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:

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:

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.