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Application form for 3Rs Pilot Teachers 2019
* Required
*
1.
Surname (Last Name, Family Name)
e.g. Smith, Kowalski...
(Required.)
*
2.
First Name
e.g. Jane, Maria, Susanna, John, Michael...
(Required.)
*
3.
Email address
Please make sure you write your email address correctly
(Required.)
*
4.
Country where you teach
(Required.)
Albania
Austria
Belgium
Bosnia & Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Iceland
Ireland
Israel
Italy
Latvia
Lithuania
Luxembourg
Malta
Moldova
Montenegro
Netherlands
Norway
North Macedonia
Poland
Portugal
Romania
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Turkey
Ukraine
United Kingdom
Other (please specify)
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5.
City where you teach
(Required.)
*
6.
Name of your school
(Required.)
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7.
Postal address of your school
Please write the full postal address of your school. For example:
European Schoolnet, Rue de Treves 61, 1040, Brussels, Belgium
(Required.)
*
8.
Subjects you teach
(Required.)
Biology
Music
Art and design
History
Geography
Language
Physics
Chemistry
Maths
Techology
Informatics
Primary
Other (please specify)
*
9.
Age of students you are teaching during the 2018-2019 school year
Select all the relevant ages!
(Required.)
< 8 years old
8-9 years old
9-10 years old
10-11 years old
11-12 years old
12-13 years old
13-14 years old
14-15 years old
15-16 years old
16-17 years old
17-18 years old
18+ years old
Other (please specify)
*
10.
Please detail below your experience with producing learning resources for students and link to any material produced where possible.
(Required.)
*
11.
Please detail below your experience with authoring/content creation and use of digital tools. Please supplement with links to your work.
(Required.)
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12.
Why would you like to become a 3Rs Pilot Teacher?
(Required.)
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13.
Please explain briefly: 1) your interest in laboratory animal experimentation, 2) sustainable/sound science and 3) what kind of skills and experience you wish to acquire during your involvement in the 3R project.
(Required.)
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14.
Please demonstrate your interest in learning and sharing experiences and good practices, including any previous positive experience and lessons you have acquired by your involvement in other European projects.
(Required.)
15.
Please select below which dates suit you for the first 3Rs workshop at EUN (being available for 2 or more dates will increase your chances of being selected).
17th – 18th June
5th – 6th July
10th – 11th July
*
16.
Does your principle/head of school support your involvement in the RRR project?
(Required.)
Yes
No
Don't know (Haven't talked to him/her yet)
Comment
*
17.
Terms and conditions
(Required.)
Yes
No
If selected, I will be able to attend the 1st workshop taking place in one of the dates displayed on question 15.
Yes
No
If selected, I will be able to attend the face-to-face workshops on 13th - 14th September in Brussels.
Yes
No
I have written my name and surname fully and correctly
Yes
No
I understand European Schoolnet will not enter into any discussion regarding the results of the selection
Yes
No
I understand that to process my application, collection and storage of personal data (name, surname, email address) is necessary. Access to this information is strictly limited to EUN Partnership AISBL and will only be used for this specific purpose.
Yes
No
