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Lake Forest College Educational Endorsement Application
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Student Type (hidden)
Educational Endorsement
Round Always Create (Hidden)
Yes
No
Round (Hidden)- Fall 2024
2024 EE
App Submitted (Hidden)
Yes
No
Generate Pin (Hidden)
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No
App Submitted Date (Hidden)
We are thrilled that you've decided to apply for an additional/subsequent teaching endorsement at Lake Forest College. Requirements to apply:
Must hold or be working towards a Professional Educator License (PEL) from Illinois
Must have completed teacher licensure program through Lake Forest College's Department of Education
Before completing the following application, contact Adrienne Thoms, Educator Preparation Program Coordinator, at thoms@lakeforest.edu to discuss your interests and the program.
Please complete entire application once:
This application is not a lengthy one, and you should prepare your answers in advance so you can complete the application in its entirety.
If you have any questions regarding your application to the additional/subsequent endorsement program or other academic programs in Education, please contact Adrienne Thoms (email listed above). We look forward to learning more about you and supporting your ongoing professional development as an educator.
Personal Information
Name
Your name and identity are important to the College. We will use preferred name in most communication to you, but some official documentation may use your legal first name. Please note this as you complete the name portion of your application.
First Name*
Middle Initial
Last Name*
Suffix (Jr, III, etc.)
Jr.
Sr.
I
II
III
IV
V
Preferred Name
Other Last Names Used
Have any of your names (first, middle, last, or preferred) changed since graduating from Lake Forest College? If so, what were the names used during your time at the College? This information is important in linking your most current information with anything on a previous Lake Forest College record.
Address
Permanent Address*
Permanent Address*
Country
Street
City
Region
Postal Code
Contact Information
Email Address*
Mobile Phone Number*
Home Phone Number
Opt-in to receive text messages from admissions?*
Yes
No
Biographical Information
Birthdate*
Birthdate*
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Legal sex*
Male
Female
Other
Gender Identity (e.g. woman, man, non-binary, gender fluid, etc.)
Pronouns
Pronouns
She/her/hers
He/him/his
They/them/theirs
Other pronouns
If your preferred pronouns are not included in the list above, please provide your pronouns here.
Contact Adrienne Thoms (thoms@lakeforest.edu) if you want us to use different pronouns in specific circumstances.
Race/Ethnicity
Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.
Are you Hispanic or Latino?
Are you Hispanic or Latino?
Yes
No
Check one or more of the following that best describes you:
Check one or more of the following that best describes you:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific
White
Prefer Not to Answer
Citizenship Information
Primary Citizenship*
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
Foreign/Unknown
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, Republic of North
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
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Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
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Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Svalbard and Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Dual Citizenship
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
Foreign/Unknown
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, Republic of North
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Svalbard and Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Are you a US Permanent Resident?*
Yes
No
Permanent Residence Card Number OR Social Security Number*
If you do not have a Social Security number please enter 000-00-0000.
Current Visa Type?
I do not intend to apply for a U.S. visa
I do not know which visa I will hold
A-1 Foreign Diplomatic Personnel
A-2 Dependent Foreign Diplomatic Personnel
A-3 Employee of Foreign Gov Office
B-2 Tourist
E-2 Dependent of Treaty Investor
F-1 Student
F-2 Dependent of F-1 Student
G-1 Representative of Intl. Org.
G-2 Dependent of Representative of Intl. Org.
G-3 Dependent of Representative of Intl. Org.
G-4 Dependent of Representative of Intl. Org.
H-4 Dependent of H Visa Holder
J-1 Exchange Visitor
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L-2 Dependent of L-1 Visa Holder
R-2 Dependent of R-1 Visa Holder
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Visa Expiration Date
Visa Expiration Date
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___________________________________________________________________________________________________
Academic Information
College Experience
Are you a graduate of Lake Forest College?*
Are you a graduate of Lake Forest College?*
Yes
No
Which year did you graduate from Lake Forest College?*
Do you hold a Master of Arts in Teaching from Lake Forest College?*
Do you hold a Master of Arts in Teaching from Lake Forest College?*
Yes
No
Do you have a teaching license (PEL) or certificate from Illinois?*
Do you have a teaching license (PEL) or certificate from Illinois?*
Yes
No
Which year did you receive your first teaching license (PEL) or certificate?*
Endorsement Program
Please select the education endorsement program you are interested in*
Learning Behavior Specialist 1 (special education)
English as a Second Language
English as a Second Language/Bilingual Education
Middle school endorsement
*You must have or intend to have proficiency in a second language. Approved languages can be found
here
.
Please write which language you would like an endorsement in*
Which term do you plan to start?
Fall 2024
Do you plan to study as a full-time or part-time student?*
Full Time
Part Time
Signature
The information on this application is truthful to the best of my knowledge.
E-signature (First and Last Name)*
Date*
Date*
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