Application for the Teacher Education Evening Licensure (TEEL) Program

4545 COLLEGE ROAD • CLEVELAND, OH 44121 • 216-373-5173 • 1-877-632-6446, ext. 5173
Founded 1922
Email: teel@ndc.edu

Teacher Education Evening Licensure (TEEL®)
Application Process

This application is designed to assist our Admissions Office in understanding your educational background, academic and career goals, and unique qualities.

Individual initiatives and academic capabilities are the basis of the Notre Dame College admissions policy.

As a college that believes in an academically challenging environment, we want to make sure Notre Dame College is the right choice for you.

Take your time in completing this application. If you have any questions, please call 1-877-632-6446, extension 5173, or (216) 373-5173, or email: teel@ndc.edu.

Background Information
       

Please fill out this form completely.
* = Required field.
Name:
Please include First, Middle, & Last Names
* First:
Middle:
* Last:
* Home Phone:
Please include area code.
Email:
Address:
City:
State:
Zip:

County:
Marital Status: Single
Married - Former Name:
Sex: Female
Male
Birth Date:
Ethnic Origin (optional):
Citizenship:

U.S.
U.S./Dual Citizenship
U.S. Permanent Resident: #A
Other: please specify country
       Visa Status:

 

Have any of your relatives graduated from Notre Dame College?

Yes - Name:
No

 
Are any of your relatives Sisters of Notre Dame? Yes - Name:
No
   

Enrollment Information

Please check the box/es of the program for which you are applying:

 

 

 

 

 

 

Early Childhood (PK - Grade 3)
Middle Childhood (Grade 4-9)
Adolescent to Young Adult License
(Grades 7-12)

Teaching Content Fields:
Integrated Language Arts
Integrated Mathematics
Integrated Social Studies
Life Science
Life Science/Chemistry

Multi-Age License (check one)
        Visual Arts
        Spanish
        Mild/Moderate Intervention
              Specialist (PK-12)

 
I plan to begin the Teacher Education Evening Licensure Program:

 

 

Employment
Employer:
Your Title/Position:
May we contact you at work?: Yes - Work Telephone
No
   
 

Academic Information

   

Please list each university/college that you attended the following:

1) The university/college name
2) City & state of university/college
3) Dates attending university/college
4) Number of credits earned
5) Degree received
 

References
Please list two people who are acquainted with your academic or professional experience.

 
Name:
Title:
Daytime Phone Number:
Name:
Title:
Daytime Phone Number:

Background

Have you ever been suspended, expelled or required to withdraw for disciplinary reasons from any high school or college?

* Yes

No

If yes, provide an explanation
Have you ever been charged with, convicted of, or pled guilty or no contest to a felony or misdemeanor charge?

* Yes

No

If yes, provide an explanation

Personal statement

* I certify that the information that I have provided on this application is true and complete to the best of my knowledge. I understand that falsification of information on this application could jeopardize my acceptance to and enrollment at Notre Dame College. I authorize any school that I have previously attended to release personal and academic information to Notre Dame College.

 
Comments/Questions:

* = Required field.

Thank you for filling out this form completely!
   
Notre Dame College does not discriminate on the basis of race, creed, color, sex, national origin, age or disability in the administration of its academic and admission policies, scholarship and financial aid assistance programs and other College-administered services.

Notre Dame College
4545 College Road
South Euclid, Ohio 44121-4293
1-877-NDC-OHIO