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Special Ed Institute Application for Ohio Valley University

To submit an application to our school, please complete the following form and select Submit Application.

= Required Information

Personal Information
Address Information

Please enter your mailing address.

    Permanent Mailing Address
    1.  
Contact Information

Please enter email address and home phone, cell phone and work phone. (Phone numbers should be entered without dashes or parentheses. Ex. 3048656500.) Click on the "Add More" button to add additional phone numbers.

  1. Phone Type Country Phone Number Primary
Demographic Information

Information collected in this section is for reporting only and is not used to make decisions regarding admission to Ohio Valley University.

Ethnicity and Race Information

Information collected in this section is for government reporting only and is not used to make decisions regarding admission to Ohio Valley University.

  1. Are you of Hispanic/Latino ethnicity or descent? Yes No
    Select one or more races with which you identify yourself:
    American Indian or Alaska Native
    Asian
    Black or African American
    Native Hawaiian or Other Pacific Islander
    White
Academic Information

Please choose your expected Enrollment Term and Program.

  1. Program
Endorsements

Check endorsement(s) desired

  1. Endorsement
     
Education History

Please list colleges/universities attended and degrees earned. Click on "Add Another Institution" to enter additional degrees.


  1. Degrees

     

Certifications

Please list active certifications and/or endorsements you currently hold (including grade range).

Position

Current teaching position (including grade level). Secondary teachers include subject area.

Current School

In what school are you currently working?

School Policy
  1. Select "I accept" to confirm that you have read and fully understand the terms and conditions set forth in our Application Policy

    I do not accept I accept