District Intern Summer Pre-Service Registration
Program
...
District Intern Ed Specialist: Preservice
District Intern Multiple Subject Preservice
District Intern Single Subject Preservice
Required
Credential Type
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Education Specialist (Mild/Mod & Mod/Severe)
Multiple Subjects (Elementary)
Single Subject (Secondary)
Required
Declared Subject Matter
...
Art
English
Foundational-level Math
Foundational-level Science
Math
Multiple Subjects
Music
Science: Biology/Life Science
Science: Chemistry
Science: Earth and Planetary Science
Science: Physics
Physical Education
Social Science
World Languages: Spanish
Required
Have you passed the CBEST or equivalent?
Yes
No
Not Selected
CBEST OR SAT (550+ Math and 500+ English), or ACT (23+ Math and 22+ English)
What is your status with regard to the CSET?
...
Registered, not taken.
Taken, have not received score yet.
Have to retake at least one subtest.
Passed the CSET.
Have not registered; Unscheduled
Candidate Information
First Name
Required
Middle Name
Last Name
Required
SSN
Required
Birth Date
Required
Street
Required
City
Required
State/Province
...
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces
Armed Forces Americas
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northern Mariana Islands
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
N/A
Required
Zip/Postcode
Required
Primary Phone
Required
Email
Required
Background Information
Information you provide will not be used in a discriminatory manner and is intended to help identify disparities and the effects of long-standing systematic discrimination).
Gender
...
Male
Female
Nonbinary
Decline to State
Required
Hispanic
...
Yes
No
Decline to State
Ethnicity
...
American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latino
Native Hawaiian or Other Pacific Islander
White
Two or more races
Decline to State
Sexual Orientation
...
Heterosexual/Straight
Gay/Lesbian
Bisexual
Other
Not Sure
Decline to State
Required
Application Materials
Be sure to request official bachelor's degree transcripts to be sent to: credentialing@hightechhigh.org)
Bachelor's degree granted from:
Required
Certificate of Clearance
US Constitution Certificate/Course
Basic Skills Records #1
Subject Matter Attachment # 1
Subject Matter Attachment # 2
Application Certification
I am applying for admission to the HTH District Intern Program Summer Pre-Service. I understand that participation of the Summer Pre-Service is based on conditional enrollment to the High Tech High District Intern Program and that conditional enrollment allows me to enroll in the summer term only. To be officially admitted and continue into the fall term, I must meet all program prerequisites based on CTC requirements including employment as the teacher of record, 50% or more time, in a K-12 public school environment within San Diego County. My signature below verifies the information I have provided is true, complete, and accurate. I understand submission of this application is not a guarantee of acceptance.
Typed Signature
Required
Date Submitted
Required
Enter the above code
Required