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 APPLICATION FOR ADMISSION TO TEACHER EDUCATION

 
First Name   Middle Name   Last Name
   
         
E-mail Address        
       
Major(s)
Minor(s)

Current Cumulative Grade Point Average:

Praxis Scores
   

Reading

  

Math

  

Writing

Digital Portfolio URL

Describe the strengths you feel you have to offer as an educator

  I understand that I must achieve minimal competencies as established by the Nebraska State Department of Education in order to enroll in additional Education courses at College of Saint Mary.
     
  I declare under penalty of perjury that no order or determination currently is in effect by a court or any other governmental body which finds me to be any of the following: a mentally ill and dangerous person; mentally incompetent to stand trial; acquitted of criminal charges because of insanity; an incapacitated person in need of a guardian; or unable to manage property due to mental illness, mental deficiency, chronic use of drugs or chronic intoxication.
     
  I declare under penalty of perjury that I have not been convicted of a felony or a misdemeanor.
     
  I declare that I have cleared any felony or misdemeanor convictions with the Education Committee.
     

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