TEACHER LICENSURE FOR UNDERGRADUATES APPLICATION

Attention Applicants: In addition to filling out this form, you need to submit additional materials to complete your application. See the directions at the end of this form.

1. Last Name

2. First Name

3. Middle Initial

4. Student ID Required Question

5. Social Security Number

6. Date of Birth

7. Gender

8. Street Address

9. City

10. State

11. Zip Code

12.
Ethnic Origin

13. What is your major (or intended major)?

14. Please select the area of licensure that you wish to pursue. Please note: Students pursuing Middle School or Secondary School licensure must major in the subject they wish to teach.

	Early Childhood
	Elementary
	Middle School (5-8)
	Secondary School (8-12)

Please submit the following documents with your application:

1. A personal statement (7-10 typed paragraphs) in which you address the following:

a) Discuss your reasons for considering teacher as a profession;
b) Briefly describe any experiences you have had working with children or adolescents;
c) Describe in some detail what you believe to be an important contemporary issue facing
education in our society.

2. At least one letter of reference: A letter from those who can address your potential as an educator. Letters should include comments about character, work ethic, academic abilities, and interpersonal skills.

3. An up-to-date copy of your Degree Audit and Unofficial Transcript

4. A photocopy of your results from the Communication and Literacy of the MTEL (optional, but highly recommended) .

Please submit completed application to: Office of Student Services, W-2-119 (Graduate College of Education)

	White (Not of Hispanic Origin)
	Black (Not of Hispanic Origin)
	Hispanic
	Asian/Pacific Islander
	Native American/Native Alaskan
	Cape Verdean