Intent to Enter Residency I
Deadline: Spring March 30, 2016
This form is to serve as a declaration of my intent to enter into Residency I during the
Fall Semester of 20___. I understand that I must have registered, taken, and received
scores for the Praxis II Content Knowledge Exam that pertains to my area of sought
licensure. I also understand that once admitted into Residency I, I must take and pass
ALL required Praxis II Exams before advancing into Residency II during the Spring
Semester of 20___.
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Student’s Name (Print)
___________________________________
T#
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Student’s Signature
Date
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Email Address
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Licensure Area
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Phone#
*Please return this document to Clay Hall, 112.
TESS Office Only BELOW:
Date Received: _______________________
Received by: ________________________
APPLICANT STATUS:
APPROVED by: ____________________
COMMENT:
Effective August 2013
Rev: TESS 02/13/2015, 9/22/2015
File: Intent to Enter Residency I
DENIED by: ________________________