7.
Please complete the following information if you are applying for an education program in the College of Education and
Human Services.
What area of licensure do you desire?
__________________________________________
Is this your first certification/licensure?
Yes No
(do not include temporary, substitute, or conditional permits.)
If yes, you must also apply to the Classroom Teacher program (see Instruction Sheet.)
If no,
Certification/Licensure State _______________________
Certification/Licensure type : Early Childhood Elementary
Secondary
Special
Middle Childhood Other
Certification/Licensure grade: Provisional
Professional
Permanent
5 Year Ohio Licensure
Other
8. All applicants to
the College of Education and Human Services (including Human Services --
counseling programs applicants) must sign the following statement of computer
access:
I have access to a
computer and to the Internet through a computer of either my own, Wright State
University's, or a public access facility. (A list of public access
facilities will be provided upon request. Contact the College of Education
and Human Services at (937) 775-3086, or it can be viewed on the college's Web
site.)
Signature
____________________________________________________ Date ______________
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