TEAM Model Residency Program Application 2020-2021
Application for Residency
Last Name *
Your answer
Middle Name *
Your answer
First Name *
Your answer
Student ID# (Ex. 000-00-000) *
Your answer
Social Security Number (Ex. 000-00-000) *
Your answer
Tech Email *
Your answer
Preferred Email *
Your answer
Phone Number (Ex. 000-000-0000) *
Your answer
Address *
Your answer
City *
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State
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Zip code
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Major/Certification *
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Have you been accepted into the teaching program?
What Praxis Exams have you passed? *
Required
District Choice of Residency (Choose top 3) *
Required
Grade level Interests: *
Required
Check every grade you have observed/taught during your Pre-Residency experience.
I understand Tech must receive passing scores on all required Praxis and PLT exams by June 1, 2020. Comments below and type your name.
Your answer
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