Candidate Self-Disclosure of Pre-Service Candidate DISPOSITIONS Assessment Form

1. Candidate Information

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CPEP Office of Licensure and Certification (Professional Education Admissions)
Combs 425
Questions may be directed to Admissions Specialist Teacher.admissions@eku.edu

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Candidate Self-Disclosure of Pre-Service Candidate DISPOSITIONS Assessment Form

1. Candidate Information

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* Candidate's Last Name:

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* First Name:

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* Candidate's EKU ID: (no spaces or special chars)