We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

Uncovering America: Art, Power, and Inquiry | Teacher Institute 2020 application

1. Name *This question is required.

2. School Name *This question is required.

3. School Location (City and State) *This question is required.

4. Preferred email address during the school year *This question is required.

5. Preferred email address during the summer *This question is required.

6. Preferred phone number during the school year. *This question is required.

7. Preferred phone number during the summer *This question is required.

8. Please check the description that best describes your work setting: *This question is required.

Public School in Boston
Public School in Lawrence
Other Public School/District
Charter School
Private/Independent School
Alternative School
Other Please enter an 'other' value for this selection.

9. What grade level do you teach? Check all that apply. *This question is required.

Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
College/University
Other Please enter an 'other' value for this selection.

10. What subject(s) do you teach or oversee? Check all that apply. *This question is required.

Art
Elementary Classroom
English Language Arts
English Language Learning
History/Social Studies
Library
Math
Performing Arts
Science
Technology and/or Engineering
World Languages
Other Please enter an 'other' value for this selection.

11. How would you describe your role? Check all that apply. *This question is required.

Classroom teacher
Specialist
Special education teacher
Curriculum director
Administrator
Pre-service teacher (teacher in training)
Retired teacher
Other Please enter an 'other' value for this selection.

12. How many years have you been working in education? *This question is required.

13. Names of any colleagues who are also applying to the Institute (optional).

14. In 250 words or fewer, please describe the reasons that you are interested in participating in the Uncovering America: Art, Power, and Inquiry Teacher Institute, including what impact you anticipate on your classroom teaching. *This question is required.

15. Please use this space for any additional comments or information you would like to share (optional).