MAT STAR Form

Master of Arts in Teaching (MAT) STAR Form worksheet
This worksheet is to provide you with information requested on the STAR Form.

Grade level preference:

1st Preference:	2nd Preference:	3rd Preference:

First School Preference

District Number
District Name

Building Name
Building City, State

Principal Name
Principal Phone Number
Principal E-Mail Address

Second School Preference

District Number
District Name

Building Name
Building City, State

Principal Name
Principal Phone Number
Principal E-Mail Address

Third School Preference

District Number
District Name

Building Name
Building City, State

Principal Name
Principal Phone Number
Principal E-Mail Address

Personal Information:

First Name:
Middle Name:
Maiden Name:
Last Name:

Do you have transportation available? Yes / No

If you have school age children, please give their grade level(s) and the school(s) they attend:

Are you or your family members related to or are friends with any employee(s) of the district(s) in which you have applied to student teach? Yes / No

If you have answered 'Yes' to the previous question, please explain.

In case of emergency while student teaching, notify:

Name:

Address:

City, St., 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.

CONTINUE TO STAR FORM