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K-12 Summer Teachers Workshop Application Form

Please submit the following information about yourself. All fields are mandatory unless specified as optional.

Full Name ::
Home Address ::
Home Address (optional) ::
City ::
State ::
ZIP ::
Email ::
Phone ::
Changes to contact information for Summer (optional) ::
 
Number of years teaching ::
Number of years teaching Earth Science related courses ::
Courses you currently teach (and grade levels) ::
Courses you have taught (and grade levels) ::
Courses you are certified to teach (Specify state if not NC) ::
 
Current school ::

Name of curriculum or administrative supervisor

(This person WILL BE contacted to discuss the merits of your application)

::
Supervisor Phone ::
Supervisor Email ::

Name of School Counselor

(This person WILL BE contacted to discuss NCAT recruitment information)

::
Counselor Phone ::
Counselor Email ::
Please answer the following questions comprehensively with thorough multi-paragraph responses. This is a competitive application and your submission will be evaluated against those of your peers.
Describe your level of experience with Earth Science content and instructional methods. ::
Please tell us why you are interested in participating in this workshop. What specifically would you hope to gain by attending? ::
Have you attended other professional development courses in the past? If so, how have you incorporated the content you learned into your courses. ::
How do you plan to share your experiences at this workshop with your fellow teachers, school system, and local community? ::
Any additional information pertinent to your application (optional) ::

 

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