Teacher Education Program Application - Hannibal-LaGrange University

As an undergraduate student, I understand a qualifying ACT Composite score of 20 or verification that all portions of the MoGEA have been passed is required. As a graduate student, I understand I am not required to take the MoGEA, but I am required to take and pass the Missouri Content Assessment prior to applying for student teaching.*

I understand.

I understand a favorable recommendation (Dispositions Assessment: Early Clinical Placement form) from one of my field experience cooperating teachers is required. This requirement is completed as a part of coursework in HLGU's Field Experience I or II Students transferring credit for Field Experience I or II must supply a favorable recommendation from a previous field experience’s cooperating teacher to the Teacher Education Division using the Dispositions Assessment form linked above.*

I understand.

Name*

First Last

Campus*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Campus Box Number

Cell Phone*

Email*

Projected Graduation Date*

HLGU Advisor*

Colleges you have attended and degrees earned, if any:

Degree*

Certification Area (Undergraduate)*

Certification Area (Graduate)*

Information

Please provide the name and email address for a college/university instructor you have had for a general education course.

Instructor Name

First Last

Instructor Email*

Enter Email Confirm Email

Information

Please provide the name and email address for a public school teacher you have worked with during a field experience placement.

Public School Teacher Name

First Last

Public School Teacher Email*

Enter Email Confirm Email

Information

Please provide the name and email address for an HLGU instructor you have had for an education course.

Instructor Name

First Last

Instructor Email*

Enter Email Confirm Email

Information

Please provide the name and email address for a TRC instructor you have had for an education course.

Instructor Name

First Last

Instructor Email*

Enter Email Confirm Email

Information

Please provide the name and email address for an HLGU instructor you have had for an education course.

Instructor Name

First Last

Instructor Email*

Enter Email Confirm Email

Current Grade Point Averages

The Department of Elementary and Secondary Education has established minimum GPA requirements as listed below. If you need help calculating each GPA, feel free to use this online GPA calculator.

Cumulative GPA*

This GPA is automatically calculated for you on your unofficial student transcript.

Professional GPA (min. of 3.0)*

Calculate this GPA using all classes with EDU, ECE, EED, or SED course numbers. *

Content GPA for K-12 and SED only (min. of 3.0)

Calculate this GPA using classes under the content area heading on your Graduation Checklist.

Convicted of a Felony?*

Yes
No

If yes, explain.

Upload a photograph of yourself.*

Max. file size: 300 MB.

The photo is not evaluated as part of entrance requirements. It is used for a student teaching display in the Education Department office that highlights upcoming graduates. *

Upload a typed letter.

Max. file size: 300 MB.

Upload a typed letter, demonstrating professional writing skills, to the Teacher Education Committee requesting admittance into the Teacher Education Program. This letter should include a brief autobiographical sketch, and an explanation of your desire to become a teacher.

By submitting this form, you agree to the following:*

I understand that in order to enter, remain in, and exit from the HLGU Teacher Education Program, I must comply with all institutional and state requirements. My failure to comply with any institutional requirement (including HLGU student conduct regulations) or state requirement could result in my being dismissed from the program, making me ineligible to be recommended for certification.

I understand that by virtue of my enrollment in teacher education courses at Hannibal-LaGrange University and by participation in various classroom activities (i.e., educational field experiences and student teaching), I may have access to records which contain individually identifiable information.

The disclosure of this information is prohibited by the Family Education Rights and Privacy Act of 1974 (Buckley Amendment). I acknowledge that I fully understand that the intentional disclosure by e of this information to any unauthorized person (i.e. talking about a particular student or teacher to a friend) could subject me to criminal and civil penalties imposed by law.

I further acknowledge that such willful or unauthorized disclosure could constitute just cause for disciplinary action and/or removal from the teacher education program by Hannibal-LaGrange University's Teacher Education Division regardless of whether criminal or civil penalties are imposed.

I agree to the above confidentiality statement.