Aspiring Teachers Academy Application Form
To be completed by the student and High School Guidance Counselor
Student Contact Information
Last Name
First Name
Street Address
City
State
Zip
Phone Number
Email address
Student Academic Information
What year do you plan to graduate high school?
Please select...
2025
2026
2027
2028
2029
What do you intend to major in college?
Please select...
Accounting
Accounting - Professional Licensure
Agricultural Business
Agricultural Science - Animal Science
Agricultural Science - Agronomy
Agricultural Education (9-12)
Agricultural Studies - Bachelor of Applied Science
Animation
Art
Art Education (K-8)
Art Education (Secondary)
Art Therapy
Bachelor of Applied Science
Bachelor of Applied Studies
Biology
Biology Education (Secondary)
Biology - Field Biology
Biology - Forensic Science
Biomedical Sciences
Business
Business - Finance
Business - Management
Business - Marketing
Business - Sport Business
Business Education (Secondary)
Communication Studies
Computer Science - AI/Robotics
Computer Science - Information Technology
Computer Science - Mathematics
Computer Science - Systems
Criminal Justice: Criminal Justice Track
Criminal Justice: Criminology
Criminal Justice: Forensic Science Track
Digital Media
Distributive
Education - Education Studies
Education - Elementary Education (K-6)
Education - Physical Education
Education - Secondary Education
Education - Secondary Education History with Teaching Licensure (5-12)
Education - Special Education
English
English Education (Secondary)
English Language Arts (Secondary)
Exercise Science
Graphic Design
History
Kinesiology
Mathematics
Mathematics - Corporate
Mathematics Education (Secondary)
Music Production & Technology – Business Track
Music Production & Technology – Scoring for Digital Media
Nursing 3 + 1
Physics Engineering
Political Science Legal Studies (Pre-Law)
Political Science Politics & Policy
Pre- Athletic Training
Pre-Allied Health Sciences
Pre-Chiropractic Medicine
Pre-Dentistry
Pre-Medical Technology
Pre-Medicine
Pre-Optometry
Pre-Pharmacy
Pre-Physical Therapy
Pre-Veterinary Medicine
Pre-Occupational Therapy
Psychology
Rehabilitation Health Services
Scientific Illustration
Social Work
Spanish
Secondary Education
Spanish Education (Secondary)
Strategic Public Relations
Undecided
What is your dream job?
Intent to Register for Classes at Buena Vista University
What semester do you plan to take classes?
Please select...
Fall
Spring
What year do you plan to take classes?
Please select...
2025
2026
2027
2028
2029
In 250 words or less please answer the following question: Why do you want to go into education or why are thinking education could be a good fit for you?
Final Disclosures and Signature
I have received the information required by 281-IAC 22.2(2) and 281-IAC 22.2 and am seeking enrollment in postsecondary courses through Aspiring Teachers Academy.
Signature of the student
Date
I am under the age of 18
Parent email
Parent first name
281-IAC 22.2(2) requires a student to attain the approval of the school board or its designee and the eligible postsecondary institution to register for the postsecondary course.
281-IAC 22.22(261E) requires the pupil, if over eighteen years of age, or pupil's parent, guardian, or custodian to reimburse the school district for all costs directly related to all incomplete and non-credit course work. If documentation is submitted to the school district that verifies the student was unable to complete the course for reasons including but not limited to the student's physical incapacity, a death in the student's immediate family, or the student's move to another school district, that verification shall constitute a waiver of the requirement that the student or parent or guardian pay the costs of the course to the school district. An eligible postsecondary institution shall make pro rata adjustments to tuition reimbursement amounts based upon federal guidelines established pursuant to 20 U.S.C 109b.
To be Completed by the School District
Student Academic Information
High School
Student Grade Level
SchoolID
Identified as Gifted/Talented?
Yes
No
Unknown
High School Representative
High School Contact Name
High School Contact Email
Title
Phone Number
Approved Courses
School District Verification
I verify that the student information provided in Section I is accurate and the student is eligible and approved for participation in the courses listed in Section II through Aspiring Teachers Academy.
Signature of the Authorized School Official
Title
Date
Final Disclosures
281-IAC 22.2(2) requires a student to attain the approval of the school board or its designee and the eligible postsecondary institution to register for the postsecondary course. To be eligible, the student shall have demonstrated proficiency in all of the content areas of reading, mathematics, and science as evidenced by achievement scores on the most recent administration of the Iowa tests of basic skills (ITBS) or the Iowa tests of education development (ITED) for which scores are available for the student if the student was absent for the most recent administration of either the ITBS or ITED, and such absence was not excused by the student's school of enrollment, the student is deemed not to be proficient in any of the content areas. The school district may determine whether such student is eligible for qualification under an equivalent performance measure.
281-22.16(261E) states persons who have graduated from high school are not eligible for this program. Eligible students shall be residents of Iowa. "Eligible student" includes a student classified by the board of directors of a school district, by the state board of regents for students of the Iowa School for the Deaf and the Iowa Braille and Sight Saving School, or by the authorities in charge of an accredited nonpublic school as a ninth or tenth grade student who is identified according to the school district's gifted and talented criteria and procedures, pursuant to Iowa Code Section 257.43, A gifted and talented child, or an eleventh or twelfth grade student, during the period the student is participating in the postsecondary enrollment options program. To be eligible to participate in a program under this division, a student must meet all criteria in rule 281-22.2(261E).
Contact Information