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The University of Western Ontario
Faculty of Education • Preservice Office


EXPERIENCE PROFILE

Instructions:

1. Use only this form. Letters of reference and resumés are not accepted.

2. You must complete all sections. A, B, and C. All fields are required to be completed.

3. Experience Profiles must be submitted online using this form only. Upon completion of the form you will see a confirmation screen indicating that your form was successfully submitted. This is the only confirmation you will get of submission so please print that final screen for your records.


Program (Select One)                              
 
Technological Studies and Music Applicants Only:  You are required to complete an additional information form and mail it to the Faculty of Education. A link to download this form will be displayed upon submission of your online experience profile.


PART A

Describe, in order of priority, three experiences you have had that are useful or valuable to you as a future teacher. At least one of the experiences must be recent (within the last two years) and at least one of the referees must be reachable within North America. Do not list family members.
 
1
Characters Remaining:  500
 
Date (From - To)
Referee (name and position)
Daytime Phone:
2
Characters Remaining:  500
 
Date (From - To)
Referee (name and position)
Daytime Phone:
3
Characters Remaining:  500
 
Date (From - To)
Referee (name and position)
Daytime Phone:


PART B

List below, in point form only, any additional information you believe might help to support your application. Appropriate information might include certificates, awards, honours, or qualifications not provided elsewhere in your application.

Characters Remaining:  800


PART C

In a 250 word (1500 character) essay that refers to the particular level or subject area to which you are applying. Explain how or why the experiences you described in Part A are important to you as a future teacher. 250 words or less will be read.

Characters Remaining:  1500
 
I certify that the information given in this Experience Profile is accurate. I understand that any misrepresentation could nullify an offer of admission by the Faculty of Education, The University of Western Ontario.
 
 
Inquiries about this data collection should be addressed to Preservice Education, 519 661-2093,
Faculty of Education, the University of Western Ontario.  University of Western Ontario Privacy Policy