Elementary Education ApplicationElementary Education Application Form This form allows you to declare Elementary Education as your major and formally apply to the Elementary Education Program.Name* First Last Gender*FemaleMaleBirthdate* MM DD YYYYRace*Alaskan NativeAmerican IndianAsianBlack or African AmericanHispanic/LatinoNative Hawaiian or other Pacific IslanderWhiteOtherOther RaceWake Forest Student ID #*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'IvoireCroatiaCubaCuraçaoCyprusCzech 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 GrenadinesSaint MartinSamoaSan 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 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.Application Date* Expected Graduation Date* COURSE REQUIREMENTSElementary Education majors need to have completed these courses. Please check those completed. EDU 201 EDU 201L EDU 311 One Math course One Science course (Biology, Physics, or Chemistry) Anthropology 111Please list any divisionals you still need to complete after this current semester:All Elementary Education majors must complete a minor (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 scrore of 24 or an SAT total score of 1100. I will provide the licensure officer with a copy of my scores or arrange to take the Praxis. I understand that I may be denied a North Carolina teaching license if I have any felony convictions.