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School of Education

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School of Education Information Request  

First Name: *
Last Name: *
Birthdate [MM/DD/YYYY]:*
 Possible Degree or Major:*  Check All That Apply
Art Education
Early Childhood (P-4)
Early Childhood (P-4) and Special Education (P-8)
Health & Physical Education- Concentration Undecided
Health & Physical Education- Health Promotion
Health & Physical Education- Human Performance
Health & Physical Education-Recreation Administration
Health & Physical Education- Sport Administration
Health & Physical Education- Teacher Certification
Middle Level- Concentration Undecided
Middle Level- English
Middle Level- Math
Middle Level- Science
Middle Level-Social Studies
Middle Level- Math and English
Middle Level- Math and Science
Middle Level- Math and Social Studies
Middle Level- Science and English
Middle Level- Science and Social Studies
Secondary- Concentration Undecided
Secondary- Biology
Secondary- Chemistry
Secondary- Earth & Space Science
Secondary- English
Secondary- General Science
Secondary- German
Secondary- Math
Secondary- Physics
Secondary- Social Studies
Secondary- Spanish
Type of Request:*
 Year of High School Graduation or GED:*
Term to begin at Edinboro:*
Classification: *
Street Address: *
City: *
State: *
Zip: *
Your Telephone Number: *
Your E-mail Address: *

* Denotes a required field