THIS SECTION TO BE COMPLETED BY STUDENT
QUARTER APPLYING FOR :
FALL:
WINTER:
SPRING :
SUMMER:
CREDITS E ARNED: _________________________
CUMULATIVE GPA: ________________________
This section to be completed by the Education Dept.
Banner___________________________
EDIE_____________________________
Provisional________________________
Email Sent________________________
Application for Admission
Teacher Education Program
Applicant Name:
EWU Student ID:
Phone Number:
EWU email address:
Today’s Date:
APPLICATION DEADLINES
If you are planning to begin the Program winter quarter 2016, you must submit your application by October 15th, 2015.
If you are planning to begin the Program spring quarter 2016, you must submit application by January 15th, 2016.
Advising
Have you met with (or corresponded with) Tiffany Dixon, Education Advisor, to learn about the Education Program at Eastern?
_____Yes
_____No
Choose your Program:
Elementary (K-8)
P-3
What is your Major?:
Major:
Secondary (5-12)
SPED/Elementary dual
Minor:
All P-3 Candidates complete the Early Childhood Education Major.
Have you already completed a Bachelor degree? _____Yes
_____No
PROGRAM PREREQUISITES
1.
All of the following requirements must be completed at the time of application.
Grades must appear on your transcripts. WEST B (or SAT/ACT) scores must be posted.
Must be able to finish program of study (Early Childhood Education, Secondary, Elementary) within 6 quarters.
Indicate the term and grade of the following course requirements. If you are currently enrolled in a course, indicate IP (in progress). If you
took the course at another school, indicate the full school name and course number.
a. English 201 or equivalent:
b.
CMST 200/201 or equivalent:
c.
Math 107 or equivalent (Secondary):
d.
Math 211 or equivalent (Elementary, P-3):
**Note: Course equivalencies must be evaluated by that specific department prior to being accepted
A 2.8 is required in each course. In addition, a 2.8 cumulative GPA is required.
2.
WEST B exam:
a.
Date you passed exam or date you are scheduled to take it:___________________________________________________
b.
Did you waive all or part of the WEST B with SAT/ACT scores? Which section(s)? _____Yes
_____No
Please note: Within
the first week of Ed 200 there will be a $51.75 fee due required for fingerprinting. Please be prepared for that expense
____________________________________________________________________________________________________
to be due within the first week of the course. In addition, at the completion of the Education Program, a Certification fee of $78.50 is due.
Student Signature:
By signing, student confirms that all information on this application is true and accurate. Inaccurate information will be
considered academic dishonesty and could disqualify your application from the Education Program.
Incomplete applications will not be considered. Please make sure you read directions carefully and provide all requested
information. If you have questions, please visit the Department of Education located in Williamson 312. Completed applications
can be delivered to the Education Department, Williamson Hall 312 or faxed to 509.359.2899.
Updated 10/14/2015 AM