Virginia Union University | Teacher Licensure Application

Virginia Union University
School of Education and Interdisciplinary Studies

Continuing Education Teacher Licensure Program

Course Application Form

Status

New

Endorsement Area

Elementary
Secondary
Returning

I would like to register for

Weekend College
Elementary Education Accelerated Degree

Last Name *

First Name *

Home Number *

Middle Name *

Work Number

Email Address *

Mailing Address *

Date of Birth *

Sex

Male
Female

Race *

College/University Attended *

4 Year Degree Completed

Date Completed

Current Employer

Teaching Level

Educational Specialty

Assessments Completed

VCLA

Praxis I

Praxis II

VRA/RVE

Please write out the name of each course you would like to take (Ex. SPED 250/251) *

Reason for Taking Course

Notes

Registration/Tuition Payment: $400.00 at the beginning of each course

The information provided by me above is true and I will be responsible for the payment of $400.00 (tuition) for this course due at the time of registration.

Virginia Union University is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools. (1866 Southern Lane, Decatur, Georgia 30033-4097: Telephone number 404-679-4500) to award Bachelor of Arts, Bachelor of Science, Bachelor of Social Work, Master of Divinity, Master of Arts in Christian Education and Doctor of Ministry. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 30033-4097 or call 404-679-4500 for questions about the accreditation of Virginia Union University.