Teacher Education Program Appeal Request

Teacher Education Program Appeal Request
GPA/Test Score Appeal

Undergraduate students: Please do not complete this form until you have completed ALL other steps required for admission to the Teacher Education Program.

Graduate students: This form should be completed prior to beginning the program.
Name*

First NameMiddle NameLast Name
TNumber*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
Date of Birth*
Level*
Gender*

MaleFemalePrefer not to answer
Ethnicity*

Not HispanicLatino or HispanicPrefer not to answer
Race*

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteTwo or more RacesPrefer not to answer
Licensure Area*
Advisor*
Type of Appeal*
Provide a brief statement to indicate why it's important to receive approval and continue your education at Tennessee Tech.*
Please identify the key factors that led to your GPA or test scores not meeting program requirements.*
Outline a plan that you have developed to ensure your sucess as a licensure candidate at Tennessee Tech.*
Should be Empty: