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Personal Information

Name*

First Last

Email*

Phone*

How did you hear about us?*

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

If you heard about KCTR from someone within or outside of KCTR, please name them below.

Are you a current or former AmeriCorps member?

No
Yes--City Year
Yes--Literacy Lab
Yes--another program not listed above

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

(Please note: Middle School content areas require a minimum of 24 undergraduate credit hours in that content area in order to qualify for certification)

Early Childhood Education (Pre-K through 3rd)
Elementary (1st through 6th)
Middle School English Language Arts (5th through 9th)
Middle School Math (5th through 9th)
Middle School Science (5th through 9th)
Special Education

Do you currently work at an Early Childhood Center?*

Yes
No

If you answered "yes" to the previous question, please identify the site you work at.

Application for Cohort 6 (Residency beginning in summer of 2021)

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