McLean 4-H Teen Teacher SPIN Club
McLean County 4-H Teens as Teachers Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Would you like to recieve text messages?
*
Yes
No
Age
*
Birthday
*
-
Month
-
Day
Year
Date
Year In School (or just completed)
*
Which school do you attend?
*
Personal Email Address (school addresses cannot be added to certain apps)
*
example@example.com
Parent/Guardian Name
*
Parent/Guardian Email Address
*
example@example.com
We will use the following applications for communication, collaboration, and training: GroupMe, email, Zoom, Microsoft Teams. Do you have access to a smartphone, computer, or tablet?
*
Yes
No
Why do you want to be a 4 H Teen Teacher?
*
What skills and qualities do you bring that you think will help you be an effective Teen Teacher?
*
Please list some content areas or topics you would like to teach:
*
Describe your background in those areas:
*
In which Teen Teacher area are you interested in participating? (You may select more than one)
*
Unity Community Center Summer Enrichment Camps
STEAM Team
4-H SPIN Club Leader/Assistant
Out of School Time Camps/Workshops (various locations)
Professional Development Leader
Submit
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