Special Education Internship Application 2021-22

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* 1. Last Name

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* 2. First Name

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* 3. Address (Please put the address where you will be living if chosen for the internship)

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* 4. Phone Number

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* 5. Email Address (Where you can be reached daily)

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* 6. What college or university do you currently attend?

Brenau University

Clark Atlanta University

Florida State University

Georgia Gwinnett College

Georgia Southern University (Armstrong, Liberty, Statesboro Campuses)

Georgia State University

Kennesaw State University

Liberty University

Mercer University

Piedmont College

University of Central Florida

University of Georgia

University of North Georgia

University of Phoenix

Valdosta State University

Walden University

Other (please specify)

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* 7. I am currently a ....

College Senior

College Junior

Other (please specify)

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* 8. What is your anticipated graduation date?

November 2021

December 2021

May 2022

Other (please specify)

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* 9. Are you interested in teaching in a Title I school?

Yes

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* 10. Please rank in order your preference for which level you are most interested in teaching.

Elementary

Middle

High

No preference

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* 11. Why have you chosen the field of education as your career?

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* 12. Briefly explain your reasons for applying to the GCPS Special Education Internship Program. Please include specific objectives and expected benefits of the internship.

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* 13. Where do you see yourself in five years? Include your long-term and short-term goals.

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* 14. Briefly describe your experiences with students with disabilities.

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* 15. Select the 2 special education programs you are most interested in teaching. Please share why.

Autism (ASD- I, Severe)

Autism (ASD-II, Moderate)

Autism (ASD-III, Mild)

Emotional Behavior Disorder (EBD)

Interrelated (Resource and/or Co-teaching)

Moderate Intellectual Disabilities (MOID)

Severe and Profound Intellectual Disabilities (SID/PID)

Visual Impairments

Why?

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* 1. Last Name

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* 2. First Name

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* 3. Address (Please put the address where you will be living if chosen for the internship)

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* 4. Phone Number

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* 5. Email Address (Where you can be reached daily)

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* 6. What college or university do you currently attend?

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* 7. I am currently a ....

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* 8. What is your anticipated graduation date?

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* 9. Are you interested in teaching in a Title I school?

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* 10. Please rank in order your preference for which level you are most interested in teaching.

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* 11. Why have you chosen the field of education as your career?

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* 12. Briefly explain your reasons for applying to the GCPS Special Education Internship Program. Please include specific objectives and expected benefits of the internship.

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* 13. Where do you see yourself in five years? Include your long-term and short-term goals.

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* 14. Briefly describe your experiences with students with disabilities.

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* 15. Select the 2 special education programs you are most interested in teaching. Please share why.

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* 16. Please share any additional information about you and/or experiences you would like the Internship Review Team to consider.