Application for Admission to a Professional Program

College of Education & Science

Teacher Education

Application for Admission to a Professional Program

You must have accumulated a minimum of 48 credits and have a CGPA of 2.50 or higher to apply for a professional program. Completion of this admission form is the first step in the process of applying for a professional program. Additional information is available in ED 201 Introduction to Teaching and Foundations of Education.

A copy of this form must be submitted to the Education Office.

Name
Last / First / Middle / Date
Banner ID / Male / Female
E-mail / Phone (cell or land line)
Address:
Street / City, State / Zip
Date of Birth / Ethnicity (optional)
Current CGPA / Completion Date (semester/year)

Indicate below the professional program for which you are applying:

Public Classroom Teacher Lutheran Classroom Teacher

Major/Licensure Area:

Parent and Family Education

Early Childhood Education (Birth – Grade 3)

Elementary Education (GradesK – 6)

Early Childhood Endorsement

5-8Communication Arts/Literature Endorsement

5-8 Math Endorsement

5-8Social Studies Endorsement

Chemistry (Grades 9 – 12)

Life Science (Grades 9 –12)

Communication Arts/Literature (Grades 5 – 12)

Mathematics (Grades 5 – 12)

Social Studies (Grades 5 – 12)

Visual Art (Grades K – 12)

Vocal Music (Grades K – 12)

Instrumental Music (Grades K – 12)

Physical Education teaching (Grades K – 12) and Health teaching (Grades 5 – 12)

English as a Second Language teaching (Grades K – 12)

I understand that if I voluntarily drop out of the program for more than two semesters (not including summer school), or if the university discontinues my status in the program for academic or other reasons; and, I am not readmitted within four months after this action, upon readmission, I will be subject to the licensure regulations in force at the time of readmission.

______

Signature of Student Date

ED 201 Folder/Application for Admission to a Professional Program 07/2015