ࡱ> U pbjbjnn ňaaCtbbbbb4hLJ|6,  +++++++$-0+Eb +bb+'%'%'% Fbb+'% +'%'%V*@*҉w!j]* q+,06,i*T1!1**1b* '% ++U# 6, 1 B (: Salisbury University Application to Secondary Physics Professional Teacher Education Program 1. Student completes this section, takes form to Physics Department advisor then to Secondary & Physical Education Department advisor. Name:  FORMTEXT      Student ID#:  FORMTEXT      Home Address:Cell Phone:  FORMTEXT        FORMTEXT      Home Phone:  FORMTEXT        FORMTEXT      Physics Advisor Name:  FORMTEXT      Local Address: Same as above  FORMCHECKBOX Did You Transfer credits to SU?  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMTEXT      MAJOR: Physics  FORMTEXT      Student Signature: Major dept advisor completes only this section and returns form to student. Completed & in Progress Physics Courses Toward Major Course Credits GradeIP "PHYS 1084PHYS 2214PHYS 2234PHYS 2253PHYS 3093PHYS 3114PHYS 3133PHYS 3143PHYS 3153BIOL 1014GEOL 103 or GEOG 1044 CHEM 1214CHEM 1224MDTC101/CHEM 2071MATH 2014MATH 2024MATH 3104MATH 3114 ADVISOR COMMENTS  Major Advisor Signature Date Secondary & PE Department Advisor PTEP Course Pre-RequisitesCourseGradeEDFN 210 SCED 300ENGL 103 MSDE EquivalentPRAXIS CORE ScoresSU GPA*ACT 24Reading 1563.0SAT 1180Writing 162GRE 1000Math 150 TOTAL EARNED HOURS (From Audit or Unofficial Transcript)CompletedIn ProgressTOTAL (Minimum 56) Cumu(*ln    X f h    " $ 8 : < F H J L h p ~ »»»v»h. 5OJQJ\^Jjth. 5U\ jh. 5U\mHnHujh. 5U\jh. 5U\ h. 5\hh. 5OJQJ\^Jhxh[h. h&} hp>>*hp>CJaJh1U;CJaJhp>hL-*n  J L Xtkd$$Ifl0*04 laytIrh $Ifgd. $0^`0a$$h^h`a$gdx ! L h  tkd$$Ifl0*04 laytIrh $Ifgd.      " 6 8 : D F H X r v x ž澰ţž澕ž澇ţžyžžjFh. 5U\jh. 5U\jh. 5U\h. 5OJQJ\^Jjjh. 5U\ h. 5\hh. 5OJQJ\^J jh. 5U\mHnHujh. 5U\jvh. 5U\,  H $Ifgd. tkdR$$Ifl0*04 laytIrh  $Ifgd. tkd$$Ifl0*04 laytIrh   N P l n r ~    ͟uhdVj4h. 5U\h. hh. OJQJ^J jh. 5U\mHnHuj$h. 5U\jh. 5U\ h. 5\j"h. U\jh. U\h. 5OJQJ\^Jhh. 5OJQJ\^Jj:h. U\ h. \jh. U\ h. 6\! $Ifgd. tkd$$Ifl0*04 laytIrh ( N $Ifgd. tkd$$Ifl0*04 laytIrh  $ & ( L N P R V Z\^¾uncuncnc\X\h~] hzhzhp>5CJ\aJ hzhp>hzhp>5\hp>5CJ\aJh&}hp>5\h&}hL5\hzh&}5\hL5>*\ hL5\ hp>5\hp>h. hh. 5OJQJ\^Jhh. OJQJ^J jh. 5U\mHnHujh. 