Google Geo Teachers Institute 2012
Thank you for your interest in the Google Geo Teachers Institute. Please complete the following application. We will email you by May 11, 2012 to let you know if you have been selected.

Applications now open: Google Geo Teachers Institute

Dates and Locations:  
June 13 and 14, 2012 Dublin, Ireland - Google office
June 20 and 21, 2012 London, England - Google office

Application Deadline: May 4, 2012 at 12:01 AM

SPECIAL NOTES:

* Please read through all of this form BEFORE completing this application.
* Educators worldwide may apply to attend this event, but all attendees must pay for their own travel and lodging.
* Because there is no way to save an application in progress, you should prepare all your responses BEFORE starting this application.

Google's use of this data is governed by our privacy policy found at http://www.google.com/privacy.html.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email Address *
Confirm Email Address *
Location preference *
Phone Number *
Personal Website URL
Gender (optional)
Clear selection
Role/Position (choose best applicable title) *
How did you hear about the Google Geo Teachers Institute? *
School or Organisation *
Street Address *
Town or City *
County, State, or Province *
Postal Code or Zip Code *
Country *
Type of Organisation *
How many years of experience do you have working in education? *
Subject matter expertise *
Required
What percentage of your time is spent working directly with students? *
What level of students do you currently work with? *
Required
Approximately, how many students do you work with each year? *
In your current position, what percentage of your time is spent training or supporting classroom teachers? *
Approximately how many educators do you currently reach each school year with the professional development activities that you lead? *
Which of the following professional development services do you currently provide to teachers in your school, district, or region on a regular basis? *
Required
List any professional development organisations you belong to. *
List any professional awards or accolades you have received. *
How would you describe your technology skills?
Clear selection
Which of these Google tools/resources are you most proficient with? *
Required
List three of your favorite NON-Google technology tools/products that you use on a regular basis. *
Why should we select you to attend this event? And what do you hope to get out of the Google Geo Teachers Institute? (150 words max) *
Describe one of your favorite teaching moments. What made it so special for you and your students? (150 words max) *
Describe your role as a Professional Developer. (150 words max) *
Describe an obstacle you encountered in your professional life and how you overcame it. (150 words max) *
 Type your full name to indicate your approval of the contents of this application. *
Signature:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms