Career & Technical Education Plan 2 - Program Application Step 1 of 5 - Applicant Information 20% Applicant InformationLegal Name * Required First Middle Last Maiden/Former NameDate of Birth - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY EWU ID or NetID (if known)Address * Required Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone * RequiredEmail * Required Enter Email Confirm Email Do you intend to complete the Credit Hour Option (Student B) or the Clock Hour Option (Student A or C)?Credit Hour OptionClock Hour OptionWhat quarter would you like to start the program?Credit Hour Option Information | Clock Hour Option InformationApplication Deadlines Fall Quarter Deadline September 17 Spring Quarter Deadline March 17 Winter Quarter Deadline December 15 Summer Quarter Deadline June 15 EducationDo you have a degree in Education? * RequiredYesNoWhat is the highest level of education you have achieved? * RequiredHigh SchoolAssociate DegreeBachelor's DegreeGraduate or Professional DegreeSome CollegeOtherPrefer Not to AnswerWhat is the title and type of degree you hold?(example: AA in Accounting)What is the title and type of degree you hold?(example: BA in Accounting)What is the title and type of degree you hold?(example: MBA)Please Explain: Certification and Teaching ExperienceAre you currently certified to teach in Washington State? * RequiredPlease mark "Yes" if you have completed a teaching licensure program at an university and have obtained a Resdiency License. YesNoPlease list your certifications below:Click the plus (+) to add a row. Click the minus (-) to remove an added row.Type of CertificateCertificate NumberExpiration DateEndorsements Are you currently certified to teach CTE? * RequiredYesNoWhich type of certification do you hold?ConditionalProbationaryWhich type of certification do you hold?ConditionalInitialAre you currently teaching? * RequiredYesNoSchoolDistrictAre you working with a school and/or district to gain your CTE Certificate?YesNoWhich school and/or district?File UploadPlease upload a copy of your valid Washington State teaching certificate and/or CTE certificate. Drop files here or Basic SkillsApplicants with a valid Washington State teaching certificate are not required to provide evidence of meeting Basic Skills requirements. Please continue to the next page. All applicants must submit evidence that they have met the basic skills requirement. This can be demonstrated in one of two ways. AA or higher from an accredited institution. Passing West-B scores and/or equivalent ACT/SAT scores. ACT/SAT equivalencies can be found HERE. Select one:AA or higher from an accredited institutionPassing Scores on West-B -OR- Equivalent ACT/SAT ScoresOtherPlease explain:Unofficial Transcript(s) and/or Test ScoresUnofficial transcripts or test scores can be used to evaluate your eligibility for the program, official transcripts or scores must be received by the CTE office before formal acceptance into the program. Drop files here or Application SubmissionBy entering your name and the date below you are certifying that the information contained in this application is true and correct. Including inaccurate information may result in disqualification from program admission. NameDate - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY
