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* 1. Full Name

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* 2. Mailing Address: Give an address to which we can mail course reading material.

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* 3. Telephone

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* 4. Email Address: Give an address that you check regularly.

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* 5. School Name

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* 6. School Address

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* 7. Check all boxes that apply to your school.

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* 8. College Education: Degree, institution, and year graduated

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* 9. Graduate Education: Degree, institution, and year graduated (if applicable)

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* 10. Are you currently a full-time teacher?

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

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* 12. What grades are you teaching this year?

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* 13. What courses are you teaching this year?

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* 14. List any extracurricular activities you supervise or coach.

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* 15. List any awards and professional affiliations (Teach for America, NY Teaching Fellows, etc.)

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* 16. Have you previously applied for a Cullman Center Spring or Summer Seminar? 

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* 17. List any Cullman Center Spring or Summer Seminars you have taken in the past.

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* 18. How did you hear about Cullman Center Summer Seminars?

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* 19. Select your first choice for a 2024 Summer Seminar.

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* 20. In no more than 250 words, tell us why you want to take this seminar.

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* 21. If you are not selected for your first choice, are you interested in our other course?

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* 22. If yes, in no more than 250 words, tell us why you want to take this seminar.

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* 23. In no more than 250 words, describe how you would teach a favorite book, historical period, or other topic. Give us a sense of how you would teach something you are passionate about. What extra materials or activities would you use?

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* 24. Letter of Recommendation

One letter of recommendation is required. It is the responsibility of the applicant to request this letter and to ensure that we receive it by the application deadline of Monday, April 29th.

The recommender should email the letter to: cswteachers@nypl.org

If absolutely necessary, the recommender can mail the letter to:

Cullman Center Institute for Teachers
The New York Public Library
Stephen A. Schwarzman Building
476 5th Ave, Room 225
New York, NY 10018


Name of recommender

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* 25. What is your relationship to recommender?

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* 26. Recommender’s email address

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