26-27 Art Intensive Application

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Name* This field is required.
First Name
Last Name
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School District* This field is required.Charter school teachers should select the public school district associated with their charter school
Please Select
Please Select
Hillsborough County Schools
Charlotte County Public Schools
Pinellas County Schools
School District of Manatee County
Sarasota County Schools
I AM A PRIVATE SCHOOL Educator in Pinellas, Charlotte, Manatee or Sarasota County
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School Name* This field is required.
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Home or Cell Phone Number* This field is required.
Please enter a valid phone number
5
School Email* This field is required.
example@example.com
Confirm Email
6
Personal Email* This field is required.For payment purposes only. We use a digital platform called Melio.
example@example.com
Confirm Email
7
Subject Area(s)* This field is required.
8
Grade Level(s)* This field is required.
Elementary (Prek-5)
Middle (6-8)
High (9-12)
9
Approximately how many students do you teach or directly support during one school year* This field is required.
10
Have you participated in the EOD Art Intensive teacher workshop before?* This field is required.
Yes
No
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If selected to participate, would you be interested in presenting how you approach EOD artwork creation with your students?* This field is required.
Yes
No
12
What do you hope to gain from the Art Intensive workshop experience?* This field is required.
13
Please share any additional information which might be helpful in evaluating your application.
14
Per Sarasota County Schools policy, individuals cannot receive payments when applying PD hours towards salary credit. If selected to participate in this workshop, I opt to:* This field is required.- Your response will be used for post-workshop admin. processes only and not have any effect on your application.- Your choice does not effect EOD's ability to provide Childcare Support Supplement support when applicable.
apply my PD hours towards PROFESSIONAL DEVELOPMENT credit and receive a $160 PD stipend
apply my PD hours towards SALARY credit
15
If selected to participate, I would like to (and am eligible to) to receive a $50.00 Childcare Support Stipend to assist in covering the cost of childcare for one or more dependents under the age of 13 on the day of the workshop.* This field is required.
Yes
No
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I understand that, if selected to participate, I will be required to engage my students in submitting original artworks for the 2028 Exhibit (submission deadline - July 1, 2027) unless updated school district policies prohibit me from doing so. Additionally, I understand that, if selected, I must participate in the entire workshop day on Saturday, September 19, 2025 from 9 AM to 4 PM.* This field is required.
Yes - I understand, accept and hereby permit
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If selected, I hereby permit the use of my name, quotations, performances, voice and likeness in print or any other medium including without limitation photographs, video recordings, and/or audio recordings (collectively âRecordingsâ) in connection with Embracing Our Differences (EOD) activities for any purposes EOD may desire, including without limitation advertisements and other publications, film, videotape, audio tapes, television or theatrical use approved by EOD staff. I further hereby assign any and all of my copyright interests in such Recordings to EOD.* This field is required.
Yes - I understand, accept and hereby permit
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