Leadership+Design Teacher Application, Summer 2016
Application for educator participation in Leadership+Design Summer.
To which Leadership+Design Summer Workshop are you applying?
Name
Your answer
Address
Your answer
Phone
Your answer
E-Mail Address
Your answer
Twitter Handle
If you use Twitter, please put your Twitter username here so we can follow you
Your answer
What school do you currently work at?
Your answer
What grade level(s) and subject(s) do you teach?
Your answer
What role(s) do you play at your school?
Your answer
How did you hear about Leadership+Design?
Your answer
What size shirt do you wear?
Do you have any dietary restrictions?
We provide lunch and snacks as part of Leadership+Design. This information helps us support you better!
Your answer
Do you have any medical concerns, allergies, or health conditions we should be aware of?
Please mention anything that we should know in order to ensure a safe and accessible environment for our mentors.
Your answer
Essay 1. Tell us about a time that you tried something new as a teacher. What happened? How did you adapt the idea over time? What did you learn?
Your answer
Essay 2. What are you still working on as a teacher? How do you plan on getting better at it?
Your answer
Essay 3. Why are you interested in participating in Leadership+Design Summer?
Your answer
Essay 4. How do you think you might bring a Leadership+Design experience back to your school?
Your answer
Please provide the name of a school or district leader who can speak to your school or district's ability and interest in supporting you in implementing what you learn at Leadership+Design. .
Your answer
I understand that this event will be documented through videography and photography and that, prior to attending, I will give permission to use my image in photographs and video documentation of the event for promotional and educational purposes.
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