2024 Assistant Application

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Email *

Desired Position *

Program Assistant

Office Assistant

Substitute Assistant

Are you a new or returning applicant? *

New

Returning

Number of years with Valdés Math (if applicable): *

Last Name *

First Name *

Race/Ethnicity (choose one or more of the following): *

AMERICAN INDIAN or ALASKA NATIVE [a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment]

ASIAN [a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam]

BLACK or AFRICAN AMERICAN [a person having origins in any of the black racial groups of Africa]

HISPANIC or LATINO [a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin]

MIDDLE EASTERN or NORTH AFRICAN [a person having origins in any of the original peoples of the Middle East or North Africa]

NATIVE HAWAIIAN or PACIFIC ISLANDER [a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands]

WHITE [a person having origins in any of the original peoples of Europe]

Decline to state

Required

Street Address *

Apartment or Unit Number (if applicable)

City *

Zip Code *

Primary Phone Number *

Secondary Phone Number (if any)

Secondary Email Address (if any)

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact Email Address

Language(s) Spoken

Current School *

Current Grade Level *

List the three (3) most recent math classes that you have completed: *

Provide one reference. It should be a math teacher/professor who would recommend you for the position (please include his/her contact information): *

Why are you applying to be a Valdés Math Assistant? *

Summer campus sites (please rank your preferences below): *

Stanford University

San José State University

TFHE (San Jose)

First Choice

Second Choice

Third Choice

Summer math level(s) [please mark all that apply]: *

Academy 1 (3rd-grade to 4th-grade math level)

Academy 2 (4th-grade to 5th-grade math level)

Academy 3 (5th-grade to 6th-grade math level)

CCSS 6th-Grade Math

CCSS 7th-Grade Math

CCSS 8th-Grade Math

CCSS Integrated Math I (Algebra 1)

CCSS Integrated Math II (Geometry)

CCSS Integrated Math III (Algebra 2)

Math Analysis (Pre Calculus)

Site Office

Required

BY SUBMITTING THIS APPLICATION, I INDICATE MY COMMITMENT TO WORK THE ENTIRE 2024 VALDÉS MATH SUMMER PROGRAM, AS WELL AS TO ATTEND PROFESSIONAL DEVELOPMENT DAYS, TRAINING SESSIONS, PARENT ORIENTATION, OPEN HOUSE, AND COMPLETION CEREMONY. *

Yes

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