2023 Teacher Externship - Teacher Application

Prepare the Workforce of Tomorrow, Today - 2023 Teacher Externship Program

To submit your application for the 2023 Teacher Externship Program, please complete the following information. Please note, submission of an application does not guarantee a placement in the program. Applications are due by April 1, 2023. Applications will be reviewed, and all applicants contacted by email by mid-April.

This application will take approximately 10 - 15 minutes to complete.

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* 1. Applicant Contact Details

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Contact Phone Number

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* 2. Applicant Eligibility Details

Are you currently a classroom teacher?

At what school are you currently employed?

Are you at least 21 years of age?

Are you eligible to work in the United States?

What grade(s) do you teach?

Who was your supervisor during the 2022-23 School Year (first and last name)?

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* 3. Teaching Background, Relevant Skills, and Interests

College Name?

Area(s) of Study?

Degree(s) Earned?

List any professional development, awards, research, or other information you would like us to consider.

Years of Teaching Experience?

What course(s) or subject(s) do you currently teach?

Previous course(s)/subject(s) and grade level(s) taught?

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* 4. Externships are designed to last for two weeks, 32 hours per week. Weeks can be concurrent or take place at different times during the designed time period. All externships must take place between June 5 and July 28, 2023. Please select each of the weeks you are available to participate in the externship program.

June 5 - 9

June 12 - 16

June 19 - 23

June 26 - 30

July 10 - 14

July 17 - 21

July 24 - 28

Any of these dates work for me

None of the above

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* 5. Are you available to work during standard business hours (i.e., 8 a.m. - 5 p.m.)?

Yes

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* 6. Some externships may require safety equipment or precautions. Please check which of the following precautions/equipment which you already own or have taken.

	Own/Received Y/N?
Hard Hat	Hard Hat Own/Received Y/N? menu
Steel Toe-Boots	Steel Toe-Boots Own/Received Y/N? menu
Safety Googles	Safety Googles Own/Received Y/N? menu
Masks	Masks Own/Received Y/N? menu
COVID-19 Vaccine	COVID-19 Vaccine Own/Received Y/N? menu

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* 7. Business environments will vary by employer. Please Indicate your preference or ability to work in each of the following workplace environments.

	Preference Level
Duties performed primarily indoors	Duties performed primarily indoors Preference Level menu
Duties performed primarily outdoors	Duties performed primarily outdoors Preference Level menu
Duties performed via a mix of indoor and outdoor	Duties performed via a mix of indoor and outdoor Preference Level menu
Duties performed primarily at a desk	Duties performed primarily at a desk Preference Level menu
Duties performed primarily via standing or walking	Duties performed primarily via standing or walking Preference Level menu
Duties performed via a mix of at a desk and standing/walking	Duties performed via a mix of at a desk and standing/walking Preference Level menu

Comments

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* 8. Employers representing a variety of industries and career paths will be participating. Please indicate the types of employers and career paths you are interested in. Select all that apply.

Computer Science/IT/Software Development

Statistics/Mathematics

Agricultural Science

Robotics

Construction

Machining

Plumbing/HVAC/Welding

Physics

Lab Chemistry

Health Care/Medical Devices

Manufacturing

Professional and Business Services (Finance, Economics, etc.)

Arts/Entertainment/Hospitality

Advertising/Marketing/Public Relations/Design

Transportation/Supply Chain/Logistics

Other (please specify)

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* 9. How did you learn about the Teacher Externship Program?

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* 10. Why are you interested in participating in the Externship Program? (limit 200 words).

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* 11. If offered a Teacher Externship, what do you hope to learn or gain from this opportunity? (limit 200 words)

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* 12. If offered a Teacher Externship, how do you foresee using knowledge gained at an externship in a classroom setting? (limit 200 words)

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* 13. Reference #1 . Please note that at least one reference must be your current (or most recent) supervisor.

Name

Title

Company

City/Town

State

Is this reference a current or former supervisor?

Email Address

Phone Number

Question Title

* 14. Reference #2. Please note that at least one reference must be from your most recent/current supervisor.

Name

Title/Company

City/Town

State/Province

ZIP/Postal Code

Is this Reference a current or former supervisor?

Email Address

Phone Number

Question Title

* 15. Please check below to indicate you understand the expectations of a teacher extern and the placement process.

I understand externs are expected to work 64 hours (two four day work weeks) for their workplace host.

I understand externs are required to attend an orientation/training meeting, mid-externship check-in, and end of externship feedback surveys.

I understand applying does not guarantee placement in the program.

I understand externs are expected to fully participate in employer provided work-based learning experiences and conduct themselves in a professional manner at all times.

I certify that all information provided on this application is true and complete to the best of my knowledge. If accepted, I understand that providing false information is grounds for dismissal from the program.