Child Development Application Form
NAME: _________________________ DUE: ____________________
1. When did you take Child Development class and what was your semester grade?
2. Have you taken any related courses (psychology, family living, etc.)?
3. Indicate your birth position in your family.
a. I am the __________ child of __________ children.
b. I have __________ brothers, __________ sisters, and __________ nieces or nephews.
4. Check areas which interest you:
a. Reading _____
b. Science _____
c. Mathematics _____
d. Social Studies _____
e. Language Arts _____
f. Physical Education/Athletics _____
g. Special Education _____
h. Fine Arts (choir, band, art) _____
5. Which subjects do you like the most?
6. Which subjects do you like the least?
7. What are your hobbies or interests?
8. List previous job experiences?
9. How many days were you absent 1st semester?
10. What are your plans after you graduate?
11. Write or attach a paragraph explaining why you wish to do this practicum, how you feel it will help you reach your future goals.
1. When did you take Child Development class and what was your semester grade?
2. Have you taken any related courses (psychology, family living, etc.)?
3. Indicate your birth position in your family.
a. I am the __________ child of __________ children.
b. I have __________ brothers, __________ sisters, and __________ nieces or nephews.
4. Check areas which interest you:
a. Reading _____
b. Science _____
c. Mathematics _____
d. Social Studies _____
e. Language Arts _____
f. Physical Education/Athletics _____
g. Special Education _____
h. Fine Arts (choir, band, art) _____
5. Which subjects do you like the most?
6. Which subjects do you like the least?
7. What are your hobbies or interests?
8. List previous job experiences?
9. How many days were you absent 1st semester?
10. What are your plans after you graduate?
11. Write or attach a paragraph explaining why you wish to do this practicum, how you feel it will help you reach your future goals.