• CT Teacher Residency Program 2027-2028 Applications

    Items with stars are required for submission. You will be required to go back and to complete the entire form prior to acceptance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Program of Interest*
  • Region of Interest*
  • Current Position*
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  • Race/Ethnicity (select all that apply)*
  • Please select all of the primary language(s) spoken at home:*
  • Do you have native proficiency in speaking, reading, and writing in any languages other than the primary language(s) selected above? Please select all that apply.*
  • Gender*
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  • Please select all of the ways in which you heard about the Teacher Residency Program.*
  • Please review the information in this section, and then indicate your agreement with the information by checking the boxes below. For purposes of these questions, the following definitions apply:

    * "Sexual misconduct" means any verbal, nonverbal, written, or electronic communication, or any other act directed toward or with a student that is designed to establish a sexual relationship with the student, including a sexual invitation, dating, or soliciting a date, engaging in sexual dialog, making sexually suggestive comments, self-disclosure, or physical exposure of a sexual or erotic nature, and any other sexual, indecent, or erotic contact with a student. * "Abuse or neglect" means abuse or neglect as described in Conn. Gen. Stat. 46b-120, and includes any violation of Conn. Gen. Stat.53a-70 (sexual assault in the first degree), 53a-70a (aggravated sexual assault in the first degree), 53a-71 (sexual assault in the second degree), 53a-72a (sexual assault in the third degree), 53a-72b (sexual assault in the third degree with a firearm), or 53a-73a(sexual assault in the fourth degree).
  • Have you ever been the subject of an abuse or neglect or sexual misconduct investigation by any employer, state agency, or municipal police department (answer "no" if the investigation resulted in a finding that all allegations were unsubstantiated)?*
  • Have you ever been disciplined or asked to resign from employment or resigned from or otherwise separated from any employment while an allegation of abuse or neglect was pending or under investigation by the Department of Children and Families ("DCF"), or an allegation of sexual misconduct was pending or under investigation or due to an allegation substantiated pursuant to Conn. Gen. Stat. 17a-101g of abuse or neglect, or of sexual misconduct or a conviction for abuse or neglect or sexual misconduct?*
  • Have you ever had a professional or occupational license or certificate suspended or revoked, or have you ever surrendered such a license or certificate while an allegation of abuse or neglect was pending or under investigation by DCF or an investigation of sexual misconduct was pending or under investigation, or due to an allegation substantiated by DCF of abuse or neglect or of sexual misconduct, or a conviction for abuse or neglect or sexual misconduct?*
  • Have you ever been convicted of a crime (answer "no" if you have been the subject of any arrest, criminal charge, or conviction, the records of which have been erased)?*
  • Are criminal charges pending against you?*
  • 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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