Elementary Education Application Elementary Education Application Form This form allows you to declare Elementary Education as your major and formally apply to the Elementary Education Program. Name* First Middle Last Suffix Gender*FemaleMaleBirthdate* MM DD YYYY Race*Alaskan NativeAmerican IndianAsianBlack or African AmericanHispanic/LatinoNative Hawaiian or other Pacific IslanderWhiteOtherOther RaceWake Forest Student ID #*WFU Email* Personal Permanent Email* Present Street Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Current Phone*Permanent Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Permanent Telephone Number*ACADEMIC HISTORYCumulative GPA*Please enter a number from 1.0 to 4.0.Qualifying SAT total or ACT score*To qualify you must have an 1100 SAT score (Math and Verbal only) or an ACT composite score of 24. If you do not meet these requirements you must take and pass the Praxis Core tests prior to the date of admission. Official Score Report is required.Application Date* Date Format: MM slash DD slash YYYY Expected Graduation Date* Date Format: MM slash DD slash YYYY COURSE REQUIREMENTSElementary Education majors need to have completed these courses. Please check those completed. EDU 201 EDU 201L EDU 311 A minor or second major in any area EDU 395: Teaching Diverse Learners (3h) Please list any divisionals you still need to complete after this current semester:All Elementary Education majors must complete a minor or second major(or a foreign language concentration). My intended minor is:*Plase answer each of the following questions in one complete paragraph.Why have you chosen Elementary Education as a major?*Describe your experiences with children.*Describe how an EE major fits into your long-range plans.*Please Check the following statements acknowledging that you have read and followed the required steps.Please check the following statements acknowledging that you have read and followed the required steps. I understand that by completing this application I have declared an Elementary Education Major, and can take the required courses. Formal acceptance into the Elementary Education program will take place in January of my Junior Year. I understand that in compliance with the state mandate, I am required to have a 2.70 minimum grade point average before being formally accepted and to maintain that average until commencement. I understand that to be admitted to the program, I must achieve a passing score on the Praxis I test unless I have an ACT score of 24 or an SAT total score of 1170. I will provide the licensure officer with a copy of my scores or arrange to take the Praxis. I acknowledge that I have not been convicted or am currently charged with a felony or crime other than a minor traffic violation. I acknowledge that I am not listed on the North Carolina Sex Offender Registry, the Public Protection Registration Program, the State Sexually Violent Predator Registration Program, or the National Sex Offender Registry. I understand that I may be denied a North Carolina teaching license if I have any felony convictions.