Student Status BA/BS Candidate______ Post Bac. Certification Only______

Overall GPA ( 2.5 min. req.)_______

GPA in Foreign Language (B average required)_______

1. Haveyou passed the TAP? Yes_____ No_____

2. Have you passed the Basic Skills portion of the ill. Certif. Test?
    Yes_____No_____

3. Have you passed the Field portion of the lilt Certif. Test?
   (Field 27: French, Field 28: German and Field 26: Spanish)
    Yes_____No_____

4. List all colleges and universities attended and provide complete transcripts from each institution with dossier.
 

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

 

5. List courses and colleges in which you are currently enrolled.
 

I understand that I must appear for my screening interview on the scheduled date or postpone student teaching at least one semester.

Signature: ____________________________________  Date:  _________________________________

Submit this form to Dr. Kathleen A. Bueno only, 2319 Peck Bldg. --Phone: 650-2146.
e- mail: <kbueno@siue.edu>
 
 

	Content Page

URL:  http://www.siue.edu/~kbueno/teacher_prep/student_teach/interview/request.html
Published By:  Kathleen Bueno <kbueno@siue.edu>
Created By:  Faculty Technology Center <shuffst@siue.edu>
Last Update:  August 21, 1998