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

City State / Province

Postal / Zip Code Country
Home Phone:

Area Code Phone Number
Mobile Phone:

Area Code Phone Number
E-mail
Year of High School Graduation:
Check any degrees you have earned:

Associate of Arts Associate of Science Associate of Arts in Teaching Bachelor's Degree
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: *
Signature:
Date

Month Day Year
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: