School of Education

School of Education

Application for Admission to Early Childhood Teaching Young Children Program (Not Seeking Missouri Teacher Certification)
First Name:
Last Name:
Student ID#:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone:

Area CodePhone Number
Mobile Phone:

Area CodePhone Number
E-mail
Year of High School Graduation:
Check any degrees you have earned:
Degree Granting Institution(s):
Attach a current Degree Audit (available as a PDF file in My Park). Log in to My Park at https://my.park.edu/ICS/ Select: Student Tab, Select: My Student Academic Tools, Select: Degree Audit, Select: View All Details, Scroll to bottom and Select: Printable Degree Audit, Save file and attach here. Please do not upload screenshots of your degree progress. This must be the Degree Audit in PDF format:

Upload a File

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Signature:
Date

MonthDayYear
EDC/E/U220 Grade
EDC222 Grade
MA120 or MA135 Grade
EN105 Grade
EN106 Grade
Cumulative GPA 2.50 Required (All Attempted University Hours)
ACT/SAT if less than five years since High School
Should be Empty: