Teachers Institute Application

Thank you for your interest in submitting an application to the Teacher's Institute. Please complete the form below and it will be forwarded to our Teacher's Institute Chair for review.
Applicant's First Name *
Last Name *
Email *
School
Applicant's Title
What Grade do you Teach?
What Subject do you Teach?
Description of Program for which funds are requested:
Total Amount Being Requested:
Conference Cost(s):
Travel Expenses
Per Diem Costs
Please provide details of any costs needing clarification:
Date(s) of Program:
Describe how your participation in this program will benefit your work, your students and your colleagues:
How do you plan to share your experiences with other teachers?
The application deadline for this Professional Development Grant is:
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