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UIC Superintendent Endorsement Program Interest Form (2020-2021)
This interest form will help us understand if the UIC Superintendent Endorsement Program
is the right match for you.
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* Required
Email
*
Your email
First Name
Your answer
Last Name
Your answer
Cell Phone
Your answer
Home Phone (or N/A)
Your answer
Gender
Your answer
Race
Black
White
Asian
Native American / Pacific Islander
Multi - Racial
Other
Clear selection
Ethnicity
Latinx
Non-Latinx
Clear selection
Undergrad Institution
Your answer
Undergrad Degree Earned
BA
BS
BSEd
Other:
Clear selection
Undergrad Major / Concentration
Your answer
Undergrad GPA
Your answer
Graduate Institution
Your answer
Graduate Degree #1 Earned
MA
MS
MEd or (EdM)
MFA
MAT
Other
N/A
Clear selection
Graduate Institution #1 GPA
Your answer
Graduate Institution #2 (or N/A if not applicable)
Your answer
Graduate Degree #2 (or N/A if not applicable)
MA
MS
MEd (or EdM)
MFA
MAT
Other
N/A
Clear selection
Graduate Institution #2 GPA (N/A if applicable)
Your answer
Graduate Degree #3 (or N/A if not applicable)
Your answer
Graduate Degree #3 (or N/A if not applicable)
MA
MS
MEd (or EdM)
MFA
MAT
Other
N/A
Clear selection
Graduate Institution #3 GPA (N/A if applicable)
Your answer
Number of years serving in an administrative role under a valid Type 75 or Principal Endorsement
Your answer
Please list all administrative positions (Principal, Superintendent, Assistant Principal, etc.) held here, including dates. Use one line per position.
Your answer
Thank you for completing our interest form. Finally, please submit your most current resume to Dr. Cynthia Barron at
ckbarron@uic.edu
.
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