24-25 Program Application
NEW AMERICAN Pathway

Complete the form below to start your journey with PEBC!

If you would like to save your progress at any point and return later, click the Save and Resume later link at the bottom of the form.

Name *

First

Middle

Last

Preferred Name

Preferred Pronouns

Other names used on transcripts

Personal Information

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Email *

We will use this to contact you, so make sure it is an account you check often

Other Ways to contact me

Other emails or International Phone #

Date of birth *

mm/dd/yyyy

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Click the flag icon to change country code

SSN

This will be required by the end of the program

Race / Ethnicity *

Gender *

Native Language *

Are you a veteran of the U.S. Military? *

OPTIONAL: Does your identity include any of the following groups? (Check all that apply)

Part of the LGBTQIA+ Community
A person living with a disability
A person that has learned English as their second language
A first-generation college student
Black, Indigenous, and People of Color
A person who has recently moved to the United States from another country
A person who currently lives in another country other than the United States

The PEBC Teacher Residency is committed to diversity and intentionally seeks applicants from all racial and ethnic groups. The PEBC Teacher Residency does not discriminate on the basis of race, creed, color, religious beliefs, gender, sexual orientation, age, national origin, learning/physical disabilities, or veteran status. Additionally, this information will help PEBC identify any additional funding that may be available to you based on your identity and/or background.

Have you ever been charged with a violation of the law which resulted in, or if still pending could result in, probation, community service, a jail sentence, or the revocation or suspension of your driver’s license? *

PEBC is required by the Federal government to solicit certain demographic information to meet federal reporting requirements. Applications are requested to provide the following information voluntarily. The PEBC Teacher Residency is committed to diversity and intentionally seeks applicants from all racial and ethnic groups.PEBC does not discriminate on the basis of race, creed, color, religious beliefs, gender, sexual orientation, age, national origin, learning/physical disabilities, or veteran status. Additionally, this information will help PEBC identify any additional funding that may be available to you based on your identity and/or background.

Emergency Contact

Emergency Contact Name *

First

Last

Relationship to Applicant *

Emergency Contact Phone *

Education and Experience

Have you completed a Bachelor's Degree? *

Do you have an advanced degree? *

Any degree higher than a bachelor's

Please have your official academic transcript of your highest completed degree sent directly from the college/university sent to PEBC at enrollment@pebc.org

Membership in Community Groups or Organizations, Special Trainings, Professional Development, Certifications, or Volunteer Experience *

Please list any additional experience here

Additional Experience

Please have your official transcripts showing your highest degree conferred sent directly from the college/university to PEBC at enrollment@pebc.org If the college/university does not send electronic transcripts, they can be sent via mail to the following address: PEBC Teacher Residency 3607 Martin Luther King Blvd Denver CO 80205 ATTN: Admissions

Language Skills

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What is your preferred language for speaking? *

What is your preferred language for writing? *

Rate your confidence speaking English *

Rate your confidence writing in English *

Which subject area are you most confident teaching in English? *

What is your preferred language for listening? *

What is your preferred language for reading? *

Rate your confidence listening to English *

Rate your confidence reading English *

Technology and Support

The responses to the following questions are non-evaluative and will have no bearing on your acceptance to the program. We ask these questions to ensure you are fully supported as you begin the New American pathway. Please feel free to be entirely honest.

Do you have access to a computer? *

Do you have access to a reliable internet connection? *

Do you have access to a quiet place to participate in a virtual meeting? *

What services do you need to be successful in the PEBC Teacher Residency Program? Check all that apply.

Short Answer Questions

If you would like guidance or support in responding to the Short Answer Questions, please contact admissions@pebc.org and we will be happy to provide assistance.

1. Tell us about yourself. What was your career and education experience in your own country? Why did you move to the U.S.? *

2. Why do you want to become a teacher, or continue teaching in Colorado? *

3. Describe your family and community of support in the United States. Who are you responsible for supporting and who helps you? *

4. What have been hardships in moving to the U.S. and what have been the bright spots? *

Save and Resume Later

24-25 Program Application NEW AMERICAN Pathway