APPLICATION SUBMISSION DEADLINE

PROJECT CITIZEN SUMMER INSTITUTE APPLICATION
APPLICATION SUBMISSION DEADLINE — June 15, 2020
Required Documents (Incomplete applications will not be considered.) 1) Completed and signed application form and 2) Statement of administrative support. The Summer Institute will be held virtually via ZOOM meetings starting July 8 and ending July 14. There will not be classes on Saturday and Sunday. Each day will start at 9:00 A.M. ET till 12:00 Noon ET and restarting at 2:00 P.M. ET and concluding at 4:30 ET. Teachers are required to participate the entire time for all five days.
NAME
POSITION
GRADE/CLASSES YOU TEACH
SCHOOL/YOUTH ORGANIZATION
SCHOOL DISTRICT
Address

SCHOOL ADDRESS

Street Address Line 2

CITY /STATE/ZIP
SCHOOL TELEPHONE
SCHOOL FAX
Summer contact information (required)
CELL PHONE
EMAIL
example@example.com
Address

HOME ADDRESS

Street Address Line 2

CITY/STATE/ZIP
In order to provide the training virtually, the ZOOM platform has been chosen. Some training in the use of ZOOM will be included at the start of the institute. It would be good to know the level of experience for each participant. Additionally, the participant would need to assure that he/she has access to the internet in order to take part in the training. Since this is a research grant, we must adhere to the requirements of the grant.

PRIOR EXPERIENCE WITH ZOOM PLATFORM
If YES, how comfortable are you with it?
Very
Somewhat
Send me some Tutorial Videos
If NO, are you willing to watch some tutorial videos?

Send me some Tutorial Videos Not at this time
I HAVE ACCESS TO USE THE ZOOM FORMAT

YES NO
Applicant Agreement By signing below, the applicant acknowledges that he/she has not received any previous training in Project Citizen and has not used the program with any classes. The applicant agrees to fulfill all the commitments associated with the Research Program. The Center for Civic Education is depending on its participants to implement the program, participate in the professional development workshops after the Institute, and submit a project in the culminating South Regional showcase.
Signature

Clear
Statement of Administrative Support

The school district/organization understands that the applicant will implement Project Citizen in his/her classroom/youth group. I agree to support his/her implementation of Project Citizen and will allow him/her to participate in all required activities.
ADMINISTRATOR
TITLE
EMAIL
example@example.com
Signature

Clear
(waived with email confirmation)
Should be Empty:

PROJECT CITIZEN SUMMER INSTITUTE APPLICATION

APPLICATION SUBMISSION DEADLINE — June 15, 2020