First Years of Teaching Registration 0809
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Watson School of Education
1.
Are you a graduate of UNCW?
*
If you will graduate at the end of the current semester please check yes.
Yes
No
2.
First Name
*
3.
Maiden or Middle Name
*
4.
Last Name
*
5.
Permanent Mailing Address Including Street Number, City, State and Zip Code
*
6.
Home Phone Number (with area code)
*
7.
Work Email Address
8.
Home Email Address (or preferred email address-please do not list a UNCW student email address)
*
9.
What is your certification area?
*
Birth to Kindergarten
Elementary
Middle School
Secondary English
Secondary Foreign Language
Secondary Math
Secondary Music
Secondary PE
Secondary Science
Secondary Social Studies
Special Education-General
Special Education-Adapted
Certification Only
10.
Current school where you are employed
*
Internship placement sites should not be listed here-type N/A if you are and intern
11.
Current School System Assignment
*
Internship placement sites should not be entered here
12.
Current School Mailing Address Including Street, City, and Zip Code
*
Internship placement sites should not be listed here
13.
Grade(s) You Teach
*
Pre-K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
14.
Subject(s) You Teach
*
all-elementary or pre-k
Math
Science
Social Studies
Language Arts
Foreign Language
PE
Art
Music
Math
Gifted Education
Special Education
Other, please specify
15.
Year of Graduation or Certification from UNCW
*
2003
2004
2005
2006
2007
2008
2009
2010
Other, please specify
16.
What semester will you (did you) graduate? (May is Spring) (Summer and December are Fall)
Fall Semester
Spring Semester
17.
Years of Classroom Teaching Experience
1
2
3
4
5
6-10
10-15
16-20
20+
None
18.
Are you a partnership teacher that hosts UNCW interns?
Yes
No
19.
Are you a National Board Certified Teacher?
Yes
No
20.
Please share any other news or information you would like us to have. (teacher of the year, recent promotion, working on National Boards, etc.)