Education Application Packet: Middle Georgia State University

Education Application

Bachelor's Program Selection:

Select Program Track:*

Select 1st Choice for Campus:*

Select 2nd Choice for Campus:

Are you a paraprofessional in a P-5 setting?:*

Yes
No

Name of School District:

Name of School:

List the Grade Level(s) in which you work:

Student Information

MGA ID:*

GaPSC Certification ID:

Last Name:*

First Name:*

Middle Name:

Date of Birth:*

Gender:*

Female
Male

MGA Email Address:*

Personal Email Address:*

Mailing Address:*

City:*

State:*

Zip:*

County:*

Home/Cell Phone Number:*

Work Phone Number:

Race (please check all that apply):*

American Indian/Alaska Native
Asian
Black/African American
Native Hawaiian/Pacific Islander
White/ Caucasian
Other

If Other, please specify:

Ethnicity:

Hispanic
Non-Hispanic

Info for statistical data purposes only. Information supplied to accrediting agencies.

Education (Core Course Requirements)

Select Current Year and Semester:

Year:

Semester:

List the courses you are currently taking to complete core requirements (type NONE if core complete):

List the courses you will be taking next semester to complete core requirements (type NONE if core complete):

What is your Projected Core Course Completion Year and Semester:

Year:

Semester:

Or:

I am core complete
I do not know

The following documents are required to complete the application packet. Please send ONE email containing all required documents to education@mga.edu ; in the subject line type First Last Name_Program_Application Packet (ex: Jane Doe_Elementary/Special Education_Application Packet). Incomplete application packets will not be processed.

Copy of completed and signed Application Packet Checklist
Official Transcripts (for transfer students only)
GACE Requirements
- Georgia Educator Ethics (360)– Program Exit Certificate
Three Recommendation Forms (Academic or Professional) Email the form link https://forms.gle/Naqww22mFKCSHHBt8 to the persons providing your references.
Transfer Students Only: Copy of Official Transcripts from ALL previous higher education institutions (technical schools, colleges, or universities).

Note: In subject line type your name_Program_Application Packet (ex: Jane Doe_Elementary/Special Education_Application Packet)

John Doe -Application Packet

Education Application

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Education Application Packet

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