Getting to know you...

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Email *

UH Email Address *

xxxx@hawaii.edu

Student Last Name: *

Ex. Smith (Capitalize first letter only)

Student First Name: *

Ex. Joe (Capitalize first letter only)

Student Middle Initial:

Ex. A (Capitalize letters)

Current Semester and Year (Choose from list)

Current Zip Code

Gender (Choose any) *

Male

Female

Non-binary

Other:

Required

Ethnicity or Racial Identity (Check all that apply) *

Native Hawaiian

Filipino

Chinese

Japanese

Hispanic/Latino

Caucasian or White

Korean

Polynesian (Samoan, Tongan)

Micronesian (Except Guamanian or Chamorro)

Guamanian or Chamorro

African American or Black

American Indian

Alaskan Native

South Asian

Southeast Asian

Other:

Required

High School Attended

Age (Choose an age range from the list below)

(Choose from the list below)

Military - Active Duty (Choose Yes or No below)

Military Veteran (Choose Yes or No below)

Military Spouse or Dependent (Choose Yes or No below)

College Status (Choose from the list below) *

Leeward College Goal *

(Check all that apply)

Associate in Science in Teaching (AST)

Associate of Arts in Liberal Arts (AA)

CTE Licensure

SPED Certificate

SPED Licensure

3+1 BS in SPED Degree Pathway

Culturally Responsive Teaching (CRT) Certificate

No Degree Sought

Other:

Required

Current Status (Choose from the list below) *

Expected Completion?

(When do you expect to graduate or complete work at Leeward or at your school?)

Home College: *

Highest College Degree Already Earned *

Choose from the list below

Transfer 4 year College Goal *

Which 4 year colleges are you considering after Leeward? Check all that apply

UH West Oahu

UH Manoa

Chaminade

UH Hilo

University of Phoenix

Hawai`i Pacific University

BYU-Hawai`i

Western Governors University

Mainland 4 year College

Other 4 year College

Not transferring to 4 year college

Already enrolled at 4 year college

Not sure yet

Other:

Required

Educational Career Goal: *

(Check all that apply)

Early Education (PreK)

Educational Assistant (EA, PPT, PTT)

Elementary Education (Grades K-6)

Secondary Education (Grades 7-12)

Special Education

College

Counselor

Administrator

Undecided

Other:

Required

If Secondary Education (Grades 7-12) or College, what subject(s) do you plan to teach?

(Check all that apply)

English

Math

Physical Education

Science

Social Studies

Career and Technical Education (CTE)

Hawaiian Language or Hawaiian Studies

Fine Arts/Music

Other:

Which programs have you been involved with?

(Check all that apply)

Teacher Cadet Academy

Kalama with Kūlia and Ka Lama Education Academy (KKLEA)

Hoʻoulu

Maʻo Farms

EA in the DOE

PPT in the DOE

PTT in the DOE

A+ Program

Other:

Where do you plan to live for most of your career? *

Choose from the list below

How did you FIRST hear about the Teacher Education Program? *

(Check all that apply)

Teacher Education Website

Info Session

High School Counselor

Leeward Counselor

TEP Counselor

Counselor at another college

Word of Mouth (classmate, friend, family, teacher etc.)

Transfer Workshops

ED 100

Teacher Cadet Academy

Visits to your School

Professional Connections (HS, collegiate, specializations, in-service, principal's luncheon)

Class Visits at Leeward

Advertising (Flyer, Poster, Newspaper, Radio, TV)

Future Teachers Club

Tabling (Visit AST table during event)

UH Portal

Course Catalog

Other:

Required

What is your experience working with children BEFORE taking AST or SPED Courses?

(Check all that apply)

PPT

PTT

A+ Program

Tutor (hired at an educational institution)

Volunteer (includes coaching, Sunday school, tutoring at school, etc)

Substitute

No experience working with children

Other:

Current Educational Jobs:

(List any current educational job(s) that you currently have. (Please include job title, educational institution, grade level, how long at job, and tasks that you do)

What type of education class do you prefer? *

Preferred Time of Education Class *

(Check all those that apply)

Morning (8-10)

Early Afternoon (10-12)

Afternoon (12-3)

Evening (4-8)

Required

Would you prefer to take ED classes in person at LCC - Waianae? *

(Choose Yes or No from the list below)

Previous Educational Course Work:

(Check all that apply)

High School Teaching Coursework

Teacher Cadet Academy

Educational Course(s) at another college (if yes, indicate type of course and college in other box below)

Other:

Interest in Financial Aid

Currently Receiving Financial Aid

(Check all that apply)

Financial Aid

Scholarships

Work Study

PELL Grant

Other:

Special Needs or Unique Situation

(Do you have any special needs or situations)

Which Academic Support Services have you used at Leeward in the past semester?

(Check all that apply)

Education Building

Learning Resource Center

KI Office (Learning Challenges)

Leeward Library

Campus Center and Lounge

Textbooks or Educational resources from the AST Workroom or office

Multimedia from the AST Workroom or office

Peer Mentor

College Transfer Workshops

Other:

Are you declared as an AST - Education Major?

Given a choice, what school would you want to complete your Field Experience hours at?

What do you perceive as your Biggest Barrier to success?

(What are the biggest barriers that you face in completing your academic goals?)

What attracted you to the Teacher Education Program?

Why do you want to be a teacher?

(What are the top reasons that drive you to seek a teaching career?)

Would you like to be on the TEP Email Listerve?

Future Teachers Club:

(Do you want to join the Future Teachers Club?)

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