Guilford Technical Community College 601 High Point Road, P. O. Box 309, Jamestown, nc 27282 Application : Teaching Associate Faculty-in-Training Program



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Guilford Technical Community College

601 High Point Road, P.O. Box 309, Jamestown, NC 27282

Application : Teaching Associate

Faculty-in-Training Program

Official undergraduate and graduate transcripts must be sent to complete application to be hired. Unofficial transcripts will suffice until that point. Send application to GTCC c/o Amanda Fields.


Teaching Discipline of Interest ________________________

Name _______________________________________

Email address __________________________

Address


_________________________________________________________

____________

City______________________________________________________

_______________

State_____________________________________________________

________________

Zip______________________________
Permanent Address (if different)

Street____________________________________________________

_________________________

City______________________________________________________

_______________________

State_____________________________________________________

________________________

Zip______________________________

Phone # (local) ______________________________

Educational History


Undergraduate Colleges/Universities Attended

Yrs. attended School Major Degree Grad. Date

1.________________________________________________________

____________________

Yrs. attended School Major Degree Grad. Date

2.________________________________________________________

____________________

Number of Graduate Hours Completed ________________

Graduate Schools Attended

Yrs. attended School Major Degree Grad. Date

1.________________________________________________________

____________________

Yrs. attended School Major Degree Grad. Date

2.________________________________________________________

____________________

Do you hold a Teacher’s Certificate?

____________ yes ____________no If yes, complete the following:

Type, subjects or grades, and issuing state:


Academic or professional honors, fellowships, scholarships

received:________________________________________________


_________________________________________________________
Employment History

Position/Job Dates Supervisor

1.________________________________________________________

___________________________

Employer Address

_________________________________________________________

___________________________

Position/Job Dates Supervisor

2.________________________________________________________

______________________________

Employer Address

_________________________________________________________

___________________________

Position/Job Dates Supervisor

3.________________________________________________________

______________________________

Employer Address

_________________________________________________________

___________________________

Position/Job Dates Supervisor

4.________________________________________________________

______________________________

Employer Address

_________________________________________________________


Academic References

(College teachers or professional references who can evaluate the quality of your work; request letters of reference from three individuals. A separate form for requesting such letters is found separately on the GTCC website.)

_________________________________________________________

________________________________

Name Title Address

_________________________________________________________

________________________________

Name Title Address

_________________________________________________________

________________________________

Name Title Address

_________________________________________________________


Essay

(Write a 500-word autobiographical essay explaining why you want to explore a career in

community college teaching. Please attach that essay to this application.)

_________________________________________



Signature Date


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