*1.Q2 Name:(Required.)

*2.Q3 Banner ID:(Required.)

*3.Q4 Race/Ethnicity:(Required.)

Asian (1)

American Indian / Alaska Native (2)

Black / African American (3)

Hispanic / Latino (4)

Native Hawaiian / Other Pacific Islander (5)

White / Caucasian (6)

Two or more races (7)

Non-resident Alien (8)

Do not wish to provide (9)

*4.Q5 Gender:(Required.)

Male (1)

Female (2)

*5.Q6 Date of Birth:(Required.)

*6.Q7 Home Address:(Required.)

*7.Q8 City, State, Zip Code(Required.)

*8.Q9 Cell Telephone:(Required.)

*9.Q10 WSSU Email:(Required.)

10.Q11 Program Advisor Name:

11.Licensure Area

Elementary Education (ELE)

Birth-Kindergarten (BKE

Health & Physical Education (HPE)

Middle Grades Education (MGE)

Music Education (MUS)

Secondary English Education (ENG)

Secondary Mathematics Education (MTH)

Special Education (SPE)

12.If Licensure Area is MGE, choose concentration

English Language Arts (ELA) (5)

Math (6)

Science (7)

Social Studies (8)

*13.Q14 Have you ever held any type of North Carolina teacher’s license?(Required.)

Yes (1)

No (2)

14.Q15 If yes, please list type and licensure area:

15.Q16 Are you currently employed as a licensed Teacher of Record in a P-12 classroom?

Yes (1)

No (2)

16.Q17 What SEMESTER do you anticipate completing your program?

Fall

Spring

17.Q17 What YEAR do you anticipate completing your program?

2025

2026

2027

2028

2029

2030

18.Which of the following admissions' prerequisites have you met (Check ALL that applies

I have met with my academic advisor for the major

I have a current GPA of 2.70 or better

I have a minimum grade of “C” or better (no “C-” allowed) in the required Written Communication course(s)

I have a minimum grade of “C” or better (no “C-” allowed) in the required Quantitative Literacy (math) course(s)

I have a minimum grade of “C” or better (no “C-” allowed) in the required Oral Communication course

I have taken and passed Praxis Core scores: Reading-156, Writing-162, Math-150 OR Praxis Core Composite score-468 OR I am exempt because of ACT or SAT (10)

I am exempt from Praxis Core because of one of the following: Official passing ACT scores: Math-24, English-24 0R ACT Composite score-24 OR
SAT Prior to March 2016: SAT Math-550 and SAT Reading-505 OR
SAT Composite (Verbal + Math only, Optional essay not counted) -1100 OR
Redesigned SAT scores after March 2016: SAT Math-570 and SAT Evidence-based Combined Reading/Writing-600 OR
SAT Composite-1170 (Writing not counted)