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Note: Please be sure you have collected your supporting documentation before completing the application form.
Teacher Information

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* 1. Last Name

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* 2. First Name

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* 3. Contact Information

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* 4. Course(s) Taught (Include Course Number and Title)

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* 5. Number of Years Teaching

School Information

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* 6. Name of School

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* 7. Address of School

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* 9. Name of Principal OR Department Head

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* 10. Principal OR Department Head E-mail

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* 11. Principal OR Department Head Phone Number

Supporting Documentation
Required:

One essay (250–500 words) or a video (1–2 minutes) containing responses to the following prompts:
  1. Why should you be chosen to receive this GenCyber opportunity?
  2. What makes you stand out from your peers?
  3. Describe your contributions to the cybersecurity field (volunteer work, articles, etc.) and any other cyber-related hobbies or extracurricular activities you enjoy.
  4. What do they mean to you?
  5. How would you incorporate cybersecurity concepts into the courses you teach?

Optional Application Support:

You may submit optional recommendation letters to support your application.  You may submit:

A Letter of Reference from your current school principal or department head on official letterhead.

Or

A Letter of Reference from either a current or former employer, student or former supervisor who is fully knowledgeable of your potential for successful learning and applicability of what you learn in your future classes.

Letters should be on official letterhead and contain the full name and contact information of the principal, department head, or current/former supervisor (phone, email, and address).  Student references should contain full contact information for the writer.

If selected for the camp, you will be instructed to submit transcripts.

Combine your supporting documentation (essay question responses and optional recommendation letters) into one PDF. If Name the file gencyber-application-lastname.pdf. 

If you have chosen to use a video in place of the essay, please type the link to your video and include that in your PDF.

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* 12. Attach your supporting documentation here.

PDF file types only.
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