Contact In
formation
Name:
Street Address:
City ST ZIP Code:
Home Phone:
Cell Phone:
School Email Address:
Personal Email Address:
Academic information
Project PIONERAS
Pre-Service Application
TWU Student ID number:
Cumulative undergraduate GPA:
Have you been officiall
Bilingual?
____ Yes
y admitted into the Teacher Education Educator Preparation Program for EC-6 Core Subjects with
____ No
Are you bilingual (English and Spanish)?
____ Yes ____ No
If you already took any of these courses, please indicate the term and year you did (mark NA if you have not taken
them)*:
________ EDBE 4723 ________EDBE 3643 ________EDBE 3113 ________EDBE 3453 ________EDBE 4453 _____NA
If you have taken the practice or official BTLPT, please indicate your scores:
____Oral Expression ____Written Expression ____Reading Comprehension _____Listening Comprehension
Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete.
_____Overall
Name (printed):
Signature:
Date:
For Office Use Only
___ Date received ____ Academic Advisor’s Recommendation ___ Signed Letter of Agreement and Promissory Note
* Admission preference will be given to students who have not taken EDBE courses.
PIONERAS Office
Department of Teacher Education PO Box 425769 Denton, TX 76204
Tel. (940) 898-2214 or 2217 Fax (940) 898-2962
pioneras@twu.edu www.twu.edu/pioneras
