School Year Teacher Application

Please review the Learn More link to find out more about the School Year Teacher position and commitment. Please complete the application below, and a Breakthrough staff member will be in contact with you. Thank you for your interest!

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Personal Information

First Name: *

Last Name: *

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Session

Year: *

Semester: *

Your Information

First Name: *

Last Name: *

Email Address: *

Date of Birth: *

School/University: *

Year/Grade: *

Race/Ethnicity (optional):

What is the best way to contact you?:

Alternative Email Address:

Phone Number: *

What is the best time of day to reach you?:

Morning

Afternoon

Evening

School Year Address

Address 1: *

Address 2:

City: *

State: *

Zip: *

Permanent Address (if different)

Address 1:

Address 2:

City:

State:

Zip:

Your Skills and Interests

Major/Academic Interest: *

Other interests/talents that you might be willing to share with Breakthrough students:

Do you have any content background in US History or African-American history? Please explain.: *

Why are you interested in teaching at Breakthrough?: *

Explain, in your own words, what a commitment to the Breakthrough program means to you.: *

Your Availability

Please select the campus(es) where you would be willing to work: *

Germantown Friends School (Mondays/Saturdays)

St. Joseph's University (Tuesdays/Saturdays)

Please list any schedule conflicts that you are aware of related to the days you selected to volunteer:

Be sure to include any school break schedules.

Breakthrough cannot be responsible for your transportation. How will you get to and from the program sites?: *

Other Details

Are you a PA resident who receives PHEAA as part of your financial aid package?: *

If you receive PHEAA, are you interested in volunteering as part of your work-study program?: *

If so, what is the name of your immediate supervisor/advisor?:

What is his or her phone number?:

What is his or her email address?:

Your Resume

Please upload a copy of your resume in Word or PDF format:

School Year Teacher Application

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