STAR Form

Early Childhood Education STAR Form worksheet
This worksheet is to provide you with information requested on the STAR Form.

Personal Information

First Name:
Middle Name:
Maiden Name:
Last Name:
K-State Email:

Are you related to anyone in the school district you are requesting? Yes / No

If you answered 'Yes' to the previous question, provide name and relationship below:

If you have children, please give their ages and name of the schools they attend:

In case of emergency while student teaching, notify:

Name:

Address:

City,State,Zip:

Phone:

Student Teacher Statement of Introduction

Write an introduction of yourself to your cooperating teacher. Following are some suggested items you might wish to include in your statement:

a brief statement of your home and community background
other career experience
why you decided to become a teacher and why you chose your teaching concentration
any previous experiences with children
any particular unit or activity you would like to teach if possible
your future goals or plans
any other information which you think will help your cooperating teacher know you better

Your Statement of Introduction must fit within a defined space without scrolling (approx. 350 words). Essays which exceed this limit will be cropped when sent to requested schools.

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