A Career in Teaching-EPP

APPLICATION:                                                          * Represents Required Information

Name	* Last	* First		* Middle/Maiden
Current Address	* Street/P.O. Box (Apt.#)	* City		* State	* Zip
Last 4 Digits of Social Security:*		Race: (optional)	Sex: * Select Male Female
DOB: * mm/dd/yy (Required by TEA)
Home Phone: *
Cell Phone:
E-mail: *
Other name(s) by which you have been known:

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*Indicate Area of Certification Desired

American Sign Language                     Art                                        Bilingual Ed. Supplemental-Spanish (4-8)   Bilingual Ed. Supplemental-Spanish (EC-4)
Bilingual Generalist EC-4                  Physical Education (EC-12)                 Bilingual Generalist 4-8                   Chemistry 8-12                           
Computer Science                           Dance                                      Deaf and Hard of Hearing                   English Lanquage Arts/Reading (4-8)      
ELA and Reading/Social Studies (4-8)       ESL Generalist (EC-4)                      ESL Generalist (4-8)                       ESL Supplemental                         
English (8-12)                             Family and Consumer Science                Generalist (EC-4)                          Generalist (4-8)                         
Gifted and Talented Supplemental           Health (EC-12)                             Health Science Technology ED. (8-12)       History (8-12)                           
Life Science (8-12)                        Marketing Ed. (8-12)                       Mathematics (4-8)                          Mathematics (8-12)                       
Mathematics/Science (4-8)                  Music (EC-4)                               Physical Science/Mathematics              Engineering (8-12)                       
Physical Science (8-12)                    Science (4-8)                              Science (8-12)                             French (6-12)                            
Spanish (6-12)                             Social Studies (4-8)                       Social Studies (8-12)                      Special Ed. (EC-12)                      
Speech (8-12)                              Technology Application (EC-12)             Technology Application (8-12)              Technology Education                     
Theater (EC-12)                            Speech (6-12)                              

REQUIREMENTS:

*Bachelor's degree from a regionally accredited university;*

*Enter your GPA. *  GPA of 2.5 or less must be approved by Program Director.

Steps to Becoming a Teacher: 

1.   Apply - Apply with A Career in Teaching, submit documentation of Bachelor’s Degree

2.  Interview -  Interview with Program Director, Amy Anders

3.  Admitted and Test  - Admitted into program and take Cornell’s Critical Thinking Test

4.  Evaluate Transcripts and /or challenge TExES   *highly qualified via transcript 24 hours in content area *receive permission to test *meet highly qualified requirements via TExES content test

5. Training -   Pre-Training  Academy (7 week course)

*Applicant must secure a teaching position to be eligible to take the (PPR)

EDUCATIONAL BACKGROUND:

*List all Colleges/Universities attended	*Degree	*Major	*Last Date Attended

WORK EXPERIENCE:

*From: Month/Year	*To:    Month/Year	*(List most current employer first)	*Position

1. Other than English, what other languages do you speak?  Spanish     written Spanish
                                                                                          other         other written

Please explain other languages: 

 2. Do you have any experience working with children either on a paid or volunteer basis? Yes No

Please explain experience: 

3. Have you worked as a substitute, teacher aide, or teacher on an emergency permit?  Yes No

     Select any of the following options that apply:

Substitute - District   Year(s)
Emergency Permit - District Year(s)
Para-professional - District   Year(s)

4. Have you ever been admitted into a teacher certification program?

Yes No

5. Are you willing to coach?

Yes No

6. Are you a veteran?

Yes No

COMMITMENT TO TRAINING:

Name: *   Date: * -- mm/dd/yy

The staff at A Career in Teaching – EPP is committed to sending school districts well trained and prepared candidates.  In order to keep that commitment, it is necessary that candidates in A Career in Teaching – EPP attend all training sessions.   The only reason a person will be excused from training is an emergency situation (e.g. death in the immediate family, sickness, accident, natural phenomenon).  It is also necessary that all candidates attend the entire day of training; therefore, it is required that all participants arrive on time and remain for the entire time of training. 

Pre-training Academy:

Signature of Applicant: *

By entering my name above I understand that this is my legal signature for the purpose of this application and agree to the rules for training listed above.

Yes, I agree to abide to all training rules listed
No, I do not agree to abide to all training rules listed

VERIFICATION:

I have answered all questions truthfully and to the best of my ability. Furthermore, I give permission to A   Career in Teaching – EPP to release the aforementioned information to prospective employers.

I understand that I will have to pay a Pre-Training Academy fee of $700.00.

I understand the cost of the program is $3,800.00 to be paid using a student loan @ 5.2% made payable over a 10 year period, or deducted @ $380.00 x 10 months during your first year employed as a teacher.

I understand that there are also separate fees as required by the State Board for Educator Certification. These fees include but are not limited to: TExES Exam(s); Finger Printing; Certification; and district mentor fees.

I understand that A Career in Teaching – EPP reserves the right to change, modify, add or delete any aspect of the above written application, to include fees, schedules, times, and curriculum.

I understand that classes are mandatory and any excused absences, must be pre-approved by the Program Director and or Instructor(s).

Signature of Applicant: *  Date:  * -- mm/dd/yy

By entering my name above I understand that this is my legal signature for the purpose of this application and agree to the verification questions above.

Yes, I agree this is my legal signature
No, I do not agree this is my legal signature

FIELD EXPERIENCE:

Teacher Candidates will be required to complete a minimum of 30 interactive field experiences hours; to include observing effective classroom teachers, as well as campus and or student interaction ( attend PTA meeting, attend extra-curricular or co-curricular activity, read to a group of students).  Field experiences must be completed prior to accepting a teaching position, unless hired at the beginning of the school year.  If hired at beginning of the school year, interns will have to satisfy field experiences in conjunction with the Pre-Service Academy. 

Signature of Applicant: *  Date: * -- mm/dd/yy

By entering my name above I understand that this is my legal signature for the purpose of this application and agree to the field experience requirements above.

Yes, I agree this is my legal signature
No, I do not agree this is my legal signature

STANDARD CERTIFICATE: 

In order for teacher interns to be eligible for a Standard Teaching Certificate, teacher interns must satisfy the following; Passage of all TExES/ExCET exams; attend all training sessions; complete 300 clock hours of training, Phase 1 and Phase 2, be mentored by a retired teacher or administrator (Field Supervisor - minimum 4 visits), and receive a letter of recommendation for certification by the campus Principal and Field Supervisor.

Signature of Applicant: *  Date: * -- mm/dd/yy

By entering my name above I understand that this is my legal signature for the purpose of this application and agree to the field experience requirements above.

Yes, I agree this is my legal signature
No, I do not agree this is my legal signature

Enter the letters as they appear above:  

Before submitting application, please print it out for your records.