CREATE of SC

APPLICATION

BIOGRAPHICAL INFORMATION
 
U.S. citizen?
    S.C. resident?

 

CURRENT EMPLOYMENT / WORK ASSIGNMENT
Is a teacher assistant assigned to your classroom?
If so, is s/he full- or part-time?
PROFESSIONAL PREPARATION
Highest Degree:
Bachelor's Degree*
Master's Degree*:
*Skip if not applicable
WORK EXPERIENCE
[ Indicate only years beyond age 22. Use 0 as needed. Do not use N/A. The total of
the years listed in the blanks below plus 22 should equal your age (within one).
We will be unable to process your application if these numbers do not reconcile.]
 
LICENSURE/CERTIFICATION

I have read the “Policies & Conditions” link posted at the home page of the CREATE website, and I will abide by these policies and conditions during my enrollment as a participant in CREATE.

I authorize project personnel to use the information I have provided in this application for evaluation and research purposes related to this project. I also understand that I will never be named personnally or identified publically in any report.