Conversation Project Pilot Interest Form
There are limited spots available in this project pilot, with applications reviewed on a first-come, first-served basis. If not selected in the initial group, you will be notified as we secure resources to accommodate additional applicants.
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First Name
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Last Name
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Personal Email Address (this program is organized outside of school hours)
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Phone Number
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School
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Social Studies Subjects Taught (check all that apply)
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Required
What is the name and email address of your current department chairperson (we will be reaching out and notifying them if you are selected to provide information about the Department of Human Services grant that funds this program.)
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What is the name and email address of your current principal (we will be reaching out and notifying them if you are selected to provide information about  the Department of Human Services grant that funds this program).
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Years of Teaching Experience
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Describe any experiences you have had teaching other teachers (if none, enter N/A).
List any education organizations of which you are a part that support your work as a teacher.
Why are you interested in participating in this pilot?
One of the goals of this project is to build a nationwide network of teachers to train other teachers in conversations.  If you are chosen for our pilot group, would you be interested in leadership roles to earn extra income training other teachers?
Should you be chosen for this program, you agree to the terms of our media release form.
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