Mild/Moderate Distance Degree

Mild/Moderate Distance Degree Admission Application

Applications are due by October 1 the year prior to the program.

Enter your First Name

Your Last Name Here

Enter Your Address Here

Enter You Phone Number Here

Enter your email

If yes, Dual Major in text

Enter Your GPA here.

Enter your Associate's degree here.

Enter your Bachelor's degree here.

Enter the number of credit hours here.

If Other please enter your experience here.

Pass date

If you have not passed the writing exam, you must pass it by the October prior to entrance ino the program.

Pass date

If you have not passed, the test needs to be passed by the October prior to entrance into the program.

Pass date

If no, the exam must be passed by the October prior to entrance into the program.

Pass date

If no, and taking classes at USU, the exam MUST be passed by October prior to entrance into the program.

If Other above please describe.

Is there any information that you want to explain further regarding your application?

Please enter any additional information here.

Please be sure to attach the following: Current Transcript (if returning for licensure only attach a copy of your undergraduate transcript)

Current Transcript

Copy of class registration for the current semester (if applicable)

Class registration

Copy of writing test results (if taken)

Writing test results

Copy of speech and hearing test results

Speech and hearing test results

Copy of Special Education Math Exam results (if taken)

Special Education Math Exam results

Note: If you have another teaching certificate, please attach a copy.

Another teaching certificate (if applicable).

Please e-mail any questions to Becky Morgan at becky.morgan@usu.edu

Department of Special Education and Rehabilitation
2865 Old Main Hill, Logan, UT 84322-2865
Phone: (435) 797-3243 Fax: (435) 797-3572

Website designed and maintained by Karl Smith.