Teacher Application Plant Biology Curriculum Development Project
Contact Information
First Name:
Last Name:
Home Street Address:
City:
State:
---- Select State ----
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Email Address:
Phone:
Example: (777) 777-7777
School Information
School:
District:
School Street Address:
City:
State:
---- Select State ----
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Name of Principal:
Which type of School best describes your schools location?
---- Select Type ----
Rural
Suburban
Urban
Teaching Experience and Background
I teach (select all that apply):
Middle School
High School
Community College
Pre-Service Teacher
Subjects that I teach (select all that apply):
Agriculture
AP biology
AP Environmental Science
Biology/Life Science
Chemistry
Environmental Science
Technology
Other
List plant science topics or concepts that you currently teach.
Number of years teaching (select 1)
---- Select Years ----
1-3 years
4-6 years
7-10 years
10 or more
Education Background: Most Advanced Degree Awarded
School:
Degree:
Subject Area:
Year Awarded:
List teaching certification and other credentials:
Interest in the Curriculum Development Project
Have you participated in a professional development program
in which you were asked to implement new teaching strategies?
---- Select One ----
Yes
No
If yes, highlight some of the successes and challenges you faced in implementing the program?
If no, please describe how you have benefited from professional development programs in the past?
List plant science topics you would like to develop into classroom lesson plans or units.
Describe why you are interested in the Plant Biology Curriculum Development Project
Please describe your interests as they relate to curriculum development, content
learning and classroom application.
Are you willing to participate in an on-line discussion/support blog and keep
a journal during the implementation of the unit?
---- Select One ----
Yes
No
Unsure
Are you willing to participate in classroom visits and program evaluation activities?
---- Select One ----
Yes
No
Unsure
How did you hear about this BTI workshop? (Select one or more):
Website
Email or List-Serve
Colleague
Teacher Workshop
Mailing
Other
Please provide contact information for a professional reference
Name:
Relation:
Phone:
Email:
Current Resume (Cut and paste your current resume here)
By submitting this application you understand that if accepted into the program you plan to
participate in the Plant Biology Curriculum Development Project at BTI and bring this work into your classroom.
You plan the CDP from July 15-20, 2012 at BTI in Ithaca, NY and participate in our professional learning
community (PLC) throughout the 2012-2013 academic year. As a PLC, all members are expected to implement new
curriculum projects and activities into their classrooms, share results with the group and collaborate with
BTI educators via online collaboration and a classroom visit. A Spring Return to BTI brings us full circle and
celebrates the impact of the CDP in participating classrooms.