Your legal name and address information will be extracted from the information you have on file with the university.
Fields marked with * are required.
If possible, please provide AT LEAST one phone number.
Do not list any choice that you would not happily accept. For your own professional development, it is best to avoid choosing the district where you attended school.
You MUST make three separate selections for your District Choices and Grade Level Preferences. Omitting these fields will result in a voided application.
Choose school districts from the approved list of site options: DO NOT LIST ANY choice that you would not HAPPILY ACCEPT. For your own professional development, it is best to avoid choosing the district where you attended school. You must make three separate choices. We will attempt to make placements based on your preferences; however assignments are made based on availability.
If you have a documented disability for which you are requiring accommodations, you are encouraged to contact Dr. Lisa Mize, room 118, McKibben Education Building, phone 936/468-3904, and the Office of Disability Services, room 325, Human Services/Telecommunications Building, phone 936/468-3004 or 936468-1004 TTD, as early as possible.
Titles of courses (not numbers) taken that relate to your teaching field or specialization:
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