESS:

PHONE PHONE

EMAIL ADDRESS

STATUS: Undergraduate Post-Baccalaureate _ M.Ed.

TEACHER LICENSURE SOUGHT:

Elementary: K-12

PreK-3

Middle Grades 4-8

Concentration Emphasis:

Secondary:


Special Education

Vocal Music

Instrumental Music

Art_

Theatre

K-12 Health/Exercise Science

Spanish

French

Latin

English

History

Government

Geography

Economics

Name of Advisor:

Test Requirements:

______I have met the test requirements for admission to the TEP program and have submitted documentation regarding scores on the following test to the

SOE Office, 312 Hunter Hall:

______PRAXIS I _____ACT SAT

______I have not yet met the test requirement for admission to the TEP.

Preliminary Statement of Fingerprinting/Background Check:

Have you ever been:

Yes No

counseled or disciplined for being late/absent from work or school? ______convicted of a felony? ____

convicted of a crime involving dishonesty? ______

convicted of a crime involving violence to another person?

For any “Yes” answers for the above listed questions, please attach a separate piece of paper detailing this answer.


______

I understand that:

a)  meeting the minimum criteria does not guarantee admission to the Teacher Education Program

b)  false statements on this application may lead to disqualification from consideration for admission to the program or to my subsequent disqualification from the program.

c)  I must meet the GPA requirements outlined within my program check sheet, which states I have a cumulative GPA of 2.75.

d)  I cannot proceed within the TEP program with a grade lower than a “C” in any content or education course. (Content courses vary for each major, so please check your program check sheet to determine content courses)

e)  I understand that I must meet the SOE’s testing requirements, which is listed under checkpoint 1. I understand I must meet one of the following minimum testing requirements: ACT(22), SAT (1020), or Praxis I PPST (Writing/173, Math/173, and Reading/174). If you need tutoring or help in order to meet this requirement, please visit the School of Education, Hunter 312 for assistance or email .

f)  I must adhere to the School of Education’s professionalism guidelines as listed in the School of Education dispositions (www.utc.edu/schoolofeducation). This includes, but is not limited to. Maintaining professional dress, professional behavior, and professional communication in all field placement experiences.

______Signature of Applicant Date

PLEASE NOTE:

Please remember that students planning to student teach in the fall semester must submit a student teaching application by March 1, and students planning to student teach in the spring semester must submit an application by September 1. More information can be obtained on the School of Education website (http://www.utc.edu/school-education/) or in Hunter 312.