Instructions to apply to the Field-Based Teacher Education Program: Complete the online application, print and complete the Confirmation Page, Signature Page and invitation page. Submit the following documents to Mitzi Hughes in the Teacher Certification Office, Texas A&M University- Commerce, Ed North, Room 202, Commerce, TX 75429 OR mail to Mitzi Hughes, Teacher Certification, Texas A&M University - Commerce, PO Box 3011, Commerce, TX 75429.

DOCUMENTS TO BE SUMBITTED:
Signed Confirmation Page
Letter of Invitation Page
Signature Page
Current copy of your Degree works (found under MyLeo)

 
*SSN: - -
((Make sure to enter correct SSN#)
*Date of Birth: - -

*Gender:

*U.S Citizen?:
   
*CWID:


*Ethnicity: *Race 1: *Race 2: 

*First Name:
(The name you enter MUST exactly match the name on your driver's license/government issued ID)
*Last Name:
(Use proper capitalization)
Maiden:

*Address:
(Use proper capitalization)
*City:
(Use proper capitalization)
*State *Zip:

*Home Ph: ( )- - Work Ph: ( )- -

Cell Ph: ( )- - *Email:

Permanent Address: Phone:


*Level:




*Campus (indicate the campus where you are receiving instruction):

Basic Skills Reading: Basic Skills Math: Basic Skills Writing:

NOTE: You must meet all Basic Skills requirements to be fully admitted to the Teacher Education Program.

___________________________________________________________________________________________________________________________
*Have you ever been convicted of a felony? If yes, please explain and give date of offense on separate sheet of paper and attach to application.






                         


*Required Fields
Note: Upon submission of this application, a confirmation page will be available for printing.
Please print the confirmation page and submit with the required documents, as listed on previous webpage.