First Name *

Middle Name

Last Name *

Preferred Name

Prefix Dr. Miss Mr. Mrs. Ms. Mx.

Suffix

Phone 1 *

Email *

Address Line 1 *

Address Line 2

City *

State/Province * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

Zip/Postal Code *

Country * United States of America Canada Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinational State of) Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo (the Democratic Republic of the) Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands [Malvinas] Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea (the Democratic People's Republic of) Korea (the Republic of) Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia (the former Yugoslav Republic of) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Moldova (the Republic of) Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) 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 (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan (Province of China) Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Western Sahara* Yemen Zambia Zimbabwe

Permanent Mailing Address Line 1

Permanent Mailing Address Line 2

Permanent Mailing Address City

Permanent Mailing Address State

Permanent Mailing Address Zip Code

What pathway(s) would you be interested in pursuing as a Project Inspire Resident? Please note that Project Inspire intends to fill areas of critical need for Hamilton County Schools as best as possible. The areas of highest critical need have asterisks (*) next to them. If you are still considering a few pathways, that's okay! We will help you decide. *

Project Inspire requires you to have a Bachelor's Degree by June 2025. Please list: 1. The degree or degrees you have (or will have) obtained. 2. The respective school for each degree 3. What your GPA was at each school upon graduation For Example: The University of Tennessee-Chattanooga, Bachelor of Science in Business, 3.5 GPA Chattanooga State Community College, Associate Degree in Early Childhood Education, 3.0 GPA *

If your undergraduate degree was under a 3.0, please write a short statement in which you explain why your GPA was below a 3.0, including any extenuating circumstances which may have affected your performance.

If your undergraduate GPA was under a 3.0, please detail the ways in which you have bolstered your academic abilities to the point where you are ready to teach. This explanation may include experiences outside of work and school.

Race *

Ethnicity *

Do you identify as a Person of Color? *

Our program values diversity and does not discriminate based on sexual orientation, religious practice, sexual identity and expression, race, ethnicity, age, or differences of ability. Which most closely identifies your gender? Please select one option. *

Our program values diversity and does not discriminate based on sexual orientation, religious practice, sexual identity, gender identity and expression, race, ethnicity, age or difference of ability. What pronouns do you use? *

Have you ever served in the military? *

Will you need one or more accommodations to perform a specific job duty? *

If you selected yes, use the following space to describe what accommodations you may require.

Are you eligible to work in the United States? *

Have you ever been convicted of a criminal offense other than a minor traffic violation? *

If you answered yes, use this space to explain convictions other than a minor traffic violation.

Have you ever had any indicated finding of child abuse filed in your name? *

If you answered yes, use this space to explain indicated findings of child abuse in your name.

Does your name appear on any sex offender database in any state or country? *

If you answered yes, please use this space to explain why your name appears on a sex offender database.

How did you hear about us? Please select all that apply. *

If you answered other, how did you hear about Project Inspire?

If someone referred you to Project Inspire, please share that person's name with us so we can reach out with our thanks.