Teachers As Scholars 2017 Application
Thank you for applying to Teachers as Scholars 2017!
Although we hope to include all applicants in our 2017 Teachers As Scholars seminars, it may not be possible if requests exceed seats available. Submission of this form does not guarantee participation. In addition, you must be approved by a representative from your district. We will submit all names to the districts after applications close on Nov. 18.

Please list up to three choices of seminars that are of interest to you. Three selections give us more opportunities to place you in a group. Descriptions of the seminars can be found at tas.nd.edu.

You will hear about your placement before Christmas break.

First Name
As you want it to appear on your PGP certificate
Your answer
Last Name
As you want it to appear on your PGP certificate
Your answer
Full Name of School
Your answer
City/town of school
Your answer
Preferred email address
Your answer
Additional email address
Your answer
District
With which grade level(s) do you interact?
Please use numerals
Your answer
What subject(s) do you teach?
If you are an administrator, what is your title?
Your answer
Which seminar is your first choice?
Choose a different seminar for your second choice:
Choosing more than one seminar increases chances of being selected.
Is there a third seminar of interest to you?
Choosing three seminars increases your chances of being selected.
How many years have you participated in TAS?
Please include any additional comments or questions in the space below.
Your answer
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