Teacher Candidate (Student Teacher) Personal Data Form SurveyMonkey

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Collector: Web Link 2 (Web Link)
Started: Monday, January 14, 2019 3:00:48 PM
Last Modified: Monday, January 14, 2019 5:04:04 PM
Time Spent: 02:03:16
IP Address: 216.54.92.2

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Q1 Student Teacher's Name (First & Last)

Ronald Riffle III

Q2 In what semester are you student teaching? Spring 2019

Q3 Please provide the following contact information. Provide a local address and "best to reach me" phone number.

Address: 3309 Indian River Road

City/Town: Chesapeake

State: VA

ZIP: 23325

Email Address: ronari1@mail.regent.edu

Phone Number: 7574495406

Q4 Emergency Contact : Provide information about the person you wish to be contacted on your behalf, in the event
of an emergency.

Name: Josephine Riffle

Address: 3309 Indian River Road

City/Town: CHESAPEAKE

State: VA

ZIP: 23325

Phone Number: 7573090342

Q5 Select your Regent University program of study Elementary Education, PreK-6 -

undergraduate

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 Teacher Candidate (Student Teacher) Personal Data Form SurveyMonkey

Q6 Graduate Student Information. Undergraduates Respondent skipped this question

students should leave this item blank. Provide
information about your undergraduate Program. Include
the following: college major, college minor (if any),
college or university attended, degree received, and date
degree was conferred.

Q7 Briefly list your awards, achievements, and extra curricular activities that have contributed to your preparation for
teaching.

Eagle Scout (2012)

Regent University Singers (2015-2019)
First Edition (Asst. Music Director 2015-Feb. 2017, Business Manager Feb. 2017-Dec. 2018)
College Student Leadership Board - Student Government (Freshman/Sophomore Rep 2016-2017, Events and Programs Coordinator
2017-2018)
Kappa Delta Pi - Treasurer (2018)

Q8 Briefly list relevant work experience during the last five years.

Sylvan Learning Center (2016-Present)

- Math tutor (2017-Present)/STEM Director (June 2017-Present)/Reading tutor (Sept. 2018-Present)

Substitute Teacher for Chesapeake Public Schools (Oct. 2018-Present)

Early Commitment Hire for Chesapeake Public Schools (Jan. 10th, 2019)

Q9 What are your professional goals over the next five years?

Define and begin refining my classroom methods

Receive a STEM Certification
Receive content certification for 6-12 in Science, Math, and/or History
Begin work on a Masters degree

Q10 Please list your hobbies, talents, and interests?

Camping and hiking

Singing in groups (A'cappella and worship)
Reading Books
Hammocking
Composing music

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