• 1 Current Start
  • 2 Applicant Status
  • 3 Certification Information
  • 4 Placement Details
  • 5 College References
  • 6 Acknowledgements and Signature
  • 7 Complete
PLEASE COMPLETE THIS APPLICATION EVERY YEAR BY JANUARY 15TH

Personal Information

Home Address
Will you be living at your Permanent Home Address while Student Teaching?
NOTE: Placements will be loacated within 30-45 minutes of the Harrisburg, St. Davids, or Falls Center campuses.
Your phone number must conform to the format of the example.
Your phone number must conform to the format of the example.
Must be your Eastern University email address.
Race: