Comprehensive Exam Application Form

ESS-Physical Education Teaching
University of Wisconsin-La Crosse
Department of Exercise and Sport Science

Please provide the following information:

First Name

Last Name

Middle Initial

UW-L Student ID #

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

Home Phone

E-mail

This application is for

First Concentration (if any):	Second Concentration (if any):

Courses and Faculty
In this section please list he courses taken in your major and the instructors for each course. You may find your class schedules from previous semesters on TALON: www.uwlax.edu/current.htm. If you have questions about using TALON please contact the Office of Records and Registration (608) 785-8576, www.uwlax.edu/records.

Please enter information about your classes following this example:

Course	Instructor	Semester Taken
EFN 730	Anderson	Fall 2004

	Course	Instructor	Semester Taken
Category A - Research	1.
	2.
	3.

Category B - Core	1.
	2.
	3.
	4.
	5.
	6.

Category C - Electives	1.
	2.
	3.
	4.
	5.
	6.
	7.
	8.
	9.
	10.

First Name
Last Name
Middle Initial
UW-L Student ID #
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

Comprehensive Exam Application Form

Copyright ©2005 College of Science and Allied Health, University of Wisconsin-La Crosse, 1725 State St., La Crosse , WI 54601 Please address comments about our site to our webmaster@uwlax.edu

Copyright ©2005 College of Science and Allied Health, University of Wisconsin-La Crosse, 1725 State St., La Crosse , WI 54601
Please address comments about our site to our webmaster@uwlax.edu