CT Teacher Residency Program 2024-2025 Application
Please fill out as much as you can and then submit it. You will be required to go back and to complete the entire form prior to acceptance.
Name
*
First Name
Last Name
Email
*
example@example.com
Current Street Address
*
Please type your current street address here. If applicable, please include an apartment or unit number.
Current Town
*
Current State
*
Current Zip Code
*
Permanent Address
If your permanent address is different from your current address, please enter your permanent address here.
Daytime or Cell Phone Number
*
Please enter daytime or cell phone number where you can be reached.
Home/Alternate Phone Number
Please another phone number where you can be reached.
Program of Interest
*
Elementary (grades 1-6)
Special Education (PreK-12)
Region of Interest
*
ACES (New Haven and Middlesex Counties)
CES (Lower Fairfield County)
CREC (Hartford and Tolland Counties)
LEARN (New London County)
EdAdvance (Litchfield and Upper Fairfield Counties)
EastConn (Tolland and Windham Counties)
Current Position
*
Associate Instructor
Early Childhood/Preschool Teacher
Paraeducator
Substitute
Other Non-Certified
Other
Current Employer
*
Please enter your current employment details including company/school name and dates of employment. If you have checked other in the Current Position above, please also add your current role. Example: Teaching Assistant, Smalley School, 9/2022-present.
Resume
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Please upload a current resume here.
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College Transcripts
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Please upload all college transcripts here. If you earned your degree(s) at an international institution, please upload a course by course evaluation from an approved evaluator listed at this page: https://portal.ct.gov/sdecertification/Knowledge-Base/Articles/Educators-from-Other-States-and-Countries/How-do-teachers-from-other-countries-apply-for-certification-in-CT?language=en_US
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Undergraduate GPA
Please enter your cumulative undergraduate GPA from when your degree was awarded.
GPA Waiver (required for GPA below 3.0)
Any candidate who has a GPA below 3.0 must complete a written statement providing an explanation of extenuating circumstances that may account for your GPA. (500 words or less) The committee will review the waiver statement to determine a decision regarding approval or denial. Candidates will be notified of a decision in writing and all documentation of approved requests will be kept in the candidate's file.
Race/Ethnicity (select all that apply)
*
Hispanic or Latine/x
Black or African American
White
Native Hawaiian or Pacific Islander
American Indian or Alaska Native
Asian or Asian American
Prefer not to say
Other Race or Ethnicity
Gender
Female
Male
Transgender
Prefer not to say
Reference Letter 1
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Please upload a reference letter here. One of the three reference letters must be from a current supervisor.
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Reference Letter 2
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Please upload a reference letter here. One of the three reference letters must be from a current supervisor.
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Reference Letter 3
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Please upload a reference letter here. One of the three reference letters must be from a current supervisor.
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SAT, ACT, GRE, or Praxis Core Score Report
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Please upload a copy of your SAT, ACT, GRE, or Praxis Core scores here. If you need a copy of your SAT score report, please go to https://satsuite.collegeboard.org/sat/scores/send-scores-to-colleges/sending-archived-sat-scores.
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If you could borrow up to three characteristics or qualities from a favorite teacher, which would you bring into your teacher practice and why?
*
This is your writing sample. Please complete it in a word processing document (eg, Microsoft Word, GoogleDoc,etc.). This should be your own original work and should not exceed 500 words.
I affirm that the information provided above is true and correct. I understand that if I knowingly provide false information, I may be subject to denial of acceptance from the program.
*
Yes
How did you hear about the Teacher Residency Program?
*
Radio ad
Website
Resident or alumni
My principal or school staff
My district
Email marketing
Other
Submission
Even if you have not completed the entire form, please hit submit. You will be able to go back and continue the form using the link in the automatic email you will receive after submitting your application. You will be required to submit a fully completed form before acceptance.
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