Print Name: UH ID #:
Please include beginning and
ending dates for the experiences.
Also include amount of contact
hours.
Please describe your formal and
informal experiences working
with youth (organization, age
group, title)
Please describe your specific
duties and responsibilities
Please include name of
supervisor and contact
information
Early Bird Application Deadline
December 15
UNIVERSITY OF HAWAI‘I AT HILO
Master of Arts in Teaching Program
Experience Working With Children or Young People
Academic Year: ____________
Please return form to:
UH Hilo Graduate Division
200 W. Kāwili Street
Hilo, Hawaiʻi 96720-4091