* Date:

* Name:

* Local Address:

* Email:

* Telephone Number:

* Date of High School graduation:

* Date of Matriculation at UGA:

Check List

* Completion of Core Curriculum? (Areas I-V) Yes
No

If no, number of hours completed toward core:

* Passing score on GACE Basic Skills exam or completion of equivalent? Yes
No

* Major science area for certification (choose from Biology, Chemistry, Earth/Space Science, Physics)

* Completion of Pre-professional Experience with Children. Yes
No

* Completion of admission essay describing pre-professional experience. Yes
No

* Have satisfied GPA requirement? (GPA 2.5) Yes
No