Get Prospective Participant Information Form

Filling out the PROSPECTIVE PARTICIPANT INFORMATION FORM online is a straightforward process that gathers essential information for your application. This guide provides clear, step-by-step instructions to help you complete each section effectively.

Follow the steps to successfully complete your form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter today's date in the designated field to indicate when you are completing the form.
3. Input your Social Security Number accurately in the provided section.
4. Under PERSONAL INFORMATION, fill in your full name, including your last name, first name, and middle name.
5. Add your date of birth in the format required by the form.
6. If applicable, enter any other names your academic records may arrive under.
7. Select your gender by marking the appropriate box for male or female.
8. Provide your street address, city, state, and ZIP code.
9. Indicate whether you will continue to reside in the city/state during the online teacher certification program.
10. Fill in your home phone number and alternative phone number.
11. State your employment status and, if currently employed, provide the name of your employer and their phone number.
12. Describe how you heard about Hometown Heroes Teach.
13. In the EDUCATION section, list your degree(s), course of study, name of school, month/year degree granted, and your GPA.
14. For MILITARY SERVICE, specify your branch, date enlisted, rank at discharge, date of discharge, and percentage of service-connected disability.
15. Address the additional information questions, including your willingness to relocate and any legal or disciplinary issues by responding accordingly.
16. Complete the IN CASE OF EMERGENCY section with the details of a local friend or relative.
17. Acknowledge the truthfulness of the information provided by signing and dating the form.
18. Once all sections are completed, review the form for accuracy before saving changes, downloading, printing, or sharing as needed.

Begin completing your PROSPECTIVE PARTICIPANT INFORMATION FORM online today.