Educator Professional Development Application
Please fill out the following form to apply for an educator professional development course run by Montana State University. The six month course will cover standards-based middle school disease ecology lessons and participants can choose between 24 continuing education units or 2 graduate school credits. You may also receive a $500 stipend (based on participation), educational materials, substitute teacher pay, and travel support as needed. 

By completing this form and providing some general information, you are expressing your interest in participating for the 2024-2025 school year. (Note: Declaring interest in this program does not guarantee you will be invited to participate, nor does it obligate you to participate.)
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What is your name? 
Which of the following environments do you teach in? (Check all that apply.)
What is the name of the school(s) or educational group(s) where you work? 
What town or county do you work in?
What grade students do you work with? 
How many years have you been an educator?
How many students do you work with each year on average? 
What is your email address?
What is the best phone number to reach you at if we are unable to reach you on email?
This professional development course is part of a National Institutes of Health grant researching how to improve science education. Are you willing to 1). be part of the educator research and 2). present to other educators at the final session showcasing how you used the lessons and what you learned? 
Clear selection
To receive the stipend you need to participate in key elements of the program. Can you commit to the following?  *
Yes
No
Not sure
2.5 hour face-to-face session at the MEA conference in Bozeman, Oct. 18
Monthly virtual one hour sessions
2.5 hour face-to-face final session at the Montana Environmental Education Association conference in Helena, date TBA late April/early May
Implement the lessons
Share your results with the lessons
Do you have a friend or colleague that works with middle school students that you would like to recommend for this opportunity? If so please provide their name and contact information. 
Please tell us why you are interested in this opportunity.
To ensure you receive future communication from us please add jcornish@montana.edu to your address book.
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