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Nancy Serrell
Director of Science and Technology Outreach
Dartmouth College, Office of the Provost
6068 Blunt Alumni Center, Room 309
Hanover, NH 03755
Telephone: (603) 646-9756
Fax: (603) 646-3733
E-mail: Nancy Serrell
Sara Riordan
Science Outreach Coordinator
Dartmouth College, Office of the Provost 
6068 Blunt Alumni Center
Hanover, NH 03775
Telephone: (603) 646-0397
Fax: (603) 646-3733
E-mail: Sara Riordan 
 Forms >   Graduate Fellow

GK-12 Graduate Fellow Application

Dartmouth GK-12 Project

Application Instructions

2014-2015 Academic Year
Due date: Monday, April 7, 2014
Thesis Advisor's recommendation due Monday, April 14, 2014
Application Packet Should Include (US Citizens or Permanent Residents Only):

  1. Complete this online application, filled out in its entirety.  We suggest you prepare your answers in a separate document and copy into the form, you will not be able to save the online form.
  2. Once submitted, an email will be sent to your Thesis Advisor and Department Chair with this information and a link to a recommendation form. Please follow-up with your Thesis Advisor and Department Chair to make sure the recommendation deadline is met.
  3. Please send a copy of your resume or CV (include a list of honors, awards, publications, extracurricular activities, teaching experience, and professional experience specifically as related to science education and outreach) to Sara Riordan, Science Outreach Coordinator.
  4. If you would prefer to submit this application by mail, download a PDF of this application here.


Sara Riordan, Science Outreach Coordinator
GK-12 Project
HB 6068 Blunt Alumni Center
Dartmouth College
Hanover, NH 03755
Office (603) 646-0397

Please note - you will not be able to save this form and return to it later. Please be prepared to complete the form in its entirety when you start. We suggest you prepare your answers in a separate document and copy the info into the form.

Applicant's Information

* indicates required information

First Name:*

Middle Initial:

Last Name:*

Student ID:*

Preferred Daytime Telephone:*


Home Mailing Address (street, state, zip code):*

Hinman Box:*


Citizen status:*
US Citizen
Permanent Resident

Current Year of Graduate Studies:*


Department Chair's Name:*

Department Chair's Email:*

Thesis Advisor's Name:*

Thesis Advisor's Email:*

During the 2014-15 academic year will you be expected to TA?
Yes, it is very likely
No, it is unlikely

During the 2014-15 academic year will you be taking classes?
Yes, at least one term
Yes, probably 2 terms
Yes, probably 3 terms
No, it’s unlikely

During the 2014-15 academic year will you be taking some part of your qualifying exam?
If so, explain:

Do you intend to defend your thesis or graduate by the end of 2014-15?

Ethnicity (Optional†) Check all that apply.

Pacific Islander

If "other" is selected, please specify:

†This information is used to evaluate our effectiveness at recruiting a diverse pool of applicants to our program and for reporting to our funding agency.

Important! Please compose this text in another document and copy/paste into the fields below.

Please enter a short description of your research project, as written for a lay audience (one page).

Please enter a statement describing your interest in the GK-12 project including:
How will this experience influence your research progress and goals?
How do you feel that your research and background will allow you to contribute to a middle school class?
(two page maximum).

Important! When you submit this form, your Thesis Advisor and the Department Chair will receive an email copy of the submission. Your advisor will be instructed to follow a link to submit a recommendation form. Please follow-up with your advisor on this step. You will also receive a copy of your submission.

Last Updated: 1/28/14