Apply for the Licensure Exam Prep Program Home > Forms > Apply for the Licensure Exam Prep Program 2024 Licensure Exam Preparation Program Application Name(Required) First Last Email(Required) Phone(Required)Date of birth(Required) MM slash DD slash YYYY Educator State ID #(Required)Are you teaching a computer science course this year?(Required) Yes No School name(Required) School IRN(Required) You can find your IRN here: https://oeds.ode.state.oh.us/SearchOrgSchool Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is your school a Title 1 school?(Required) Yes No Not sure School type(Required) Urban Suburban Small town Rural If you're unsure, see this typology from the Ohio Department of Education: https://education.ohio.gov/Topics/Data/Report-Card-Resources/Report-Card-Data-Forms-and-Information/Typology-of-Ohio-School-DistrictsTotal school enrollment(Required) Your principal's name:(Required) First Last Your principal's email:(Required) What grade do you teach/support? Select all that apply(Required) K 1 2 3 4 5 6 7 8 9 10 11 12 How did you learn about this opportunity?(Required) Putnam County ESC Central Ohio ESC OSLN Other If you selected Other, please share more details belowHave you participated in an OSLN CS Professional Learning course?(Required) Yes No I plan to Which OSLN CS Professional Development course have you taken?(Required) K-5 CSD CSP CSA How many years have you been teaching Computer Science?(Required) 0 Less than 1 year Less than 2 years Less than 3 years 4+ years What is your current level of knowledge related to computer science and computational thinking - including language that you are familiar with or proficient in (ie Java, JavaScript, Python, Scratch)?(Required)What are your goals for participating in this computer science exam prep course?(Required)Your demographics(Required) Black, African or Caribbean Central Asian East Asian Hispanic, Latina or Latino Indigenous or First Nations Middle Eastern or North African Pacific Islander South Asian Southeast Asian White A race or ethnicity not listed I prefer not to answer Please select all that applyThe cost of this exam prep program is $990. Through the Teach CS Grant program, OSLN will provide full scholarships to eligible Ohio teachers. The scholarship covers the program cost, and supplies.(Required) I understand and agree I understand that teachers registering for this program agree to take the Ohio Assessment Exam for Computer Science in Summer 2024.(Required) I understand and agree Would you like to sign up for emails from the Ohio STEM Learning Network about other resources and professional development opportunities? Yes No
