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#25-005897-0006
Supplemental Questionnaire

Last Name
First Name

 

***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit.***


1.

Do you possess a MSDE Secondary Education Educators Certification with an endorsement area of CTE?

Yes No
2.

Do you possess active licensure in one or more of the following content areas: Special Education, English, Library Media Specialist, Mathematics, Resource, ESOL, Career and Technical Education (CTE)?  If yes, please list area of certification.  If no, indicate N/A.

3.

Do you have one year of teaching experience, which may include internship experience?  If yes, describe your experience.  Include employer, duties, dates of employment and number of hours worked per week.  If no experience, indicate N/A.


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