JTR Prospect Form Survey
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JTR Prospect Form Survey
Thank you for your interest in the Jacksonville Teacher Residency. Please make sure you have reviewed our eligibility and admissions policies before you complete the Prospective Applicant Form below. After submitting this form, you will receive a follow-up email with further details.
1.
Last Name:
*
2.
First Name:
*
3.
Preferred First Name/Nickname:
4.
Email Address:
*
5.
Current City:
*
6.
State:
*
7.
Zip:
*
8.
Phone number:
*
9.
Gender
*
--Please Select--
Female
Male
Non-binary
Prefer not to disclose
10.
Race/Ethnicity
*
African American/African/Black
Asian American
Hispanic/Latino/a
Native American/Alaska Native
Native Hawaiian/Pacific Islander
White
Prefer not to disclose
Other, please specify
11.
In 120 characters or less, give one reason why you are interested in learning how to teach in an urban, high-needs school:
*
12.
Please indicate your 2nd intended certification area (Track 1 candidates only):
--None--
General Science 5-9
Mathematics 5-9
Biology 6-12
Chemistry 6-12
Earth-Space Science 6-12
Physics 6-12
English Language Arts 6-12
Social Studies 6-12
13.
Please indicate your 1st intended certification area:
*
--Please Select--
Elementary Education K-6
General Science 5-9
Mathematics 5-9
Biology 6-12
Chemistry 6-12
Earth-Space Science 6-12
Physics 6-12
English Language Arts 6-12
Social Studies 6-12
14.
Program year for which you intend to apply:
*
--Please Select--
2020-21 (JTR Cohort 7)
2021-22 (JTR Cohort 8)
2022-23 (JTR Cohort 9)
15.
Please indicate whether you are a current or former:
*
Teacher, substitute teacher, staff member, or registered volunteer in Duval County Public Schools
City Year Corps Member
AmeriCorps Member
None of the above
Other, please specify
16.
Undergraduate University:
*
17.
Undergraduate Degree:
*
--Please Select--
B.A.
B.S.
Degree in progress
18.
Major:
*
19.
Minor:
*
20.
G.P.A.:
*
21.
Date/expected date of graduation:
*
22.
Graduate University (if applicable):
23.
Graduate degree concentration (if applicable):
24.
Graduate degree G.P.A. (if applicable):
25.
Date/anticipated date of graduate degree completion (if applicable):
26.
If you have taken the Florida Teacher Certification General Knowledge Exam, please indicate your score:
*
--Please Select--
Pass
Fail
Haven't Taken
27.
If you have taken the Graduate Record Examination (GRE) General Test within the past 5 years, please indicate your scores and date taken:
Verbal
Quantitative
Writing
Date of test
Test Scores
28.
If you have taken the Graduate Record Examination (GRE) SUBJECT Test within the past 5 years, please indicate your scores and date taken:
Biochemistry, Cell and Molecular Biology
Biology
Chemistry
Mathematics
Physics
Date of test
Test Scores
29.
How did you hear about JTR?
*
--Please Select--
Email from a JTR Recruiter
Career Fair Booth
Online Job Listing (Craigslist, Indeed, etc.)
University adviser/faculty member
Radio/print ad
Word of Mouth
Social Media
Other