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  • Online Application for the Teacher of Students who are Blind or Visually Impaired Program

     
    To apply to one of our other porgrams, click here.
     
    After you complete this application and click submit, you will be asked to print, sign, and mail an addendum to this application, along with your non-refundable application fee of $50 to:
     
    Dominican College
    470 Western Highway
    Orangeburg, NY 10962 
     
    Dominican College considers all applicants without regard to race, religion, color, national origin, age, sex, marital status, disability, veteran status or any other characteristic protected by applicable state or federal civil rights laws. Some information requested in this application is requested for federal reporting, and will not be used in a discriminatory manner.
     

    Personal Data 

    Name:  
    Date of Birth:  
    Citizenship:  
    Mailing Address:  
    Email:  
    Preferred Phone: Number
       
     

    Certification  

    Do you have New York State Teacher Certification?  
     
                   
     
    What is your area of certification?   
       
     

    Education 

    List each college or university you have attended:
     
     
     

    Employment History

    List your job history. (Exclude part-time employment not related to your career objective)