2008 Application Form

Teachers and Engineers for Academic Achievement

Submission deadline: May 19, 2008

Session
Please check the box next to the TEAACH session for which you are applying.
If you can attend either, please check both and indicate which you prefer.

Session 1: July 21-24 |  Can attend  I prefer Session 1
Session 2: July 28-31 |  Can attend  I prefer Session 2

Applicant Information
Teacher's Name
Home Address
City
State   Zip
Telephone
Home Email

School Information
School Name
School Address
City
State  Zip
Telephone
School Email

Experience and Education
Grade Level Taught
Years of Teaching Experience

Subjects Taught during Previous Two Years:

Degree/Certificate 1
Major
Minor

Degree/Certificate 2
Major
Minor

Do you have any industrial experience? If so, please specify:

What other teacher training programs have you attended in the past 5 years?

Training 1
Location
Length of Training

Training 2  
Location
Length of Training

Training  3 
Location
Length of Training

School Administration Contact/Reference
Title
Telephone

Please explain below why you would like to attend the TEAACH program and provide us with information about your expectations, ability to apply subject matter, and challenges in your school environment.

 

Please direct any questions to Debbie Edwards at 410-765-7104
or Steve Smalley at 410-765-0582.