Teacher Residency DOL grant Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Address Question Title * 4. Phone number Question Title * 5. Email Question Title * 6. Gender Male Female Non-conforming Question Title * 7. Preferred Pronouns he/him/his she/her/hers they/them/theirs Ze/Zie/X Question Title * 8. DOB Date Date Question Title * 9. Are you a NYS Resident? Yes No Question Title * 10. Are you eligible to work in New York State? (The grant for this program precludes us from accepting international students without existing eligibility to work.) Yes No Question Title * 11. Are you a veteran? Yes No Prefer not to answer Question Title * 12. Are you a first-generation college student? Yes No Prefer not to answer Question Title * 13. Undergraduate Institution Question Title * 14. Undergraduate Major Question Title * 15. Undergraduate Degree Question Title * 16. Undergraduate Commencement Date Question Title * 17. Undergraduate GPA Question Title * 18. Unofficial transcript upload PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Unofficial transcript upload Question Title * 19. Additional institutions, degrees or coursework? Question Title * 20. Additional unofficial transcript upload PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Additional unofficial transcript upload Question Title * 21. Contact Information for Reference #1 Name Title Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * 22. Contact Information for Reference #2 Name Title Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * 23. Language Skills (Skills in languages other than English-List language and self-assess proficiency level--beginner, intermediate, advanced, bilingual) Question Title * 24. Do you currently hold a teaching license? If so, which license/state? (Note: This program is designed for individuals seeking their first teaching license.) Question Title * 25. Are you a career changer, recent graduate, or educator in a non-teaching capacity? (career changer-prior experience in a professional field outside of education; recent graduate-education would be your first professional career since graduation from an undergraduate program; educator in a non-teaching capacity might include prior experience in education, but not certified classroom teaching) Question Title * 26. In what field(s) have you previously worked? Question Title * 27. In what subject area are you seeking certification? Special Education Science Math World Languages TESOL Question Title * 28. How did you hear about the BPS Residency Program? Question Title * 29. Resume upload PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Resume upload Question Title * 30. Prompt #1: Describe your interest and/or experiences within urban education. Describe the professional, personal, and educational journey that has led you to apply for the Teacher Residency program. Then, explain why you believe this program aligns with your background and professional goals. (500-700 words) Question Title * 31. Reflect on the qualities you believe are important for successful engagement with diverse communities and student populations. In what ways do(es) your own identity and/or background experiences, particularly experiences with people who have backgrounds and experiences that are in some ways different from your own (i.e. socioeconomic status, race, ethnicity, religion, culture, sexual orientation, ability, etc.), prepare you to teach in urban classrooms? (500-700 words) Done