#BearsTeach Application - College of Education

Personal Information

First Name*

Middle Name

Last Name*

Preferred Pronoun*

He/Him

She/Her

They/Them

Other

Prefer not to say

If selected other, please specify

Street address*

City*

State*

Zip Code*

Phone number*

Student email (Personal)*

Student email (School)*

Student T-Shirt Size*

XS

S

M

L

XL

XXL

XXXL

Parent email*

Parent Emergency Contact*

Student details

High school*

Year in school*

School district*

Counselor first name

Counselor last name

Counselor email*

Principal email*

Organizations/groups you participate in

If selected other, please specify

Allergies or Dietary Restrictions*

Please complete a 500 word essay about why you want to become a teacher and why you want to attend #BearsTeach 2024*