Standard Application Form

NOTE: You will not be able to save your information (for later editing or completion), so we recommend completing the form in a single sitting.

Fields marked with are required.

Your Name:

Last 4 digits of Social Security No:

Date of Birth:  /   / 

Gender:

Ethnicity:

Address:

  

Home or Cell Number:

Email:

I heard about BATTI through:

I attended a BATTI information event in the month of:

Placement Status:
I am looking for a job next year as a resident/assistant/teacher.
I have secured a job next year as a resident/assistant/teacher.
I am currently working as a resident/assistant/teacher.

School where you have a job for next year:

Complete the following for all colleges you have attended:

CollegeMajor/MinorDegree/DateDates Attended

Records Verification

1. Bachelor's Degree

Please mark the appropriate line:
I have already completed my bachelor's degree and will submit two official copies of my transcript verifying my degree.
I will receive my bachelor's degree from  on 


2. CBEST and CSET Tests

Please mark the appropriate line:
I passed the CBEST and will submit a copy of one of my Transcript Verification cards.
I passed the following section(s) of CSET    and will submit a copy of my passing score.
I intend to take the CBEST and one CSET -OR- four CSET subtests before August.
I have fulfilled the Basic Skills requirement (CBEST) through sufficient scores in SAT, ACT, or AP.

My undergraduate GPA was  (Four-point scale)

By entering your full name in the field below, you are certifying that the information contained in this application form is correct to the best of your knowledge.

Signature

Date

Please take a moment to review your information. Once you click the Submit button, you will not be able to change any information.