School of Health, Physical Education, and Recreation Department of Kinesiology

Physical Education Teacher Education Program

APPLICATION FOR UNDERGRADUATE PETE PROGRAM
Deadline for applicaiton:
  • March 1st for summer or fall semester admission
  • November 1st for spring semester admission

Please complete the following:    

Date: 
Name:
(First)  
 (Middle) (Last)
Birthdate:  (Month / Day / Year)  



Student ID Number:
 
Current Address:
Zip:
Current Phone:
Campus Email:
Permanent Address:
 
 (Street)  
(City) 
 (State)  (Zip)
Permanent Phone:    

If you are a transfer student, please select your status below:

Transferring from IU University Division  
Transferring from IU-B College or School
(Name)

Transferring from IU regional campus
(Name)

Transferring from another university
(Name)


List the name, address and contact number of each of the three individuals you have asked to write a letter of recommendation. The letter can be submitted in two ways:

1. The recommender may mail their letter directly to the HPER Records Office in a sealed envelope (preferred).

2. The letter may be handed in by the applicant provided that the envelope is signed across the seal by the recommender. Letters of recommendation will not be accepted if sent by fax.

Name
Address
Contact #
What capacity have you known the recommender?

EDUCATION: Complete the following information on current semester classes.

Academic Data - Current Semester
Dept. HPER-P
Course# 140
Course Title
Cr/hrs
Expected Grade


   Credit hours completed at Indiana University
    
   GPA

 

After completing this application form, please print it as your receipt of application before you SUBMIT below.

(For best printing results, you should select File in the Menu at the top of the Internet Explorer window, then select Page Set-up to change to Landscape before printing.)

Last Modified: 9/13/05
P. Setser
Comments: kines@indiana.edu
Copyright 2005, The Trustees of Indiana University