Associate Teacher Program Application 55 Day School Lane Belmont, MA 02478 617 484 3078 www.belmontday.org Applicant Information Name Address Telephone Email Disclosure of gender and
Trang 1Associate Teacher Program Application
55 Day School Lane Belmont, MA 02478 617 484 3078 www.belmontday.org
Applicant Information Name
Address
Telephone
Disclosure of gender and/or racial identity information is voluntary and will be used for demographic
reporting Belmont Day School welcomes people of all races, religions, family configurations, gender identities, sexual orientations, economic backgrounds, and cultural identities We work together to nurture a community where listening, open dialogue, humor, and respect thrive
Gender Identity
Racial Identity
o American Indian/Alaska Native o Asian o Biracial/Multiracial o Black/African American
o Latino/a o Middle Eastern o Pacific Islander o White/Caucasian
How did you find out about Belmont Day School’s Associate Teacher Program?
Acquaintance: _ Website: _ Recruiting Event: _ Advertisement: Social Media: Other:
Program Information
Select the program for which you wish to apply
o Early Childhood (Pre School - Grade 2) o Elementary Education (Grades 1 - 6)
Have you applied to the Graduate School of Education at Lesley University? o yes o no Are you currently enrolled in the Graduate School of Education at Lesley? o yes o no
Academic and Professional Information and Transcripts
Please list all relevant post-secondary studies and work experiences If additional space is needed, continue on another page Official sealed transcripts are required from each college or university attended If you are accepted to the Belmont Day School Associate Teacher Program, the transcripts will be forwarded to Lesley’s admissions office
Name of Institution or Employer Years of Attendance or Employment Degree earned or responsibilities
Trang 255 Day School Lane Belmont, MA 02478 617 484 3078 www.belmontday.org
References
Please include letters of recommendation from two individuals who have supervised you in an academic or professional setting Reference letters should provide details of your studies or work, and an assessment of
your ability to engage in graduate studies while taking on the responsibilities of an associate teacher
Please note that in addition to the reference letters written for your application to the Belmont Day School Associate Teacher Program, you will need to submit Lesley University’s official recommendation forms with your application to Lesley We suggest that you ask each of your references to complete the Lesley
recommendation form (available from the admissions office or on the web at www.lesley.edu) at the same time that they write your letters for the Associate Teacher Program All of the recommendation materials may be submitted to Belmont Day School; they will be returned to you, or, if you are accepted to the Associate Teacher Program, they will be forwarded to the admissions office at Lesley
Personal Statement
One of the hallmarks of the Belmont Day School/Lesley Collaborative program is the connection between educational theory and classroom practice Students in the Belmont Day School program are expected to demonstrate intellectual curiosity, an interest in children’s development, and a desire to learn in an
apprenticeship role Please describe a question, observation, or educational interest that has led you to apply to the Associate Teacher Program In addition, please explain how this program will help you gain further
insight into the question or interest you have identified Attach your personal statement to the application.
Name of Individual Institution or Affiliation Contact Information