The New York City Department of Education Division of Human Resources Office of Teacher Recruitment and Quality
If Recruiter and Event are not pre-filled, your recruiter will tell you what information to write in these fields.
Recruiter: Event:
Please Print Clearly.
Date: City & State:
Last Name: Social Security Number*:
First Name:
*Your SSN will be kept private and will not be shared with third parties. We will use it only for certification verification should you decide to apply to teach in the New York City Department of Education.
Current Address: City: Permanent Address: City: Phone: State: Email: Zip: State: Zip:
Teacher Certification Subject Area(s): Grade Level(s): State where certication was issued: Date certificate issued/expected: If you are a current student, what is your anticipated date of graduation?
If you are an experienced teacher, how many years of teaching experience do you have? How did you learn about this event?
Word of mouth: Friend or Colleague Word of mouth: Teacher or Principal Word of mouth: Other NYC Department of Education employee Office of Teacher Recruitment and Quality Recruiter Local Information Session / Recruitment Event (New York Metro area) National Information Session / Recruitment Event (outside New York Metro area) Online information session Newspaper/Magazine Advertisement Radio Advertisement
Television Advertisement Online Advertisement Brochure Poster, flyer, or sign Student campus representative College career center website Internet: TeachNYC website Internet: Department of Education website ([Link]) Facebook General Web Search Email correspondence Other
NYC Department of Education | Division of Human Resources | 65 Court Street, Brooklyn 11201 | [Link]