Graduate School Admissions Information Request
 



Information Request

Graduate School of Education and Counseling

To receive information about graduate opportunities at Lewis & Clark Graduate School please fill out and submit this form. For information about other Lewis & Clark programs visit their websites:

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First Name *
Middle Initial *
Last Name *
Mailing Address *
City *
State *
Zip/Postal Code *
Country *
Preferred phone number *
Preferred email *
Date of Birth *
College now attending/last attended *
Previous degree *
Major *
Have you previously attended Lewis & Clark? *
yesno
Under which name?
Do you currently hold a counseling, teaching, or administrative license? *
yesno
Planned Program of Study

Planned term of enrollment
*
ACADEMIC PROGRAM - please choose one or more of the following
Counseling Psychology
Educational Leadership
School Counseling
School Psychology
Teacher Education: Preservice program
(For students who do not hold a teaching license and are new to the field.)

Master of Arts in Teaching with Initial Teaching License:
Teacher Education: Inservice program
(Advanced preparation for students who may have licensed teaching experience.)
How did you hear about Lewis & Clark Graduate School?
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