Teacher Institute 2013 Summer Application

Name *

Street Address *

Street Address 2

City *

State *

Zip / Postal Code *

E-mail Address *

How did you learn about the Exploratorium Teacher Institute?

Your School Information

School where you teach *

City & State *

Middle School

High School

Other

District

If you are not presently teaching, please describe your teaching status

Choose Institute

Middle School

High School

Teaching Information

What year did you begin teaching in a formal classroom setting?

(please do not include student teaching)

List the courses you taught during the 2012/2013 academic year.

Course Taught 1

Grade Taught 1

Course Taught 2

Grade Taught 2

Course Taught 3

Grade Taught 3

List other relevant courses you have taught in the past.

Course Taught 1

Grade Taught 1

Course Taught 2

Grade Taught 2

Course Taught 3

Grade Taught 3

List educational background. Include professional development and other relevant experiences.

University, Prof. Dev., Other Experience, Degree, Subject

What roles have you played in education outside the classroom?

For example, mentoring, presenting workshops for teacher colleagues, participating in school curriculum development, publications, etc.

Describe your teaching experience.

You could include: What are your classes like? What special challenges do you face? What science or math topics do you find most difficult to teach? What science or math topics have you enjoyed studying or teaching recently? Have you ever built things for your classroom?

What do you hope to gain from the Exploratorium Summer 2013 Teacher Institute?

Resume

Please attach a resume.

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Teacher Institute 2013 Summer Application

Teacher Institute 2013 Summer Application