STC Application

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SCIENCE TEACHER CAREERS (STC)
APPLICATION [To Print and Mail]

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PLEASE COMPLETE, PRINT OUT, AND SUBMIT
APPLICATION BY MAIL TO:
SCIENCE TEACHER CAREERS, DEPT. OF PHYSICS (SB B334)
QUEENS COLLEGE, FLUSHING, NY 11367

Printer-friendly (PDF) format

, if required

Date: Social Security #:

NAME: GENDER: Female Male

MAILING ADDRESS:

HOME PHONE: WORK PHONE:
E-mail Address:
Birth Date: Birth Place:
Citizenship-Country: Visa Type:
ETHNIC BACKGROUND:

REFERENCES: (Please list 3 or more teachers, professors, or other professionals who know of your potential).

NAME: TITLE:
ADDRESS & ZIP CODE:
NAME: TITLE:
ADDRESS & ZIP CODE:
NAME: TITLE:
ADDRESS & ZIP CODE:

How did you hear about this Program?

EDUCATION

COLLEGE ATTENDED:
DATES ATTENDED: DEGREE AWARDED:
MAJOR: GRADE PT. AVERAGE:
COLLEGE ATTENDED:
DATES ATTENDED: DEGREE AWARDED:
MAJOR: GRADE PT. AVERAGE:
COLLEGE ATTENDED:
DATES ATTENDED: DEGREE AWARDED:
MAJOR: GRADE PT. AVERAGE:

High School Attended:

Are you now a student at Queens College? Working? Other
Entering Queens College? Yes When?

Your present major?
Which Natural Sciences interest you?

Are you presently teaching? Yes No If so, at what school?
In what subjects?

WORK EXPERIENCE

Most recent employment first:

Present Employer:
Dates of Employment:
Address:
Position/Responsibilities:
Employer:
Dates of Employment:
Address:
Position/Responsibilities:
Employer:
Dates of Employment:
Address:
Position/Responsibilities:

STC: PERSONAL ESSAY

To be Typewritten on Separate Pages

Please provide Full and Detailed answers to the following:

Why do you want to teach science?
Which of your personal traits will help you to become a good science teacher?
What experiences of your life will help you become a good science teacher?
Which sciences are you interested in teaching and why?

YOUR STC APPLICATION CHECKLIST:

Send To STC:

Application:
Personal Essay:
Transcript(s): (only for colleges other than Queens College)
Student copies of your transcripts are accepted with your STC application.

For your QC Admission*: (if you are not presently a Queens College student), Obtain QC Admissions Application at the QC Welcome Center in the Jefferson Hall Lobby
OR click here. The QC Admissions procedure is different if you already hold a Bachelor's degree.

* Admission to Queens College is a co-requisite for the STC Program.

SEND COMPLETED STC APPLICATION TO:
Science Teacher Careers, Dept. of Physics (SB B334),
Queens College, Flushing, NY 11367
Phone Office: (718) 997-3398 or 3379
Office Hours: Mon, Tu & Th, From 11AM to 4PM in SB Room B218.

Printer-friendly (PDF) format

, if required