5U\ N P R T V \wn $$Ifa$h^hgd&} & Fgdztkd$$Ifl0*04 laytIrh\^`np~~~~~~x~$If $$Ifa$xkd` $$IfTl4?  04 laf4p ytTT ]WNHH$If $$Ifa$$Ifkd $$IfTl4\ >?H04 laf4yt~]T]WNHH$If $$Ifa$$Ifkd $$IfTl4\ >?H04 laf4yt~]T]TF@@$If $ !$Ifa$ $$Ifa$kdm $$IfTl4\ >?H04 laf4yt~]T]TF@@$If $ !$Ifa$ $$Ifa$kd $$IfTl4\ >?H04 laf4yt~]T  "$]TTNN$If $$Ifa$kd $$IfTl4\ >?H04 laf4yt~]T $&@B\^xz  "#&'0145>?BCLMPQZ[\^_`acdefwԺhp>hzhp>CJaJhp>CJaJh~]CJaJ hzh~]h~] hzhF.hF.hzhzCJaJ hzhzhp>5CJ\aJ hzhp>z5Ca:$&8<>@]TTNN$If $$Ifa$kdw $$IfTl4\ >?H04 laf4yt~]T@BTXZ\[RRLL$If $$Ifa$kd%$$IfTl4\ >?H04 laf4yt~]T\^ptvx[RRLL$If $$Ifa$kd$$IfTl4\ >?H04 laf4yt~]Txz]TTNN$If $$Ifa$kd$$IfTl4\ >?H04 laf4yt~]T]TF;;  !$If $ !$Ifa$ $$Ifa$kd7$$IfTl4\ >?H04 laf4yt~]T]TTFF;  !$If $ !$Ifa$ $$Ifa$kd$$IfTl4\ >?H04 laf4yt~]TRI; $ !$Ifa$ $$Ifa$kd$$IfTl4\ >?H04 laf4yt~]T  !$If ]TF;;  !$If $ !$Ifa$ $$Ifa$kdA$$IfTl4\ >?H04 laf4yt~]T"$%&]TF;;  !$If $ !$Ifa$ $$Ifa$kd$$IfTl4\ >?H04 laf4yt~]T&'0234]TF;;  !$If $ !$Ifa$ $$Ifa$kd$$IfTl4\ >?H04 laf4yt~]T45>@AB]TF;;  !$If $ !$Ifa$ $$Ifa$kdK$$IfTl4\ >?H04 laf4yt~]TBCLNOP]TF;;  !$If $ !$Ifa$ $$Ifa$kd$$IfTl4\ >?H04 laf4yt~]TPQZ\]^]TC88  !$If$ !$Ifa$gdF. $$Ifa$kd$$IfTl4\ >?H04 laf4yt~]T^_`abc]TC88  !$If$ !$Ifa$gdF. $$Ifa$kdU$$IfTl4\ >?H04 laf4yt~]Tcdfwxyz{][UOOOO$If$Ifkd$$IfTl4\ >?H04 laf4yt~]T{|}~vh^hgd&} & FgduO>gdn &d P ikd$$IfTl-7064 laytnT w| &19ABSUWZ\]egrvwտǟ܋܃܋huO>CJaJh=[huO>CJaJhuO>5CJaJh=[huO>5CJaJhYqh h&}h&}CJaJhp>CJaJ hp>5\ hL5\ h&}5\huO>hnhp>hxCJ aJ hp>CJ aJ hp>CJaJ2ypp $$Ifa$zkdD$$Ifl4>  0644 laf4p ytT $$Ifa$gd&}xo $$Ifa$ $$Ifa$gd zkd$$Ifl00644 layt  {{ $$Ifa$zkd_$$Ifl00644 layt   {{ $$Ifa$zkd$$Ifl00644 layt &9Aooo$ $Ifa$gdNHgdp>zkdc$$Ifl00644 layt ABIJVG7*7  $IfgdNH$ $Ifa$gdNHkd$$IflFd  t06    44 lapytNHVW[\$ $Ifa$gdNH  $IfgdNH\]f2"$ $Ifa$gdNHkd$$Ifl4ֈp HdzT[}` t0644 laytNHfgstuv$ $Ifa$gdNH  $IfgdNHvw2"$ $Ifa$gdNHkd$$Ifl4ֈp HdzT[ }  t0644 laytNH$ $Ifa$gdNH  $IfgdNH2)) gdp>kd$$Ifl4ֈp HdzT[ }  t0644 laytNHuh  $IfgdTzkdm$$Iflj\  t 0644 lazp ytT$ $Ifa$gdTzzzF{x{z{{{{{&|(|ȼئ}qcXcPhuO>CJaJhuO>5CJ\aJhr*uhuO>5CJ\aJhLhL;CJaJ huO>hLh&}hL6CJaJh&}6CJaJUhLhLCJaJhLCJaJhkh&}56CJaJhkh&}5CJaJh&}5CJaJ hnh&}h&}h=[h&}CJaJh=[h&}5CJaJh=[h&}5CJaJqd  $IfgdT$ $Ifa$gdT}kd $$Ifl0$ jF t0644 lazytTqd  $IfgdT$ $Ifa$gdT}kd$$Ifl0$ jF t0644 lazytT@zzzF{z{{{&|(|R||||||||tottgduO>$@&gdLgdL}kd% $$Ifl0$ jF t0644 lazytT lative Transfer GPA e" 2.5 _____ Cumulative SU GPA e" 2.5 _____ Cumulative Overall GPA e" 2.5 _____ (Show GPA calculation on back if transfer or SU GPA is <2.5) Major GPA e" 2.75 _____ _____ accept _____ deny *If taking this option, student must sign the 3.0 GPA MoU. Reasons For Denial: _________________________________________ _________________________________________ _________________________________________ _________________________________________ Secondary Advisor/Representative Date Revised 9/25/19. This application replaces all previous versions.      FILENAME \p \* MERGEFORMAT O:\FORMS\PTEP Applications\PTEP Application Physics_Rev. 9-25-19.doc (|R|N}}}}}}}}}}}~~~~~~$~~~~~~~~~~~~~~~}}}}hWh hV.hV.CJOJQJ^JaJ)jhV.hV.CJOJQJU^JaJho[jho[Uh&}CJaJhnCJaJh)CJaJhuO>CJaJhp>CJaJhLhp> hLhLh&}hLhuO>CJ aJ huO>CJ aJ h&}CJ aJ hLCJ aJ huO>5\ h&}5\hLhLCJaJ!R|||N}}}}}}}}}~~~~~~~~~gdV.+$ !$d%d&d'dNOPQa$  !gdL &d P gdLgduO>gd&}~~jlnp+$ !$d%d&d'dNOPQa$~PRVXfhjlnpijhp>CJaJho[h:Q hV.hV.CJOJQJ^JaJ)jhV.hV.CJOJQJU^JaJ%huO>CJOJQJ^JaJmHnHu%h6CJOJQJ^JaJmHnHu 8P:pc/ =!"#$% DpB 00P:pc/ =!"#$% P DpE 00P:px/ =!"#$% P *2DptDText1tDText1$$If!vh#v:V l0,5/ 4ytIrhtDText1~$$If!vh#v:V l0,54ytIrhtDText1tDText1~$$If!vh#v:V l0,54ytIrhtDText1tDText1~$$If!vh#v:V l0,54ytIrhtDeCheck3tDeCheck3tDeCheck3$$If!vh#v:V l0,5/ 4ytIrhtDText1$$If!vh#v:V l0,5/ / 4ytIrhtDText1$$If!vh#v:V l0,5/ / / /  4ytIrh$$If!vh#v:V l4  05/ 4f4p ytTT$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H5554f4yt~]T$$If!vh#vH#v#v#v:V l405H555/ 4f4yt~]T$$If!vh#v:V l-0654ytnT$$If!vh#v>:V l4  065>f4p ytT$$If!vh#v#v:V l0655yt $$If!vh#v#v:V l0655yt $$If!vh#v#v:V l0655yt $$If!vh#v#v:V l0655yt $$If!vh#v#v#v:V l  t06,555pytNH$$If!vh#v#vz#vT#v[#v}#v:V l4 t06++,,,55z5T5[5}5ytNH$$If!vh#v#vz#vT#v[#v}#v:V l4 t06++,,55z5T5[5}5ytNH$$If!vh#v#vz#vT#v[#v}#v:V l4 t06++,,55z5T5[5}5ytNH$$Ifz!vh#v\ :V l  t 065\ azp