Please submit application, THEN send us the following packet to be accepted in the program:

1)a statement of interest 2) current resume 3) three letters of recommendation (can also be used for university) 4) transcripts of college work 5) copies of Basic Skills Requirement (CBEST, CSET).

Name ______

LastFirstMiddleSFUSD ID#

Address ______

StreetApt #

______

City State Zip Home Phone Cell Phone Email Address

B. Date Graduated

A. High School ______Name City State/Country

C. Colleges and universities attended (include current enrollment)

Name and Location / From/To / Major / Units Completed / Degree / GPA

D. Are you currently enrolled at a college or university? Yes No

Which one? ______What program? ______

E. Were any of these units earned in a foreign country? ______How many? ______

Have your transcripts been evaluated by a US college?____ Where______

A. Do you have a valid teaching credential? ______Which state or country?______

Elementary______Secondary ______Subjects ______

B. Do you have a Children’s Center Teaching Permit? ______

C. Date of Certificate of Clearance: ______

D. Have you taken and/or passed the

CBEST?  No Yes Passed which parts ______Year ______

CSET?  No Yes Passed which parts ______Year ______

RICA?  No Yes Passed which parts ______Year ______

A. When were you hired as a paraprofessional or permit teacher in the SFUSD? Year ______

B. Are you working as a:  Parent/Community Liaison Instructional Aide

 Permit Teacher Security Aide

Grade/Level ______Subjects ______

C. Current school or worksite______Starting date______

D. Principal’s (or supervisor’s) name______

List all applicable employment (most recent first)

Employer / Location / Job Title / Inclusive Dates

Ethnic Background(s)/Diversity ______or  Decline to State

Give foreign language(s )in which you are fluent ______

Read Write Speak 

 First in your family to pursue a college education.  First in your family to attend a 4 year college.

 Attended SFUSD schools PreK-12  Attended SFUSD Teacher Academy  SFUSD Teacher Clubs

TEACHING AREA: Check area and level that interests you:

A. Special Education: Level: Mild to Moderate Moderate to Severe 

Single Subjects in: Science Math PE Other 

Multiple Subjects: BCLAD Spanish Chinese 

B. What level are you interested in teaching?

Elementary Middle Secondary Any 

C. Are you willing to teach in Hard to Staff Schools and the Bayview and Mission District?

Yes  No 

Your signature______Date ______

Please return this application and all necessary documentation to:

Sharon Zimmern, Teacher Pathway Program Administrator

San Francisco Unified School District

C&I: Office of Professional Learning and Leadership Development, PTTP

750-25th Avenue, Modular # 1

San Francisco, CA 94121

The level of funding support for each year can vary. For additional information about the program, please email

Sharon Zimmern at or her assistant Dinorah Robleto-Rueda at .

2016-2017