Majors and Minors - University of Wisconsin–Stevens Point
-66675-1905000Licensing InformationOffice of Field ExperiencesToday’s date: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Last NameFirst NameMiddle In. Previous Name(s) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Permanent AddressCityStateZip Code FORMTEXT ????? FORMTEXT ?????/ FORMTEXT ?????/ FORMTEXT ?????Student ID #Date of BirthMajors and MinorsTeaching Major(s)Teaching Minor(s) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Non-Teaching Major(s)Non-Teaching Minor(s) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????ACTFL Scores (Foreign Language Major/Minor Only)Test CodeScoreI have verified that passing scores are on my UWSP DPRIf passing scores are not present on your UWSP DPR, select one of the following.OPI(c) FORMTEXT ????? FORMCHECKBOX YES FORMCHECKBOX I have passed. I am emailing my scores to education.office@uwsp.edu. FORMCHECKBOX I do not have passing scores. Test was taken on/is scheduled for FORMTEXT ?????WPT FORMTEXT ????? FORMCHECKBOX YES FORMCHECKBOX I have passed. I am emailing my scores to education.office@uwsp.edu. FORMCHECKBOX I do not have passing scores. Test was taken on/is scheduled for FORMTEXT ?????Foundations of Reading Test for Wisconsin (Early Childhood, Elementary & Special Education Majors & Minors only)Foundations of Reading Test for WisconsinScoreChoose One FORMTEXT ????? FORMCHECKBOX I have passed FORMCHECKBOX I do not have passing scores. Test was taken on/is scheduled for FORMTEXT ?????When do you plan to graduate/complete the program? FORMCHECKBOX Fall FORMCHECKBOX Spring FORMCHECKBOX Summer Year: 20 FORMTEXT ?????CertificationsPlease list all certification areas and developmental levels you will be requesting upon completion of student teaching:Certification Subject AreaEC(0-8)EC-A(0-21)MC-EA(6-13)EA-A(10-21) FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Academic BackgroundAll degrees, majors, minors and concentrations you are earning now through UW-Stevens PointInstitution & Location (city/state)Degree or Licensing ProgramGraduation Date (Month/year)Major(s)earnedMinor(s)earnedConcentration(s)earnedUW-Stevens Point FORMTEXT ?????Dec 2020 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Have you earned previous degrees? FORMCHECKBOX No FORMCHECKBOX Yes If yes, complete the following information.Institution & Location (city/state)Degree or Licensing ProgramGraduation Date (Month/year)Major(s)earnedMinor(s)earnedConcentration(s)earned FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Note: If you have already earned a 4-year degree, and are earning a major or minor you have not already completed somewhere else, make sure to apply to graduate on accesSPoint for a Bachelor’s degree. If this is not completed, your license cannot be approved.Licensing Information Sheet 1/20 ................
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