Question Title

* 1. Full Name

Question Title

* 2. Mailing Address

Question Title

* 3. Home Phone

Question Title

* 4. Email Address - please give us one you check regulary

Question Title

* 5. School Name

Question Title

* 6. Please check all boxes that apply to your school

Question Title

* 7. School Address

Question Title

* 8. School Phone Number

Question Title

* 9. Supervisor's Name

Question Title

* 10. Supervisor's Phone Number

Question Title

* 11. Supervisor's Email Address

Question Title

* 12. College Education - Degree, Institution, and year graduated

Question Title

* 13. Graduate Education - Degree, Institution, and year graduated (if applicable)

Question Title

* 14. Are you currently a full-time classroom teacher?

Question Title

* 15. What is the total number of years you have taught (including this year)?

Question Title

* 16. What grades do you teach this year?

Question Title

* 17. What courses do you teach this year?

Question Title

* 18. Please list any extracurricular activities you supervise or coach.

Question Title

* 19. Did you take your students on a field trip this year?

Question Title

* 20. Please list any awards and professional affiliations (Teach for America, NY Teaching Fellows, etc.)

Question Title

* 21. Have you previously applied for a Cullman Center Spring or Summer Seminar? (Note: If you attended a summer seminar in 2014 or 2015, you are not eligible to apply for 2016).

Question Title

* 22. Please list any Cullman Center Spring or Summer Seminars you have attended in the past.

Question Title

* 23. How did you hear about these seminars?

Question Title

* 24. Please select your first choice seminar.

Question Title

* 25. In 125 words or less, tell us why you want to take this seminar.

Question Title

* 26. If you have a second choice, please tell us what it is.

Question Title

* 27. In 125 words or less, tell us why you want to take this seminar.

Question Title

* 28. Please list your third choice, if you have one.

Question Title

* 29. In 125 words or less, tell us why you want to take this seminar.

Question Title

* 30. In 250 words or less, describe how you teach a favorite book, historical period, or other topic. Give us a sense of how you teach something you are passionate about.

Question Title

* 31. Letters of Recommendation

Two letters of recommendation are required. Applicants are responsible for ensuring that recommendations are received by the Cullman Institute by the application deadline of Sunday, April 17th. Recommendations can be sent by email, fax, or snail mail.

Email: cswteachers@nypl.org

Fax: 212-930-0040

Cullman Center Institute for Teachers
The New York Public Library
Stephen A. Schwarzman Building
5th Ave and 42nd Street, Room 225
New York, NY 10018


Name of the writer of your first recommendation letter

Question Title

* 32. What is your relationship to this person?

Question Title

* 33. Phone number

Question Title

* 34. Email Address

Question Title

* 35. Name of the writer of your second letter of recommendation.

Question Title

* 36. What is your relationship to this person?

Question Title

* 37. Phone number

Question Title

* 38. Email Address

T