Post-Baccalaureate Teacher Certification Department Application for Admission
Semester and Year of Entry:
Social Security Number:
EMU Student Number:
Name:
Last Name
First Name
Middle/Maiden
Permanent Address:
City:
State:
Permanent Phone:
ZIP:
e-mail:
Were you enrolled in a teacher certification program at another college/university? ___ yes ___ no
If yes, which college/university?
When did you take the Michigan Test for Teacher Certification (MTTC) Professional Readiness Exam
(PRE) or Basic Skills Test? _________________. If your scores were not reported to EMU, please
contact MTTC to have an official score report sent to COE Office of Academic Services, 206 Porter
Building, Eastern Michigan University, Ypsilanti, MI 48197.
List all colleges/universities attended. Official transcripts must be on file for all schools – one must show
a bachelor’s degree award.
College/University
City/State/Country
Dates of Attendance
Teaching Certification Sought: ___ Elementary Provisional Certificate
Completed Hours/Award Earned
___ Secondary Provisional Certificate
Note: this program is for regular elementary and regular secondary certification. If you are interested in special education
certification, you will follow a different admission process. Please call 734-487-3300 for special education programs.
Teaching Major(s):
Teaching Minor(s):
Attach to this application a personal statement (1-2 pages typed) that includes, among other things, your
experiences with children or youth that might contribute to your preparation for teaching. Include a letter
of recommendation from a professional source, preferably one who can speak to your ability or potential
to work with children or youth. Also include the completed Statement of Civil/Criminal Convictions and
a background check (print results from www.michigan.gov/ichat). An Undergraduate Application must
also be submitted to the EMU Office of Admissions.
Please call the College of Education at 734.487.1416 if you have questions about this application.
Return completed application to
Eastern Michigan University, Office of Admissions
P.O. Box 921, Ypsilanti, Michigan 48197 or Fax 734.487.6559