School of Education
TB Test (Ghering Health Center or family physician)
Results of ALL clearances, as indicated on the form, must be submitted to your Department Office. Please do not submit until you have ALL four clearances. Please bring originals and one copy to turn in at the time you submit this form. Please keep your originals in a safe and accessible location during various requirements of the University and K-12 school district. If your department is not listed below, return this form to Butterfield Hall 140.
Students not complying with this requirement will NOT be permitted to participate in clearance required courses.
Middle/Secondary Education/ Educational Leadership - Butterfield 212
Early Childhood/Reading - Butterfield 330
Health & Physical Education - Crawford Center 106
Counseling/School Psychology/Special Education - Butterfield Hall 124
Music - Alexander Music Center 114
Art - Doucette Hall 113
Please note all teacher candidates must re-apply for clearances during the Student Teaching application process.