Secondary Education Online Application Form This form allows you to declare Secondary Education as your major and formally apply to the Secondary Education Program. Name* First Last Gender*FemaleMaleBirthdate* MM DD YYYY Race*Alaskan NativeAmerican IndianAsianBlack or African AmericanHispanic/LatinoNative Hawaiian or other Pacific IslanderWhiteOtherOther RaceWake Forest Student ID #*Are you a Full time or Part time student?*Full timePart timeMajor and/or Area of Licensure Sought*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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Permanent Telephone Number*ACADEMIC HISTORYCumulative GPA*Please enter a value between 1.0 and 4.0.Qualifying SAT total or ACT score*To qualify you must have an 1100 SAT score (Math and Verbal only) or a composite ACT score of 24. If you do not meet these requirements you must take and pass the Praxis1 prior to the date of admission.Application Date* Expected Graduation Date* Plase answer each of the following questions in a paragraph of 100 -150 words.Please describe why you have chosen Seondary Education (or K-12 Foreign Language) as a major/minor.* Describe your experience working with K-12 students.* Describe your goals after becoming a teacher.* Please Check the following statements acknowledging that you have read and followed the required steps.* I understand that I am required to have a 2.50 minimum grade point average before being formally accepted into the program and to maintain that average until commencement. If you are seeking a NC Teaching License:* I understand that I may be denied a North Carolina teaching license if I have any felony convictions. I understand that I will student teach during the second semester of my senior year and that it is a full time commitment. I will complete all degree requirements other than those affiliated with student teaching (EDU 364L and EDU 365) prior to the spring of my senior year. 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 composite score of 24 or an SAT total score of 1100 (verbal and quantitative only). I will provide the licensure officer with a copy of my scores or arrange to take the Praxis. The components of the application process should be completed by April 1st of the student's junior year. Students will be considered for provisional admittance into the program if additional time is required. The final deadline for provisional admittance is August 15th following junior yrear.NameThis field is for validation purposes and should be left unchanged.