EASTERN
EASTERN WASHINGTON UNIVERSITY
Cheney * Spokane
Master in Teaching
Applicant Data Sheet
Date:
Name
Last
First
Middle
Address
City
Home Phone (
State
)
Zip
Cell Phone
(
)
Email
Please print legibly. Be sure this is an email you check daily.
Student ID# (If former EWU student)
Bachelor’s degree earned from (school)
Major
Year
Minor
I am applying for:
Elementary K-8
Secondary 5-12
I am interested in teaching the following subject(s):
Return to: EWU Education Department Graduate Programs
312 Williamson Hall
Cheney, WA 99004
Questions?
Contact
Lori Reiman, MIT Program Assistant 509-359-2500