Personal Information

Name*

First* Last*

Permanent Address*

Street Address* Address Line 2 City* State* Zip* Country

Email*

Phone*

Citizenship Status*

In order to be certified, you must be a U.S. citizen or permanent resident of the United States. Please note that this requirement is not KCTR's policy, but rather an expectation of the Missouri Department of Education.

I am a U.S. citizen
I am not a U.S. citizen
I am a permanent resident in the U.S.

How did you hear about us?*

Choose one of the options below to share how you heard about KCTR.

Referral Name

Other Contact

Are you a current or former AmeriCorps member?*

No
Yes

If you are a current or former AmeriCorps member, which program and how many terms of service have you completed?

Academic History

In order to be eligible for the program, you do need a Bachelor's degree by the time of the start of the program as well as a minimum of a 2.5 cumulative GPA.

I am a...*

College student
Graduate school student
College graduate (not currently enrolled)

Undergraduate School*

Undergraduate Degree*

Undergraduate GPA*

Undergraduate Graduation Date (expected / awarded)*

MM/YYYY

Do you have any additional degrees? (i.e. Master's, Doctorate, or additional Bachelor's degree)*

Yes
No

What is/are your degree(s) in?

Background Experience

Please list your most recent employment history below. Or if you don’t have any, you may list your most recent experience with organizations, clubs, teams, or extra-curricular activities.

1. Employer or Organization Name*

1. Your Position / Title*

1. Dates of Employment or Participation*

Add another experience?

Yes, I'd like to add another experience
No, that's all I'd like to add

2. Employer or Organization Name

2. Your Position / Title

2. Dates of Employment or Participation

Add another experience?

Yes, I'd like to add another experience
No, that's all I'd like to add

3. Employer or Organization Name

3. Your Position / Title

3. Dates of Employment or Participation

Any other related experience or skills you would like to highlight or let us know about?

Optional Resume Upload

You may upload a resume here if you have one you want to share, but it is not required.

No file selectedBrowseMax. file size: 50 MB.

Grade Level/Subject Preference

There are many factors that go into determining a resident’s grade level and certification area placement. Resident preference is one of these important factors, but is not the only factor.

What grade level/subject area are you most interested in getting certified and teaching in?*

(Please note: Middle School content areas have some additional eligibility requirements.)

Pre-K and Kindergarten
1st-3rd Grade
4th-5th Grade
6th through 9th Grade ELA/English
6th through 9th Grade Math
6th through 9th Grade Science
Special Education

In addition to your first choice, what grade level/subject are you also interested in?*

(Please note: Middle School content areas have some additional eligibility requirements.)

Pre-K and Kindergarten
1st-3rd Grade
4th-5th Grade
6th through 9th Grade ELA/English
6th through 9th Grade Math
6th through 9th Grade Science
Special Education

Short Answer Question

Please answer the questions below in 2 or 3 sentences.

Why did you choose to apply to the KCTR program?*

Diversity & Inclusion

In KCTR’s efforts to embody our values of diversity, equity and inclusion, we believe it is important to understand the different gender, racial and ethnic identities, as well as socioeconomic backgrounds and life experiences, of our staff, residents and alumni. This information informs our program design and curriculum, and also helps guide future programming and recruitment efforts.

We also use this information, once anonymized, to help our partners, stakeholders and other members of the Kansas City community understand the diverse composition of our cohorts.

Providing this information is optional and has no bearing on your eligibility or application status.

Gender

Pronouns

Example: she/her; they/them; he/him

Race & Ethnicity

I self-identify as...

Are you a veteran of the United States Armed Forces?

Yes
No

Were you a first generation college student?

Yes
No

Were you a Pell Grant recipient?

If you are uncertain, please reference the U.S. Governments information regarding Pell Grants here.

Yes
No

KCTR Cohort 9 Early Admissions Application