ytT$$Ifz!vh#v#vF:V l t0655FazytT$$Ifz!vh#v#vF:V l t0655FazytT$$Ifz!vh#v#vF:V l t0655FazytT#s8666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH >`> Normal7$8$_HmH sH tH :: 0 Heading 1$@&5\@@@ 0 Heading 2$$@&a$5\HH 0 Heading 3$$@&a$5CJ \aJ B@B 0 Heading 4$@&5CJ\aJL@L 0 Heading 5$$@&a$5;CJ\aJH@H 0 Heading 6$$@&a$5CJ\aJH@H 0 Heading 7$$@&a$5CJ\aJDA D 0Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List V/V Heading 1 Char"5CJ KH OJPJQJ\^JaJ X/X Heading 2 Char$56CJOJPJQJ\]^JaJR/R Heading 3 Char5CJOJPJQJ\^JaJR/!R 0Heading 4 Char5CJOJPJQJ\^JaJX/1X Heading 5 Char$56CJOJPJQJ\]^JaJJ/AJ Heading 6 Char5OJPJQJ\^JL/QL Heading 7 CharCJOJPJQJ^JaJFP@bF 0 Body Text 2$a$5CJ\aJD/qD 0Body Text 2 Char CJ^JaJ4@4 0Header  !:/: 0 Header Char CJ^JaJ4 @4 0Footer  !:/: 0 Footer Char CJ^JaJ4B4 0 Body Text5\@/@ 0Body Text Char CJ^JaJ:>@: 0Title$a$5CJ\aJN/N  Title Char"5CJ KHOJPJQJ\^JaJ  p>0 Table GridA:V 0a d7$8$CJaJHH "h0 Balloon Text!CJOJQJ^JaJN/!N !h0Balloon Text CharCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< :~ sssssssssssssssv  w(|~p +9@CL  N \$@\x&4BP^c{ AV\fvR|~p  !"#$%&'()*,-./012345678:;<AB#AMSXdjy'78?OPYekFFFFFFFGGGFF +pv8@0(  B S  ?Text1Check3CEFHIKLNO.4CEFHIKLNO333``cc%&UVVW}~-wdeeff||~ABCO``cc%&UVVW}~-wdeeff||~ABC}d#B*]M +b #hh^h`^Jo(.88^8`^J.L^`L^J.  ^ `^J.  ^ `^J.xLx^x`L^J.HH^H`^J.^`^J.L^`L^J.hh^h`^Jo(.h^`^J.h^`^J.hpLp^p`L^J.h@ @ ^@ `^J.h^`^J.hL^`L^J.h^`^J.h^`^J.hPLP^P`L^J.]M+b}d#                  h #!. f^B$)V.'0uO>p>xDNH:Q1U~]cIrh7z)F.ME&}6YqTo['hL n2[xCE@ @  @zUnknownG.[x Times New Roman5Symbol3. .[x Arial7$BCambria7.*{$ Calibri5. .[`)TahomaA$BCambria Math"hy'y')G;; /!xx20??3Q?p>*!xx SALISBURY STATE UNIVERSITY Diana WagnerClaire Williams   Oh+'0   @ L X dpxSALISBURY STATE UNIVERSITYDiana WagnerNormalClaire Williams2Microsoft Office Word@@&@jZ̉w@jZ̉w; ՜.+,0 hp  Ƶapp State University? SALISBURY STATE UNIVERSITY Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDFGHIJKLMNOPQRSTUWXYZ[\]^_`abcdefghijklmnpqrstuvxyz{|}~Root Entry F҉wData E 1TableV61WordDocumentňSummaryInformation(oDocumentSummaryInformation8wCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q