UMUC GenCyber 2019 Teacher Camp Application Question Title Note: Please be sure you have collected your supporting documentation before completing the application form. Teacher Information Question Title * 1. Last Name Question Title * 2. First Name Question Title * 3. Contact Information Address * Address 2 City/Town * State * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * E-mail Address * Phone Number * Question Title * 4. Course(s) Taught (Include Course Number and Title) Course Course Course Course Course Question Title * 5. Number of Years Teaching School Information Question Title * 6. Name of School Question Title * 7. Address of School Address * Address 2 City/Town * State * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * Phone Number * Question Title * 8. County in Which School is Located Allegany Anne Arundel Baltimore (County) Baltimore (City) Calvert Caroline Carroll Cecil Charles Dorchester Frederick Garrett Harford Howard Kent Montgomery Prince George's Queen Anne's Saint Mary's Somerset Talbot Washington (County) Washington, D.C. Wicomico Worcester Other Question Title * 9. Name of Principal OR Department Head Question Title * 10. Principal OR Department Head E-mail Question Title * 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: Why should you be chosen to receive this GenCyber opportunity? What makes you stand out from your peers? Describe your contributions to the cybersecurity field (volunteer work, articles, etc.) and any other cyber-related hobbies or extracurricular activities you enjoy. What do they mean to you? 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.OrA 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. Question Title * 12. Attach your supporting documentation here. Please attach a PDF file here. PDF file types only. Choose File Choose File No file chosen Remove File Please attach a PDF file here. Done