PIER Summer Institute Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Application deadline is May 16, 2014. Tuition is $160 and must be received by May 30, 2014.

Apply to one program only: *

American Uprisings: The Culture and Politics of Latin America and the Caribbean

Worlds of Islam: Regional Perspectives on Unity and Diversity

Required

Personal Information

First Name *

Last Name *

Street Address *

City *

State *

Zip *

Home Phone *

Cell Phone *

email *

School or Work Information

Please check all that apply:

Elementary School

Middle School

High School

Post-Secondary

Other

Clear selection

Name of school or institution

Street Address

City

State

Zip

School District

Number of years at position:

Please describe your teaching status if you are not currently teaching:

Name and title of your immediate supervisor

Email:

Phone:

Education

College, University

Degree:

Subject (if applicable):

List professional and educational development training programs and memberships, if applicable:

Teaching Experience:

List the courses and subjects you taught during the 2013-2014 academic year and include the grade level for each course and the number of students:

List other courses relevant to international education you have taught in the past and include the grade level for each course and the number of students:

List any other relevant professional and educational activities, such as making presentations to teachers, school districts, or community organizations; developing curricula; publishing and mentoring; etc.:

Past PIER Experience (if applicable):

Have you participated in past PIER programs? If yes, please list:

How have they helped your professional or educational development?

Program Expectations:

What do you hope to gain professionally from the Summer Institute?

How will you incorporate the knowledge and insight gained from the Summer Institute into your classroom teaching or work experience? You can list specific classroom applications, such as teaching units, materials and resources, or workshops for your colleagues at the school, district or community level.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms