Application for Admission - Professional Certification Program
Texas A&M University-Commerce
Application Date: / /

Full, Legal Name
*Last *First  

Other Last Names (Maiden) 

*Social Security Number  - - (Required by State Board of Educator Certification/TEA for reporting purposes)

*A&M Commerce CWID 

*Date of Birth   - -
*Ethnicity     *Race1                  *Race2
Contact Information
*Permanent Address 
*City  *State  *Zip 
*Home Phone  - - Work Phone  - - Cell Phone  - -
*Verify Email  
*(Please use an e-mail address that you check often.)
Professional Certification Program
*Type of Professional Certification Seeking:  

List Degrees awarded: (List Bachelor's Degree first)
Name of Institution
Degree Awarded
- -
- -
- -
- -
*Do you hold a Texas Teaching Certificate?
Do you currently hold a Master's Degree?
 If not, do you have:         
           Master's Degree Plan on file for the Certification sought?

*Have you taught for at least 2 years in a Texas Education Agency (TEA) Accredited School?  
(Master Reading teacher requires three years)

Note: Service Record documenting years of acceptable classroom teaching experience in a TEA recognized school will be required prior to recommendation for certificate.
A letter of recommendation, from your principal, supervisor, director, superintendent, or board of education representative must accompany the application confirmation sheet you will receive after you submit this application.

Please note this is an application form only and does not constitute admittance to any program.