2018 New Teachers Retreat - Participant Application
Completed applications can be submitted through this form.

UPDATED 4/3/18: APPLICATION DEADLINE has been extended to April 30, 2018. Applicants will be notified of their acceptance on May 1st. Payments are due May 5th.

For more information, please see our website: www.newteachersretreat.com or contact: info@newteachersretreat.com

First Name *
Your answer
Last Name *
Your answer
School Name *
Your answer
School District *
Your answer
Type of School (check all that apply) *
Required
Grade Level(s) Currently Teaching *
Required
Subject Area(s) Currently Teaching *
Your answer
Number of Years Teaching as of June 2018 *
Your answer
What teaching/education affiliations do you have? (For example, Keene State College, Boston University, Teach For America, Teach Next Year, or Boston Teachers Residency)
Your answer
Personal Mailing Address *
Your answer
Personal Phone Number *
Your answer
School Mailing Address *
Your answer
School Phone Number *
Your answer
Preferred Email Address *
Your answer
Please list your personal education experience as it pertains to education (schools, professional development workshops and other education training). *
Your answer
Please state your interest in the New Teachers Retreat and what you would hope to gain from the experience. (Approximately 2-4 paragraphs.) *
Your answer
Please list one thing you feel very confident about in your own educational practice and may be willing to share with other teachers: *
Your answer
Please list one thing you feel you are particularly struggling with in your educational practice: *
Your answer
Would you be interested in earning graduate credit for the New Teachers Retreat? Keene State offers 1 credit for the weekend with an additional fee.
Would you like help reaching out to your district in order to potentially secure funding? (This will not impact your acceptance to the program. We are happy to help communicate with your district or principal to potentially secure funding, but cannot guarantee that it will be covered.)
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service