Harbor Scholars Program 2020 Application

Thank you for your interest in the Harbor Scholars program. Please visit the Harbor Scholars website for a detailed description of the workshop. Contact Annemarie McDonald (amcdonald@towson.edu) with any questions.

Question Title

* 1. Please fill out the following:

First Name: *

Last Name: *

Home Address: *

Home Address 2:

City/Town: *

State: *

ZIP: *

Email address you check regularly *

Re-enter Email address you check regularly: *

Question Title

* 2. Do you teach in a Baltimore City Public School? This includes public charter schools. Please note this workshop is designed specifically for 5th grade City Schools science teachers.

Yes

Not currently, but I will be teaching in a Baltimore City Public School next year

Question Title

* 3. Please fill in the following information about your current school.

School: *

School Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Question Title

* 4. What is your 2019-2020 teaching assignment?

Question Title

* 5. What is your anticipated 2020-2021 teaching assignment?

Question Title

* 6. Approximately how many 5th grade students do you usually teach in a year?

Question Title

* 7. How many total years have you been teaching? (current school system plus any other school/school system nationally or internationally)

Question Title

* 8. Teaching Certification Type:

Professional Eligibility Certificate (PEC)

Standard Professional Certificate I (SPC I)

Standard Professional Certificate II (SPC II)

Advanced Professional Certificate (APC)

Other (please specify)

Question Title

* 9. In what areas are you certified? You may select more than one option.

Early Childhood Education, PreK - 3

Elementary Education, grades 1-6

Mathematics instruction Leader, PreK - 6 (endorsement only)

Special Education, Infant/Primary (birth - grade 3)

Special Education, middle (grades 1 - 8)

Special Education, secondary/adult (grades 6 -12)

Other (please specify below)

Question Title

* 10. Please tell us why you are interested in this professional development opportunity. Be specific and tell us how you think it might impact your students' learning.

Question Title

* 11. How did you hear about this professional development opportunity?

Question Title

* 12. In order to make this workshop available to more teachers, we will be offering two identical Harbor Scholars cohorts this summer. You will need to choose which of the two cohorts you would like to participate in. Please note that you will be expected to attend all meetings, which will be held in downtown Baltimore at the Towson University Center for STEM Excellence (701 E. Pratt St., Baltimore, 21202).

The dates of the cohorts are:

Cohort A
- Tuesday, June 23, 2020: 8:00 am – 3:30 pm
- Wednesday, June 24, 2020: 8:00 am – 3:30 pm
- Thursday, June 25, 2020: 8:00 am – 3:30 pm
- Friday, June 26, 2020: 8:00 am - 3:30 pm

- Saturday, May 1, 2021: 8:00 am – 3:30 pm

Cohort B
- Monday, June 29, 2020: 8:00 am – 3:30 pm
- Tuesday, June 30, 2020: 8:00 am – 3:30 pm
- Wednesday, July 1, 2020: 8:00 am – 3:30 pm
- Thursday, July 2, 2020: 8:00 am – 3:30 pm

-Saturday, May 15, 2021: 8:00 am – 3:30 pm

Please indicate your cohort preference below.

I can only attend Cohort A (June 23-26, 2020 + May 1, 2021)

I can only attend Cohort B (June 29-July 2, 2020 + May 15, 2021)

I can attend either Cohort A or B, and I have no preference between them

I can attend either Cohort A or B, but I prefer _____________ (please enter your preferred cohort in the box below)

Question Title

* 13. You will also be expected to attend a guided planning session on one evening during the school year. Regardless of your cohort, you will be able to choose any one of the following three options:

- Tuesday, September 22, 2020: 5:00 pm - 8:00 pm
- Wednesday, February 10, 2021: 5:00 pm - 8:00 pm
- Tuesday, April 13, 2021: 5:00 pm - 8:00 pm

Yes, I understand that I will need to attend one of the three evening sessions listed above.

Other (please specify)

Question Title

* 14. I understand that my application will not be considered complete until my principal completes a short form confirming his or her support for my participation in this program. I also understand that it is my responsibility to forward the link to this form to my principal and to follow-up with her/him to make sure that the form is submitted. Please feel free to contact Annemarie McDonald at amcdonald@towson.edu to check if your principal's letter of support has been received.

Link to Principal Support Letter: https://www.surveymonkey.com/r/HSPrincipal2020

Please indicate whether or not you understand these terms.

Yes, I understand I need to forward the link to my principal.

Other (please specify)