ATCP Application

Accelerated Teacher Certification Program (ATCP)
Applicant Information Form
Secondary (Grades 8-12) ONLY

First Name: Middle Initial: Last Name: Address: City: State: Zip Code: Date of Birth: - example: 01/01/1980 E-mail: Telephone: - example: 555-555-5555

Educational Background

College and/or Major University	Highest Degree Awarded	Major	Minor	Date Degree Conferred

NOTE: Applicants must have a minimum cumulative GPA of 2.5 on a 4.0 scale and submit transcripts for evaluation purposes.

Seeking certification in:

English
Life Science
Physical Science
Spanish
Theatre Arts
History
Mathematics
Social Studies
Speech

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