Personal Data Form
Click here for a Word document containing the Personal Data Form.
The information provided on this form and a copy of your transcript may be shared with cooperating teachers and other professionals involved in the student teaching placement process.
The student provides the following information:
- General Data
- First name, last name, and initials
- Home address: street, city, state, and zip code
- Local address: street, city, state, and zip code
- Home and local telephone numbers
- Email address
- Age
- Gender
- Intended semester of graduation
- Intended semester for student teaching
- Educational Information
- Name of high school attended
- Year of graduate from high school
- College(s) attended (other than Penn State)
- Current major
- Area of concentration
- Majors enrolled in before Education (if any)
- Honors received
- Personal Experience
- List and describe experiences you have had with children and youth other than course-related field experiences.
- List and describe your professional experiences with children (teachers' aide, substitute, course-related field experiences, etc.)
- List and briefly summarize other work experiences you have had.
- List extra or co-curricular activities in which you have been engaged; indicate your special interests and talents.
- Professional Knowledge
- Identify (no acronyms, please) the professional organizations with which you are affiliated and the nature of your participation.
- Describe five (5) techniques which teachers can employ to enhance student learning.
- Why did you choose teaching as your profession? In a short essay, explain what led to your decision and why you believe that you can be an effective instructional leader.
- (Non-Pennsylvania assignments only) In a short essay, discuss your reasons for choosing this site for student teaching. Include your expectations for your personal and professional growth.