Elementary Education ApplicationElementary Education Application Form (Licensure Pathway)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* Month Day YearRace*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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Permanent Telephone Number*ACADEMIC HISTORYCumulative GPA*Please enter a number from 1.0 to 4.0.Qualifying Total Scores of SAT, ACT, or Praxis Core*To qualify, you must have an 1170 SAT score (Math and Verbal only) or 1100 if taken prior to March 2016 or a composite ACT score of 24 or above. If you do not meet these requirements, you must take and pass the Praxis Core prior to the date of admission. Official Score Report is required.Application Date* MM slash DD slash YYYY Expected Graduation Date* MM slash DD slash YYYY COURSE REQUIREMENTSElementary Education majors need to have completed these courses. Please check those completed. EDU 201 EDU 102L EDU 311Please list any divisionals you still need to complete after this current semester: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 Elementary Education major fits into your long-range plans.*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. I understand that if admitted to an education licensure program, I will be preparing to receive an initial teaching license in North Carolina. Upon successful completion of all program requirements, I will be recommended by the Department of Education for an initial teacher license that would ultimately be awarded by the state of North Carolina. I understand that in order to obtain a teaching license in any other state, I must complete all requirements set forth by that particular state. These requirements include but are not limited to fingerprinting, background checks, additional testing, and/or extra coursework to meet their legal requirements.