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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.


    Personal Information

    First Name*


    Last Name*


    Home Address*


    City*


    State/Prov*


    Zip*


    Country


    Phone


    Email Address*



    Application Information

    Date and time preferred for interview with Teacher Education Committee:

    Score on SAT/ACT/GRE/CASA:

    Date of completion of test:

    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:


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