Future Graduate Interest Form

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Please complete this form to help us support future TVIs and O&Ms across the country.

Name *

Personal email address *

Anticipated Graduation Date and College *

Specific area of study *

Do you hold a current teaching license in any state? *

Yes

If you answered "yes" to the above question, in which state(s) do you hold certification?

Have you completed a Beginning Teacher Program? *

Yes

In the middle of completing my BT Program

Which population of students/clients do you prefer to work with? *

Birth - K

Elementary

Middle School

High School

Adults

Severe/Profound

Mild/Moderate

Standard Course of Study

I'm unsure at this time

I LOVE them all!

Required

Are you interested in attending a VI Career Day hosted by Equalize Sensory Services? (Virtual or In-Person) *

Yes- Virtually

Yes- In-Person

Maybe

Are you interested in relocating to North Carolina or South Carolina? *

Yes

Maybe

Equalize Sensory Services specializes in serving people with vision and hearing loss in the Carolinas. Would you be interested in working with a Team that provides professional development and support, promotes work/life balance, provides excellent compensation and paid travel time? *

Of course I am!

Not at this time.

Are you interested in receiving a FREE UEB Braille Reference Sheet (corresponds to the UEB Braille Poster)? *

Yes

If you answered "yes" to the above question, please provide us with your mailing address.

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