EmailMe Form - Focus on STEM Program

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Phone *

### - ### - ####

EMPLID (If you are a CUNY/Lehman Student)

Date of Birth *

MM / DD / YYYY

Gender *

Female

Male

I am a *

US Citizen

Permanent Resident

Please indicate which of the following categories you identify with. You may check more than one. *

If you do not have more than 1 college to list, complete the remaining slots with "N/A." *

	Institution and Location	Is Institution a Community College? (Yes/No)	Date of Attendance	Major of Field of Study	GPA in Major/Overall GPA
List all colleges and the dates attended:

Credits to Degree *

Number of Credits Completed
GPA overall
GPA in Major
Date degree expected
Major (e.g., mathematics, chemistry, etc.)
Minor (if required)

Attach Transcripts

Name of Recommender #1 *

First Last

Email of Recommender #1 *

Affiliation to Recommender #1 *

Name of Recommender #2 *

First Last

Email of Recommender #2 *

Affiliation to Recommender #2 *

Personal Statement: Becoming a Teacher *

The Focus-On-STEM Program seeks STEM Majors and STEM Professionals who are interested in teaching mathematics or science as a profession. Please help us to identify your experience and strengths in the subject areas of mathematics or science and any additional information about yourself that you believe would help the Admissions Committee for the Focus-On-STEM Program in reviewing your application. You may explain how your personal experiences have shaped your desire to be a teacher in public schools. In doing so, please tell us what you would do differently from teachers you have known, and what you would emulate from teachers who have inspired you.

This essay will allow us to evaluate your writing, thinking skills and to learn more about your personal qualities. We are not looking for any “right” answers. Please attach your typed responses to the application. Your essay should be printed on separate sheet of paper with your last name, first name at the top of each page. Your essay may be single-or double-spaced but should not exceed 500 words.

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