B2-CARS Teacher Application Form 1 Start 2 Complete Name * First First Last Last D100# Email Address * Permanent Address * Country * - None -United States Address 1 * Address 2 City * State * - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--Armed Forces (Americas)Armed Forces (Europe, Canada, Middle East, Africa)Armed Forces (Pacific)American SamoaFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoVirgin Islands ZIP code * Phone Number * Gender * Female Male Prefer not to say Other Adult Size Shirts XS S M L XL 2XL 3XL Ethnicity * Asian American or Pacific Islander Black or African American Female Hispanic or Latino Native American White or Caucasian Prefer not to say Other Demographic * 25-30 29-34 35-39 40-44 45-49 50+ Please select the age range that best describes you: Education * Diploma/GED Associate's Degree Bachelor's Degree Master's Degree Terminal Degree (Ph.D, Ed.D, etc.) Select earned degree(s): Major/Program of Study * School and district where you currently work * Length of time teaching at current school * Total years of teaching experience * List area(s) of Delaware Professional Licensure * List all endorsements and/or specializations * Explain your interest in STEM and interdisciplinary STEM instruction * Describe your experience in interdisciplinary STEM instruction * Describe your experience integrating real-world applications in your classroom * Please include a description of a lesson. Describe your experience(s) that prepared you to work with, represent, and affirm diverse worldviews and communities * If selected to participate in the B2-CARS program, rate your interest in the following: * Not willingSomewhat willingVery willingNot applicable Complete hybrid (face-to-face and virtual) professional development sessions * Complete hybrid (face-to-face and virtual) professional development sessions - Not willing Complete hybrid (face-to-face and virtual) professional development sessions - Somewhat willing Complete hybrid (face-to-face and virtual) professional development sessions - Very willing Complete hybrid (face-to-face and virtual) professional development sessions - Not applicable Assist in planning lessons for camp experience during professional development sessions * Assist in planning lessons for camp experience during professional development sessions - Not willing Assist in planning lessons for camp experience during professional development sessions - Somewhat willing Assist in planning lessons for camp experience during professional development sessions - Very willing Assist in planning lessons for camp experience during professional development sessions - Not applicable Implement at least two lesson from the 2024 summer camp during the 2024-2025 academic year. * Implement at least two lesson from the 2024 summer camp during the 2024-2025 academic year. - Not willing Implement at least two lesson from the 2024 summer camp during the 2024-2025 academic year. - Somewhat willing Implement at least two lesson from the 2024 summer camp during the 2024-2025 academic year. - Very willing Implement at least two lesson from the 2024 summer camp during the 2024-2025 academic year. - Not applicable Participate in a virtual scientific community forum (6 sessions) during 2024-2025 academic year. * Participate in a virtual scientific community forum (6 sessions) during 2024-2025 academic year. - Not willing Participate in a virtual scientific community forum (6 sessions) during 2024-2025 academic year. - Somewhat willing Participate in a virtual scientific community forum (6 sessions) during 2024-2025 academic year. - Very willing Participate in a virtual scientific community forum (6 sessions) during 2024-2025 academic year. - Not applicable Continue to engage in a virtual professional scientific community after the 2024-2025 academic year. * Continue to engage in a virtual professional scientific community after the 2024-2025 academic year. - Not willing Continue to engage in a virtual professional scientific community after the 2024-2025 academic year. - Somewhat willing Continue to engage in a virtual professional scientific community after the 2024-2025 academic year. - Very willing Continue to engage in a virtual professional scientific community after the 2024-2025 academic year. - Not applicable Share what you learn as a part of a workshop or conference presentation. * Share what you learn as a part of a workshop or conference presentation. - Not willing Share what you learn as a part of a workshop or conference presentation. - Somewhat willing Share what you learn as a part of a workshop or conference presentation. - Very willing Share what you learn as a part of a workshop or conference presentation. - Not applicable Co-teach during the summer 2024 hybrid camp experience (face-to-face and/or virtual). * Co-teach during the summer 2024 hybrid camp experience (face-to-face and/or virtual). - Not willing Co-teach during the summer 2024 hybrid camp experience (face-to-face and/or virtual). - Somewhat willing Co-teach during the summer 2024 hybrid camp experience (face-to-face and/or virtual). - Very willing Co-teach during the summer 2024 hybrid camp experience (face-to-face and/or virtual). - Not applicable What school and district do you plan to teach for the 2024- 2025 academic year? * What grade level and subjects (s) will you teach in the 2024-2025 academic year? * I UNDERSTAND THAT I AM REQUIRED TO ATTEND ALL PROFESSIONAL DEVELOPMENT DAYS AND PARENT ORIENTATION NIGHT * Yes No Do you consent to a background check? * Yes No
