Application for Teacher Education Program
Declaration of Major

Please complete the form below to apply for the Teacher Education Program. The required fields are marked with an asterisk.

First Name*

Last Name*

Home Address*

City*

State/Prov*

Zip*

Country

Phone

Email Address*

Date and time preferred for interview with Teacher Education Committee:

Score on SAT/ACT:

Date of completion of PRAXIS I:

Grade in Transformative Teaching (EDUC200) or transfer equivilant:

Current cumulative GPA:

Number of credit hours completed:

Names of two people who are completing reference letters, and your relationship to them (ex: professor, supervisor at childcare facility, etc.):

Academic advisor:

Is fire hot or cold?*

Need Assistance?

For more information contact:

Carmen Macharaschwili
Education Chair
Ph: (574) 239-8417
Office: Vincent 179