Urban Ed Pathway AIC Application 2018-2019
As an Urban Education Scholar, you will (1) build your brand and enhance your resume as you develop professional skills (2) be part of an active cohort of inspired, curious undergraduate students (3) learn more about the transformational change that educators can make in the lives of children, and (4) learn, grow, and affect positive change for the community! Join us today in making a difference!

The Pathway is a multi-year program that begins with the foundation year. In this first year, UEP Scholars participate in three experiences, and you must satisfactorily complete all three to continue in the program:
- fall orientation sessions
- a full-time (school day) internship during the January intersession
- a spring seminar

All applicants must attend an interview. Details and interview location options will be included in an email once we receive your application.

Application deadline is Friday, November 2, 2018 by 8:00pm.

Questions?:
* Contact julie@teachwesternmass.com or virginia.durnford@aic.edu

Your Name (Preferred Pronouns) *
Ex: Julie Anderson (she/her)
Your email address *
School *
School ID # *
Campus Residence Hall /OR/ Off-Campus Address *
Where you currently reside
Your projected YOG *
Phone Number *
Major(s) and Minor(s) *
Race and/or Ethnicity
Optional response
Are you a First-Generation College Student? *
Academic Reference Name and Contact Info *
Please provide us with the name and contact information of someone from your academic world (teacher, professor, advisor) who can speak to your academic interests, strengths, and compatibility with this program's mission. Ex: Professor M. Phillipides, Classics Dept Chair, mphil@classics.umass.edu
Professional Reference Name and Contact Info *
Please provide us with the name and contact information of someone from your professional world (employer, supervisor) who can speak to your experience and skills in working with children or teaching. Ex: Marty McFly, Aquatics Director, City of Chicopee, 592-5584
Next
Never submit passwords through Google Forms.
This form was created inside of Teach Western Mass. - Terms of Service