Foundation Studies Questionnaire

Full Name*

Mailing Address*

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City                           State                              Zip Code          

Phone*
(e.g. 603-358-2000)

Email*
(e.g. username@hotmail.com)

1.  What Antioch Waldorf Teacher Education program are you interested in? Select... Year Round (Keene) Summer Sequence Regular Summer Sequence Advanced Not sure yet

2.  How long, and in what capacity, have you been associated with the ideas of Rudolf Steiner?

3.  Which of the following books have you read (Please check)?
How to know Higher Worlds (Steiner)
Theosophy (Steiner)
Intuitive Thinking as a Spiritual Path (Steiner)
Anthroposophy in Everyday Life (Steiner)
School as a Journey (Finser)

4.  What other books or lectures by Rudolf Steiner or on Waldorf education have you read?

5.  What courses/workshops/study groups have you participated in, when, for how long and for how many sessions?

a) Waldorf education

b) Basic anthroposophical study

6.  What anthroposophical study centers have you attended? Please include the College/Institute name, courses taken, dates attended, and number of classes.

7.  Have you ever worked or volunteered in a Waldorf School or educational setting with children? If so, describe when, for how long, and in what capacity.

8.  Please indicate in which artistic activities you have engages and whether your experience was self-directed, a workshop you attended, both, or that you have not engaged in that activity.

9. How many years teaching experience have you had?
None A few weeks A few months A year 2-3 years 4-6 years 7 or more years

Comments:

10. To what degree have you experienced the reality of the classroom?
Not at all A little Somewhat Very much

Comments:

11. To what degree have you practiced self-development and self-education in your life?
Not at all A little Somewhat Very much

Describe:

12. To what degree have you practiced the Waldorf method and art of education based on the principles of Anthroposophy?
Not at all A little Somewhat Very much

Comments:

13. To what degree have you practiced observing children and assessing their individual needs?
Not at all A little Somewhat Very much

Comments:

14. To what degree have you practiced discerning the age-appropriateness of classroom materials and activities for children of different developmental levels?
Not at all A little Somewhat Very much

Comments:

15. To what degree have you practiced research-based teaching to promote innovation in the classroom?
Not at all A little Somewhat Very much

Comments:

16. To what degree have you learned to cooperatively and creatively work with colleagues in a professional setting?
Not at all A little Somewhat Very much

Comments:

17. To what degree have you served in a leadership role or offered leadership to promote healthy organizations?
Not at all A little Somewhat Very much

Comments:

18. To what degree do you understand the historical and evolutionary perspectives that inform a Waldorf teacher's view of the human being?
Not at all A little Somewhat Very much

Comments:

19. To what degree have you worked with the arts to enhance a school curriculum and/or your own personal development?
Not at all A little Somewhat Very much

Comments:

20. To what degree have you applied the following subjects in teaching situations?

21. What are you hoping for from this teacher education program?

22.  Is there any other relevant information you wish to share with us?