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Candidate Information 2023-2024
Information for the purposes of instructor contact, supervision, emergency contact, and employment.
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* Indicates required question
Email
*
Your email
Name (first and last)
*
Your answer
Net Id
*
Your answer
Student ID number (9 digit number)
*
Your answer
Horizon e-mail
only
*
Your answer
Emergency Contact (include relationship, name, phone, email)
*
Your answer
Year in the program
*
Year 1 (2023 Cohort)
Year 2 (2022 Cohort)
Year 3+ (2021 or earlier Cohort)
Indicate the Credential Authorization being sought.
*
Mild Moderate Support Needs
Extensive Support Needs
In the fall, will you be employed as a teacher of record?
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Yes
No
If yes to the question above indicate the name of the school and the name of the district and site administrator contact information where you will be a teacher of record.
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Your answer
In the fall will, you be employed as a substitute teacher or in a classified position?
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Yes
No
Indicate the title of the position.
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Your answer
If employed as a substitute teacher or in a classified position indicate the name of the school, district and contact information for the site administrator.
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Your answer
Will you be seeking a CTC issued Intern Credential? If you do not hold a prior general or special education credential, you must have met the Basic Skills and Subject Matter Competency, the US Constitution requirements and completed the summer courses prior to application for the Intern Credential.
*
Yes
No
I already have a CTC-Issued Intern Credential
I hold a general education or special education teaching credential.
Required
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