| Teacher Education College of Education and Science 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 Mathematics (Grades 5 12) – Early Childhood Education (Birth Grade 3) Social Studies (Grades 5 12) – – Elementary Education (Grades K 6) Visual Art (Grades K 12) – – Childhood Endorsement Music (Grades K 12) – 5-8 Communication Arts/Literature Endorsement Instrumental Music (Grades K 12) – 5-8 Math Endorsement Physical Education teaching (Grades K 12) and Health – 5-8 Social Studies Endorsement teaching (Grades 5 12) – Chemistry (Grades 9 12) English as a Second Language teaching – Life Science (Grades 9 (Grades K 12) –12) – Communication Arts/Literature (Grades 5 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
College of Education and 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 (Grades K – 6) Childhood Endorsement 5-8 Communication Arts/Literature Endorsement 5-8 Math Endorsement 5-8 Social 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) 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
Application-for-Admission-to-a-Professional-Program.docx