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.

MM slash DD slash YYYY
Name(Required)
You must be admitted to Bemidji State University prior to completing this application. To apply to BSU, visit the Admissions page. https://www.bemidjistate.edu/admissions/apply/
If you do not know your MN license number, you can look it up on the PELSB (board of teaching) website: https://public.education.mn.gov/LicenseLookup/educator
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: Teaching.Clinicals@bemidjistate.edu

Download a blank copy of the PEVF here.