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Houston, San Antonio, Dallas, Fort Worth, Austin, & El Paso
PERSONAL INFORMATION
*Required Field.
*Full Name
*Address
*City
*State
*Zip
*Maiden Name/Previous Name
*Home Phone
*Cell Phone
*Email
*Date of Birth
mm/dd/yyyy
Area of Interest:
Math
Science
Special Education
Bilingual
ESL
English
Generalist Other
EDUCATIONAL BACKGROUND
List colleges and universities attended*:
Institution
Country
Dates Attended
Degree
Major
PROFESSIONAL BACKGROUND
List previous employment:
Employer
Title
Job Description
Date
Have you ever worked as a substitute, teacher aide, or as a teacher on an Emergency Teaching Permit?
Yes
No
If yes...
Substitute
District
Year(s)
Teachers Aide
District
Year(s)
Emergency Permit
District
Year(s)
Have you ever been enrolled in a teacher preparation program?
Yes
No
Program
How did you hear about us?
SBEC
Internet
Billboards
Newspaper
Job Fair
Radio
Referral (Name):
Other:
Has a district already made you an offer to teach?
Yes
No
Legal and criminal background records check:
The State of Texas, as well as school districts, will conduct a background check before you are certified and allowed to teach.
Any negative legal history, as they interpret and define it, may/will jeopardize your ability to teach and/or be employed.
Electronic Signature
Date
Where would you like this application for alternative teaching certification to be sent?
Houston
Dallas
San Antonio
Fort Worth
Austin
El Paso
Houston
2603 Augusta Drive, Suite 750
Houston, Texas 77057
Phone: 713-458-1660
Fax: 713-458-1661
San Antonio
9311 San Pedro Ave., Suite 1040
San Antonio, Texas 78216
Phone: 210-298-9600
Fax: 210-298-9601
Website Address
www.TexasTeachers.org
Dallas
5429 LBJ Freeway, Suite 425
Dallas, TX 75240
Phone: 214-389-1981
Fax: 214-389-1982
Fort Worth
1600 Airport Freeway, Suite 204
Bedford, TX 76022
Phone: 817-553-9600
Fax: 817-553-9601
Austin
8911 N. Capital of Texas Hwy, Suite 4107
Austin, TX 78759
Phone: 512-610-9910
Fax: 512-610-9911
El Paso
Phone: 915-307-9491
Fax: 915-307-9492
