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Teach Nebraska

Application and Registration Form


To apply for the Teach Nebraska program and register for classes in one quick step, complete and submit this simple form.

Want to apply on paper instead?

If you prefer to apply on paper, you can download, complete, and mail in this PDF version of the form:

Teach Nebraska Application and Registration Form

Please use proper capitalization in all parts of this form.
     Example: Type "Jane Smith", not "jane smith" or "JANE SMITH".



Biographical Data
First Name
Middle Name
Last Name
 
Prev. Last Name(s)
 
NU ID Number (with no dashes or spaces)
I don't have an NU ID number.
Gender Female     Male
Date of Birth  
Citizenship
 
Ethnicity* Hispanic or Latino
Not Hispanic or Latino
 
Race*  American Indian or Alaska Native
 Asian
 Black or African American
 Native Hawaiian or Other Pacific Islander
 White
It is the policy of the University of Nebraska-Lincoln not to discriminate based on gender, age, disability, race, color, religion, marital status, veteran's status, national or ethnic origin, or sexual orientation. This is applicable to all University administered programs including educational programs, financial aid, admission policies and employment.

* The ethnic and racial data collection instruments shown here have been formulated to comply with federal guidelines set forth through the Integrated Postsecondary Education Data System as designated by the United States Department of Education. Explanation of categorizations...

Contact Information
Email Address
 
Day Phone
Home Phone
Address Line 1
Address Line 2
City
State
Zip

Academic History
Have you previously applied for admission to graduate school at UNL?    Yes     No

List the post-secondary (college/university) degrees you have completed:
Name of School City State Degree Date Received

Most Recent Employment
Employer   Example: Lincoln Public Schools
School   Example: Clinton Elementary
Subject Area(s)

Classification and Course Registration
For which term do you wish to register?



Course ID Call Number Section Number Credit Hours
Example -->  TEAC 800 1234 001 3
Which of the following best describes your purpose in enrolling at UNL at this time?
Teaching Certificate - Initial (not eligible for Teach Nebraska yet)
Teaching Certificate - Renewal
Administrative Certificate - Initial
Administrative Certificate - Renewal
Adding endorsement(s) to any certificate above
None of the above, therefore Non-Degree, Post-Baccalaureate

Declaration of Truth
To submit the application, indicate your agreement with the following statements:
  1. Either
    1. I am a certified teacher in the state of Nebraska and employed by a school — I understand that I will be required to submit official transcripts if/when I apply to a degree program.
      or
    2. I am currently either a certified teacher or employed by a school in the state of Nebraska — I understand that my registration for a second term is contingent upon receipt of an official transcript and that additional documentation may be required to complete my application. I agree to the Terms of Express Admission.
  2. By submitting this form, I am completing the course registration process, and unless I take timely and official actions to cancel, drop, or withdraw from these classes, I am accountable for the tuition and fees for the courses listed on my registration. I agree to abide by the policies and regulations of the University of Nebraska-Lincoln.
  3. Information on this application is complete, accurate, and true. I understand that any information given falsely or withheld will affect the decision on my application and may make me ineligible for admission and/or enrollment.
Yes, I certify that the statements above are true.
No, I do not certify that the statements are true.