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Admission to Teacher Education Program
This form is intended for Undergraduate students currently seeking a teaching degree at UCM.
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* Indicates required question
Student 700#
*
Your answer
Last Name
*
Your answer
First Name
*
Your answer
Middle Name
Your answer
Maiden Name
Your answer
Gender (For reporting data only)
*
Female
Male
Prefer not to disclose
Other:
Race/Ethnicity, select all that apply (For reporting data only)
*
American Indian/Alaska Native
Asian
Black/African American
Hispanic/Latino
Native Hawaiian/Pacific Islander
White/Caucasian
Prefer not to disclose
Other:
Required
First semester you attended UCM? (example: Fall 2021)
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Your answer
Major
*
Art Education
Early Childhood Education B-3
Elementary Education 1-6
Middle School Education (All Areas)
Modern Language Education
Music Education
Physical Education
Secondary Education - Agriculture
Secondary Education - Business
Secondary Education - Engineering & Technology
Secondary Education - English
Secondary Education - Family Consumer Sciences
Secondary Education - Mathematics
Secondary Education - Science (Biology, Chemistry, Earth Science, Physics)
Secondary Education - Social Studies
Secondary Education - Speech Communications & Theatre
Special Education
What semester do you anticipate Student Teaching? (example: Spring 2022)
*
Your answer
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