ExCET TExES TEST REGISTRATION FORM - University of Texas ...



512059215875ID Numbers are REQUIRED!!00ID Numbers are REQUIRED!!TExES CAT REGISTRATION FORMright116217TEA ID Number/TEAL Assistance: tea. PRINT CLEARLY Email Form/Test Date - certification@uttyler.edu00TEA ID Number/TEAL Assistance: tea. PRINT CLEARLY Email Form/Test Date - certification@uttyler.edu left24921ID #s: myUTTyler ID______________________________ TEA ID ________________020000ID #s: myUTTyler ID______________________________ TEA ID ________________47942597790003. Name: 4. Birthdate: _____/_____/_____ Last Name First Name MI IMPORTANT: The applicant/educator’s name MUST appear exactly as it appears on their valid state ID.5. Address: _______________________________________________________________________________________________________ P.O. Box or Street Address City State Zip Code6. Phone: ______________________________ 7. Gender: ____ Male ____ Female 8. Program Admission Date: ______/______/_____37306251905010. Ethnicity: (Choose one)( ) Hispanic/Latino( ) Not Hispanic/Latino02000010. Ethnicity: (Choose one)( ) Hispanic/Latino( ) Not Hispanic/Latino50196751968511. Race: (Choose one or more)( ) American Indian or Alaska Native( ) Asian ( ) Black or African American( ) Native Hawaiian/Other Pacific Islander( ) White02000011. Race: (Choose one or more)( ) American Indian or Alaska Native( ) Asian ( ) Black or African American( ) Native Hawaiian/Other Pacific Islander( ) White758825100330009. Patriot Email: @patriots.uttyler.edu ?? TExES ELIGIBILITY POLICY - Initial Teacher Certificates??Candidate must be admitted to the School of Education’s Teacher Education ProgramFor content TExES: Candidates must contact Dr. Dykes or Mrs. Sherman for an action plan to qualify to test, so please contact fdykes@uttyler.edu or csherman@uttyler.edu Important: Candidates MUST PASS appropriate content test PRIOR TO clinical teaching semesterCandidate may only take ONE test per test date.For PPR: Candidate must submit proof of earning 85% or higher on the full length Interactive PPR Practice Test to certification@uttyler.edu for approval to take TExES 160.Test fee: $116 (plus any ancillary fee). Refer to the NES webpage for ID information, test fees, deadlines, tx.. Classroom Certification ExamsLIMITED Administration Exam Schedule: See Individual Test Information at ( )178Art EC-12( )237Physical Science 6-12( )164Bilingual Education Supplemental( )116Science 4-8( )240Chemistry 7-12( )161Special Education EC-12( )391Core Subjects EC-6 Must Attempt Initially( )163Special Education SupplementRetake AsNeeded:( ) 801 ELAR ( ) 804 Science( ) 802 Mathematics ( ) 805 Fine Arts/Health/PE( ) 803 Social Studies( )293Science of Teaching Reading( )154English as a Second Language Supplemental( )118Social Studies 4-8( )117English Language Arts and Reading 4-8( )232Social Studies 7-12( )231English Language Arts and Reading 7-12( )129Speech 7-12( )113English Language Arts & Reading /Social Studies 4-8Professional Certification Exams( )157Health EC-12( )253Educational Diagnostician( )233History 7-12( )368Performance Assessment for School Leaders (PASL)( )256Journalism 7-12( )268Principal as Instructional Leader( )238Life Science 7-12( )151Reading Specialist( )115Mathematics 4-8( )252School Counselor( )235Mathematics 7-12( )195Superintendent( )177Music EC-12Limited Administration CATs -- See Link Above for Schedule( )160(PPR) Pedagogy & Professional Responsibilities EC-12( )190Bilingual Target Language Proficiency Test (BTLPT) Spanish( )158Physical Education EC-12( )613LOTE—Spanish EC-12493395028575ATTENTION!Submit this Form to certification@uttyler.eduAllow 7 business days for Test Approval!00ATTENTION!Submit this Form to certification@uttyler.eduAllow 7 business days for Test Approval!With my signature, I certify that I am the person whose name and address appear on this form.54127408438515ATTENTION!Submit this Form to certification@uttyler.eduAllow 7 days for Test Approval!00ATTENTION!Submit this Form to certification@uttyler.eduAllow 7 days for Test Approval!825508953500 54127408438515ATTENTION!Submit this Form to certification@uttyler.eduAllow 7 days for Test Approval!00ATTENTION!Submit this Form to certification@uttyler.eduAllow 7 days for Test Approval! SIGNATURE DATE 56436179176300left109280Approved ________________Emailed __________________Updated ECOS: ? 00Approved ________________Emailed __________________Updated ECOS: ? 272415010477500135890010477500 ******************************************************Office Use Only **************************************************************284797513335NOTES:00NOTES:135953510160Scheduled date of test:_________________________00Scheduled date of test:_________________________ -83185430530Rev. 9/23/202100Rev. 9/23/2021 ................
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