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    GSE Literacy Microcredential Application Form

    Birthdate
    Birthdate
    What program are you currently enrolled in?
    What program are you currently enrolled in?
    Are you registered in, or have you completed any of the following courses to-date:
    Are you registered in, or have you completed any of the following courses to-date:
    Do you have three or more years of PK–12 classroom teaching experience (or equivalent) in public, charter, private, religious or independent schools
    Do you have three or more years of PK–12 classroom teaching experience (or equivalent) in public, charter, private, religious or independent schools
    Do you have New York State certification in one or more areas of teaching (e.g., early childhood, childhood, adolescence, teaching English language learners, special education)
    Do you have New York State certification in one or more areas of teaching (e.g., early childhood, childhood, adolescence, teaching English language learners, special education)