Architects in Schools Application 2014-2015/Design Professional

Architects in Schools matches professional architects and other design professionals with primarily 3rd, 4th and 5th grade teachers for a 6-week free classroom residency (approximately 1-2 hours a week per class). Students participating in Architects in Schools learn important skills through lessons that include cooperation and planning, connect to required education standards and help them gain a better sense of how school relates to the 'real world'.

Please review the Architects in Schools program information at www.af-oregon.org prior to filling out this application. Applications must be submitted no later than Friday, September 12, 2014. For more information, contact Kim Ruthardt Knowles, 503.317.7537 or kim_ais@msn.com.

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1. Name (Required.)

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2. Firm/Workplace

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3. Title

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4. Mailing Address (Required.)

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5. City, State & Zip Code (Required.)

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6. Telephone (Required.)

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7. FAX

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8. Email Address (Required.)

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9. Affiliation

AIA

ASLA

IIDA

Other (please specify)

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10. If you haven't listed a firm, title or affiliation, please briefly describe your background and qualifications for particapating in the Architects in Schools program:

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11. Are you able to drive to a school in your geographic area?
(For instance, Portland ais includes Multnomah, Clackamas and Washington counties; Central Oregon ais includes Bend, Redmond, Tumalo, LaPine and Sisters; Salem may include Keizer; Eugene may include Springfield; Southern Oregon may include Medford and Ashland, etc.) (Required.)

Yes

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12. Are you willing to work with up to two classrooms (teachers would be doing the residency together)? (Required.)

Yes

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13. If there is a school or schools you know you'd be interested in working at, please list your top three choices.

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14. If you already have plans to work at a school, have you spoken with the teacher and have they agreed to work with you?

Yes

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15. Would you be willing to work with:

English as a Second Language students

Students with Learning Disabilities

Youth at Risk (Children with special needs due to circumstances they face outside of school, children participating in alternative education programs, or children who are part of the Juvenile Justice System either formally or informally.)

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* 1. Name (Required.)

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* 2. Firm/Workplace

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* 3. Title

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* 4. Mailing Address (Required.)

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* 5. City, State & Zip Code (Required.)

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* 6. Telephone (Required.)

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* 7. FAX

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* 8. Email Address (Required.)

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* 9. Affiliation

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* 10. If you haven't listed a firm, title or affiliation, please briefly describe your background and qualifications for particapating in the Architects in Schools program:

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* 12. Are you willing to work with up to two classrooms (teachers would be doing the residency together)? (Required.)

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* 13. If there is a school or schools you know you'd be interested in working at, please list your top three choices.

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* 14. If you already have plans to work at a school, have you spoken with the teacher and have they agreed to work with you?

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* 15. Would you be willing to work with:

1. Name (Required.)

2. Firm/Workplace

3. Title

4. Mailing Address (Required.)

5. City, State & Zip Code (Required.)

6. Telephone (Required.)

7. FAX

8. Email Address (Required.)

9. Affiliation

10. If you haven't listed a firm, title or affiliation, please briefly describe your background and qualifications for particapating in the Architects in Schools program:

12. Are you willing to work with up to two classrooms (teachers would be doing the residency together)? (Required.)

13. If there is a school or schools you know you'd be interested in working at, please list your top three choices.

14. If you already have plans to work at a school, have you spoken with the teacher and have they agreed to work with you?

15. Would you be willing to work with: