JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Returning Fellows: 2018 - 2019 Agency by Design Oakland Fellowship Application (Deadline Extended)
We are still accepting applications through 5 pm, Friday, May 18th!
Please contact
brooke.toczylowski@ousd.org
with any questions, or to request an extension.
Sign in to Google
to save your progress.
Learn more
General Info
First & Last Name
Your answer
Email
Your answer
Phone
Your answer
Address
Your answer
Position/Title
Your answer
School/Organization
Your answer
Approximately how many students will you serve during the 2019 - 2020 school year?
Your answer
School Info & Demographics: If you need a source you can use the 2016 - 2017 School Accountability Report Cards, found here:
http://sarconline.org/Home?year=
Please describe your teaching and learning context, including population demographics, learning needs, community culture, etc.
Your answer
What is the racial breakdown of your school's student population?
Your answer
What is the percentage of students classified as Free and Reduced lunch or socioeconomically disadvantaged?
Your answer
What percentage of ELL students does your school serve?
Your answer
What percentage of your student body has disabilities or is served by Special Education?
Your answer
Applicant Information & Responses
Optional: How do you identify your gender?
This question helps us to understand the demographics of our cohort
Your answer
Optional: How do you identify your race and/or ethnicity?
This question helps us to understand the demographics of our cohort.
Your answer
How many years have you been a teacher/educator?
Your answer
How many years have you been a teacher/educator in Oakland?
Your answer
What impact did your previous participation in the fellowship have on you and/or your students?
Your answer
What ideas or inquiries regarding maker-centered learning are you interested in continuing to explore during a second year of the fellowship?
Your answer
What are your personal leadership goals within the maker-centered learning landscape? What support might help you reach those goals?
Your answer
It is important that participants understand the time commitment involved with this experience and that Fellows are expected to attend all of the meetings and sessions listed, in order to get the full experience of the fellowship and build community with the cohort. How do you see this fellowship integrating into your current schedule and workload?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of OUSD.
Report Abuse
Forms