Mississippi Teacher Corps
Application Form
 
I. Personal Information:
Applicant Full Name:
First Name: 
Middle Name/Initial: 
Last Name: 

 
Contact Information: 
E-mail Address: 
Confirm your E-mail Address:   
Daytime Phone: 
Home Phone: 
Cell Phone: 
Current Mailing Address:
Current Mailing Address Until:   -  -  (mm - dd - yyyy)
Street: 
City: 
State: 
Zip Code: 
Permanent Address:
Same as Current Address above: 
Street: 
City: 
State: 
Zip Code: 
Other Information:
Birthday:   -  -   (mm - dd - yyyy)
Citizenship:   
Gender: 

Ethnicity: (Optional)
 
II. General Information:
How did you hear about the Mississippi Teacher Corps?

If Other, specify here: 

Educational Background:

College No 1:
College: 
Dates of attendance: 
Major: 
Minor: 
Degree : 
GPA: 
                        
College No 2:
College: 
Dates of attendance: 
Major: 
Minor: 
Degree : 
GPA: 
                      
College No 3:
College: 
Dates of attendance: 
Major: 
Minor: 
Degree : 
GPA: 

Please list subjects you wish to teach and describe your background in these areas.

Relevant Coursework

 

 

 

 

 
Please Provide Praxis I & II scores. ( Praxis I and II are not required for application. Full accceptance is conditional on passing the Praxis I and II.)
Praxis I:
Reading Test: 
Writing Test: 
Mathematics Test: 
                         
Praxis II:
Subject-Area Test Name 1: 
Score 1: 
                   
Subject-Area Test Name 2: 
Score 2: 
                    

If you have not taken the Praxis I and/or Praxis II please indicate below the date you plan to take each test (optional):
Praxis I exam date: 
You can take the Praxis I as a computer-based test at any time. Click here to register.
                                         
Praxis II exam date: 
You can take the Praxis II only as a paper-based test and only on 6 selected dates. Click here for more information.
        
Please list your exams score(s) below:
SAT :
ACT :
Other :
Test Name 1:
Test Score 1:
                                                
Test Name 2:
Test Score 2:

Do you posses a valid driver's license?

Mississippi Teacher Corps participants must provide their own transportation during the school year.

 

 

 
References:
Reference No. 1:     
Name: 
Work Phone Number: 
E-mail: 
Title: 
Relationship to you: 
                       
Reference No. 2:
Name: 
Work Phone Number: 
E-mail: 
Title: 
Relationship to you: 
Please list significant and scholastic honors:
Experience teaching and/or working with kids:
Community service experience:

If you are interested in coaching a sport please indicate below. Please describe your previous experience or involvement in the sport, either playing or coaching.
 Experience
Please list any extracurricular activities you would be willing to participate in at your assigned school (such as school newspaper, yearbook, school play, chess club, etc...):
The Mississippi Teacher Corps places teachers in three areas: Urban (Jackson), Large Delta towns (Examples: Indianola, Cleveland), and Small Delta towns (Examples: Hollandale, Belzoni). If you have a preference please indicate it. Please understand that there is no guarantee we can fulfill your preference:
Why do you want to be a part of the Mississippi Teacher Corps?
Copy and paste your Resume in the specified box below (optional):

Have you ever been convicted or pled guilty to any offense for which you paid a fine greater than $100.00 or were sentenced to a term of incarceration, whether suspended or not? If yes, explain.

If yes, explain below:

Click the "Submit" Button only once. It may take a minute to process the application.