School Health Education
Application to Program at the University of  Wisconsin-La Crosse

 Last Name    First Name    Middle Initial
Legal/Permanent Address
Street    City    State    ZIP

Phone Number    UW-L Student Email

Application History
Please select all of the following which apply to you:		 Please list any additional information you feel pertains to your application history:
    I am currently admitted to the Teacher Education Program
     I currently have an application pending to another Teacher Education program
    I have previously been denied to the Teacher Program
Application Criteria
Please use your updated SNAP to complete this section
 Cumulative GPA(including transfer courses)

I understand that my cumulative GPA is under the 2.5 required for admission and that my GPA will be reviewed at the end of the current semester		 Pro Professional Skills Test/PRAXIS I
 Reading     Writing     Math    
Please select one of the following if your PPST results are incomplete:
My PPST results are currently pending      Date PPST taken
I intend to retake one or more sections of the PPST during the current semester
I plan to take the PPST during the current semester
Courses Required for Admission Grade I have now or will have completed at least 30 Gen Ed credits by the end of the current semester
ENG 110 with a grade of B or better CHM 100/103 or course approved for substitution
300 Level English course--if needed HPR 105
CST 110 with a grade of B or better EFN 205
2nd Communication course--if needed C-S 101 or Gen Ed Math course
BIO 103/105 HED 205

I attest that the information furnished in this application is accurate.   Signature:                                                                                  Date: