Innovative Educator Form
The Innovative Educator Program is designed to encourage student teachers to be innovative in the classroom. Lessons should: 1) Ignite excitement for the content through the dynamic use of materials and allow for differentiated degrees of learning, 2) Offer a unique perspective to the topic(s) presented, and 3) Foster a sense of creative energy among students.

Directions: After submitting this online form, a lesson plan MUST be emailed to Julia Yu at yu@tc.edu. A video of the lesson MUST ALSO be uploaded to Vialogues or Google Drive and be sent to yu@tc.edu.

THIS APPLICATION, LESSON PLAN, AND VIDEO MUST BE SUBMITTED IN ORDER FOR YOU TO BE CONSIDERED FOR THE $300 EDTPA REIMBURSEMENT. If the 3 items are not submitted, your application will be considered incomplete and will not be considered.

Applications will be accepted between Oct. 2, 2017-May 18, 2018.

Please note that you will NOT BE ABLE to save and return to this form after it has been submitted.

Questions can be directed to ote@tc.edu or to 212.678.8219.

Good luck!

Name *
Your answer
Are you currently a student teacher with access to a classroom? *
Note: If you answered “no” you are not eligible to apply.
Email *
Your answer
Best phone number *
Your answer
Name of Cooperating Teacher: *
Your answer
Name of School *
Your answer
Grade level of students *
Your answer
Approximate number of students *
Your answer
Subject area *
Your answer
How is your lesson plan innovative? *
Your answer
What are the goals and objectives of the lesson(s)? *
Your answer
How will learning outcomes be measured or evaluated? *
Your answer
Is this a standalone lesson or part of a unit? If this lesson plan is part of a unit, where does this particular lesson plan fall within the unit plan? *
Your answer
Have you received your cooperating teacher’s approval to implement the lesson? *
Is this lesson part of your edTPA portfolio? *
Note: The entry CANNOT be an edTPA lesson.
Have you collected or have access to video consent forms from students? *
Note: Consent forms must be obtained from the students in the video. The NYCDOE consent form is acceptable.
Approximate date of lesson/instruction
MM
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DD
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YYYY
Please put your initials in the box provided confirming that all of the above information is true and accurate. *
Your answer
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