Career Center - Teacher Candidate Brochure Online Form


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Teacher Candidate Brochure Information Form To participate, please complete and submit to the Career Center by December 10, 2007. This information will appear in the 2008 Teacher Candidate Brochure unless you notify the Career Center in writing by December 10, 2007. NOTE: $25 will be added to your Luther account to offset the cost of producing the brochure. Personal Information Name:(First, M.I., Last) Student ID Number Major Second Major Minor Second Minor Current Address (February 1 - June 1) Street Address (P.O. Box or SPO) City, State ZIP Phone Number (123-456-7890) E-mail (i.e. johndoe@luther.edu) Permanent Address Street Address (P.O. Box or SPO) City, State ZIP Phone Number (123-456-7890) E-mail (i.e. yahoo or hotmail address) Proof Mailing Address (where you can receive TCB proof to sign and return) Street Address (P.O. Box or SPO) City, State ZIP Phone Number (123-456-7890) Student Teaching Experience Grade and Subject School, City, State If Other, Please Specify: Grade and Subject School, City, State If Other, Please Specify: Grade and Subject School, City, State If Other, Please Specify: Grade and Subject School, City, State If Other, Please Specify: Grade and Subject School, City, State If Other, Please Specify: Grade and Subject School, City, State If Other, Please Specify: Other Practica Please list other experiences you've had in area schools as part of a Luther course such as Clinical Experience I and your methods and curriculum courses. Grade and Subject School, City, State If Other, Please Specify: Grade and Subject School, City, State If Other, Please Specify: Grade and Subject School, City, State If Other, Please Specify: Grade and Subject School, City, State If Other, Please Specify: Other Work Experience Related To Teaching Position Company/Organization City, State Position Company/Organization City, State Licensures & Endorsements The following list highlights the licenses available at Luther College. Scroll to the appropriate section (Elementary Educators, Secondary Educators, or K-12 Educators) and check the license(s) and endorsement(s) that apply. Please note: Areas of concentration are not listed as endorsements. Elementary Educators License (K-6): Elementary Teaching Academic Endorsements: Art, K-8 English, K-8 Health, K-8 Mathematics, K-8 Music, K-8 Physical Education, K-8 Science (Basic), K-8 History, K-8 Social Studies, K-8 Spanish, K-8 Speech Communication/Theater, K-8 Special Endorsements: Early Childhood, Birth-8 English as a Second Language, K-12 Instructional Strategist II: BD and LD, K-12 Middle School Teaching (5-8) Reading (K-6) Coaching: Coaching Endorsement (K-12) Secondary Educators License (5-12): American Government, 5-12 American History, 5-12 Anthropology, 5-12 Biology, 5-12 Business, Marketing, Management, 5-12 Chemistry, 5-12 Economics, 5-12 English/Language Arts, 5-12 French, 5-12 General Science, 5-12 German, 5-12 Latin, 5-12 Mathematics, 5-12 Physical Science, 5-12 Physics, 5-12 Psychology, 5-12 Sociology, 5-12 Spanish, 5-12 Speech Communication/Theater, 5-12 World History, 5-12 Additional Endorsements: That may be attached to a 5-12 License English as a Second Language, K-12 Instructional Strategist II: BD and LD, K-12 Middle School Teaching, 5-8 Coaching: Coaching Endorsement, K-12 K-12 Educators License (K-12): Art, K-12 Health, K-12 Music, K-12 Instrumental Vocal Physical Education, K-12 Additional Endorsements: That may be attached to a 5-12 License English as a Second Language, K-12 Instructional Strategist II: BD and LD, K-12 Coaching: Coaching Endorsement, K-12 Personal Statement (limit of 60 words please) Quote from You About Teaching (Optional) (limit of 20 words please) When you have finished, please verify that all information entered is correct. Remember, your account will be charged $25 to offset the cost of producing the brochure unless you notify the Career Center in writing that you do not wish to particpate. Click the Submit Form button below to send this form to the Career Center. Thank you!
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