2018-19 PBL Fellows Educator Application
Completed applications must be received by September 4, 2018.

Each teacher applying for the Fellowship should submit an individual application and recommendation.

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Name: *
Your answer
Position Title: *
Your answer
Home Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip code: *
Your answer
Home phone: *
Your answer
Cell phone: *
Your answer
Home email: *
Your answer
School/Organization name: *
Your answer
School/Organization address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip code: *
Your answer
Work phone: *
Your answer
Work email: *
Your answer
County that your school/organization is in: *
Your answer
School district: *
Your answer
School type: *
If you work at a public school, is your school Title 1?
Grade level and subjects taught: *
Your answer
Number of years teaching, and where: *
Your answer
I am applying with (list team members also applying): *
Your answer
What is your previous PBL experience? *
Your answer
2018-19 PBL Fellowship workshops and meetings:
--Saturday, December 1, 2018, 9 am to 4 pm: Dive into PBL Workshop
--Friday, January 4, 3:30 pm - Sunday, January 6, 2019, 6 pm: Where Swans Fly and Bears Walk Educator Trek
--Thursday, February 7, 2019 (5:30 - 8:30 pm): Mentoring & Instructional Design Meeting
--Thursday, March 7, 2019 (5:30-8:30 pm): Mentoring & Instructional Design Meeting
--Thursday, April 11, 2019 (5:30 - 8:30 pm): Mentoring & Instructional Design Meeting
--Thursday May 9, 2019, 5 - 9 pm: Culminating Event
Can you participate in all of the meetings listed above: *
My reasons for wanting to participate in the PBL Fellows program are: *
Your answer
Why is PBL important to you, your team, and your school? *
Your answer
Looking at your curriculum and the natural sciences themes of this program (including wildlife, animal tracks and signs, migration, and land management), around which standards are you hoping to create a PBL case study? Tell us how you would use a case study with those standards. *
Your answer
If I am accepted into the PBL Fellows program, I will participate fully by attending all workshops and meeting, by creating and implementing a PBL unit in my classroom, and by sharing my learnings with my colleagues. (Please type name as signature.) *
Your answer
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