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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

GK-12 Partner Teacher Application

Dartmouth GK-12 Project

Application Instructions

2014-2015 Academic Year
Due date: 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 Principal with this information and a link to a recommendation form. Please follow-up to make sure the recommendation deadline is met.
  3. Please send a copy of your resume (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

If you would prefer to submit this application by mail, download a PDF of this application here.
Mail your complete application to:

Sara Riordan, Science Outreach Coordinator
Office of Science and Technology Outreach
HB 6068, Blunt Alumni Center
Dartmouth College 
Hanover, NH 03755
Telephone: (603) 646-0397
Fax: (603) 646-3733
Email:Sara Riordan
 

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 Information

* indicates required information

First Name:*

Middle Initial:

Last Name:*

Home Telephone:*

School Telephone:*

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

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

School Email:*

Preferred Email (if different from school):

Gender:*
Male
Female

Citizen status:*
US Citizen
Permanent Resident

School District:*

School:*

Principal's Name:*

Principal's Email:*

Ethnicity (Optional†) Check all that apply.

African-American
Asian-American
Native-American
Caucasian
Pacific Islander
Other

If "other" is selected, please specify:

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

Please indicate which grades you will be teaching next year:*

Please indicate what subjects and topics you will be teaching next year:*

How many years have you been teaching?*
Highest degree:


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

1. Describe your teaching style and beliefs.

2. How might a visitor to your classroom see your beliefs implemented in your classroom?

3. How would a Graduate Fellow fit into your classroom?

4. What projects, lessons or activities do you envision a Graduate Fellow participating in and/or creating?

5. Please provide examples of decision making, leadership, organization skills, problem solving or team building in your classroom.

6. Pleased discuss any collaborative efforts you have with other teachers, community partners and/ or organizations.

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

Last Updated: 2/18/14

Last Updated: 2/18/14