Post-Baccalaureate Licensure Program Application                                
Applicants for any of the  Post-Baccalaureate Residency License programs must submit the following:   (1) completed application; (2)  official transcripts for all post-secondary institutions, including verification of an earned bachelor's degree; (3) evidence of content-area knowledge with either 24 hours of relevant coursework as noted on the transcripts or passing scores on the state-approved content exams; and (4) evidence of current employment as a Residency Teacher.  Applicants may be admitted provisionally pending receipt of content exam scores and verification of employment, but these conditions must be removed prior the first day of class.  
Sign in to Google to save your progress. Learn more
Email *
Last Name *
First Name *
Preferred Name
Address *
Primary Phone *
Email *
NC Resident *
US Resident *
SSN (optional)
Gender (optional)
Clear selection
Race (optional)
Date of Birth *
MM
/
DD
/
YYYY
Emergency Contact Name and Phone Number *
Anticipated Semester to Begin *
Required
Anticipated Year *
Required
Program Applied for:  Choose the program that is most closely aligned with your current Residency Teaching position.   *
Please list below all post-secondary institutions previously attended, state in which they are located, and date of graduation.  (You must submit one official transcript from each academic institution beyond high school via email to Dr. Charlesa Hann at c.hann@wingate.edu or mail it to 102 W Wilson St. Wingate, NC 28174  Attn: Dr. Hann.) *
Please list your current employer, location, and position title with grade levels and/or content areas.     *
How did you hear about our program? *
Comments or Questions
Employment Verification
Please email employment verification (on letterhead signed by school or district official) to Dr. Charlesa Hann, at c.hann@wingate.edu.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wingate University. Report Abuse
Google Forms