Additional Licensure: Initial Practicum Review Form

Once you have been admitted to Bemidji State University, please complete the following Initial Practicum Review Form. This is the first of 4 checkpoints in the add-on licensure program.

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You must be admitted to Bemidji State University prior to completing this application. To apply to BSU, visit the Admissions page.
If you do not know your MN license number, you can look it up on the PELSB (board of teaching) website:
You must have a full Minnesota Teaching License (Tier 3 or Tier 4) to add a field to your existing license.
Max. file size: 16 MB.
If you having difficult uploading the file you can email it to the Clinicals Staff at:

Download a blank copy of the PEVF here.