Country*
Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Islands Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Republic of Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Syria Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe
State/Region/Province
AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY -- AA AE AP AS FM GU MH MP PR PW VI
Date of birth: Month* Select... January February March April May June July August September October November December Day* Select... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year* Select... 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915
Highest Level of Education Completed* Select... Less than High School Diploma High School Diploma or Equivalent (TASC, GED) Some College Associate’s Degree Bachelor’s Degree Master’s Degree Doctoral Degree If you completed a 4-year undergraduate degree or higher and majored in Education, did that degree allow you to become a certified teacher?* Select... Yes No
Are you currently in college or pursuing a degree beyond a high school diploma?* Select... Yes – Associate's Degree Yes – Bachelor’s Degree Yes – Master’s Degree Yes – Doctoral Degree No Are you currently enrolled at CUNY?* Select... Yes No Not applicable
If you are currently attending a CUNY school, please select your campus. Select... CUNY Baruch College CUNY Borough of Manhattan Community College CUNY Bronx Community College CUNY Brooklyn College CUNY City College of New York CUNY College of Staten Island CUNY Graduate Center CUNY Graduate School of Journalism CUNY Hostos Community College CUNY Hunter College CUNY John Jay College of Criminal Justice CUNY Kingsborough Community College CUNY LaGuardia Community College CUNY Lehman College CUNY Macaulay Honors College CUNY Medgar Evers College CUNY New York City College of Technology CUNY Queens College CUNY Queensborough Community College CUNY School of Law CUNY School of Professional Studies CUNY Stella and Charles Guttman Community College CUNY York College All Other Colleges
If you are currently enrolled at a university, please enter your expected date of graduation: Select... Fall 2015 Spring 2016 Fall 2016 Spring 2017 Fall 2017 Spring 2018 Fall 2018 Spring 2019 Fall 2019 Spring 2020 Fall 2020 Spring 2021
Please select your area of study. Select... Not enrolled in college Accounting Archeology Art & Architecture Biology & Biochemistry Business Administration Chemistry Child Care Classical Studies Communications Computer Science & Technology Criminal Justice Culinary Arts/Hospitality Management Cultural Studies Dance/Theater Dance Dental Studies Economics Education Engineering & Technology English Fashion Merchandising / Marketing/Design Finance/Investing Geology Health Science & Technology / Nutrition History / Global History Journalism - Broadcast / Print Media Labor Studies Legal Studies Linguistics & Language Studies Management & Marketing Mathematics Music Neuroscience Philosophy Physics Political Science & Government Public Administration Religious Studies Social Sciences Social Work Statistics Theater - Dramatic Arts Veterinary Science
Are you currently certified to teach in NY State, another U.S. state, or Puerto Rico?* Select... Yes No If so, which state are you certified in?* Select... Not applicable Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Are you currently a teacher in a New York City school?* Select... Yes No
Are you an NYC Teaching Fellow?* Select... Yes No Alumnus
