2019 Teacher Externship Interest Form
Please answer each question to confirm your interest, and help us plan for the 2019 GO CAPS Teacher Externship. The program is designed to promote the GO CAPS philosophy of "connecting business and education to better prepare students for ever-changing workforce needs" by placing teachers in a business for 4 days in the summer. Filling out this form confirms your interest in the program, and helps us begin preparing business partners. Please do NOT complete this form until you know you can participate in either June or July.
What is your name? (first and last, please!) *
Your answer
What is your primary email address? (please choose one that you will check throughout the summer) *
Your answer
List a secondary email address here if you want information to be sent to both addresses.
Your answer
What is your phone number? (please enter a phone number you will have throughout the summer) *
Your answer
In which school district do you teach? *
Your answer
At which school building do you teach? *
Your answer
Which grades do you teach? *
Required
The Teacher Externship will be offered June 24-27 and July 15-18. Which session would you like to attend? *
Have you participated in the GO CAPS Teacher Externship before? *
Your answers to the following questions will help us decide which business to pair you with.* If you would like to be paired (or not paired) with a specific company, make a note of that on the last question in this section. We will do our best to accommodate requests, but we can't guarantee a certain placement.
*Please keep an open mind as you are thinking about your business host! Most businesses go out of their way to create schedules that fit the teachers they are assigned. No two businesses are alike, and many of them are better than you might expect.
If you had to choose one, which industry would be most relevant to the content area you teach?
To help us make a relevant pairing, please list classes you teach and any extra curricular activities you're involved in: *
Your answer
Do you have any other suggestions for us when we are pairing you with a business host?
Your answer
Once you complete the section below and submit this form, you will be considered "accepted" to the 2019 Teacher Externship program, (pending approval by your district). Congratulations! Alex Greiwe will reach out soon to let you know what your next steps are.
I understand I must attend all scheduled events to be paid in full *
Required
I understand I must complete a teacher project to be paid in full. *
Required
I understand I must attend and participate in the Winter Summit in 2020 to be paid in full. *
Required
We're looking forward to meeting you this summer! Please begin making arrangements for the 2019 Teacher Externship.
Do you have any final comments or questions?
Your answer
If anything comes up after you submit this form that will complicate your participation in the externship this summer, please let Alex Greiwe know AS SOON AS POSSIBLE.
Alex Greiwe
Project Manager, Workforce Development
Email: Alex@springfieldchamber.com
Direct Line: 417-450-6755
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service