Alternate Application Form

If you are unable to fill out and submit the online form, you can read the form here and submit it in an email. Please be sure to read all of the application instructions and the workshop description before applying. Submit your replies to the questions as inline text in an email and please attach your resume and essay (see details below.) Email to: workshops@heartmountain.org

I. Application Form

1. What is your email address?

2. How did you find out about the workshop?

3. First name:

4. Last name:

5. Name of current school or organization of employment:

6. Briefly describe (8 sentences or less) your school/setting (e.g. number of students, general demographics of students, mission, and special attributes of the site/curriculum.)

7. Current job title (teacher, museum educator, administrator, school/museum staff, paraeducator, other-explain):

8. Location of current place of employment (city and state/territory):

9. What subject(s) do you teach (or outreach that you coordinate?):

10. What grade level(s) do you teach?:

11. How many years have you been teaching/doing public outreach?

12. What are your teaching interests?

13. How likely is it that you would present your work from this workshop at a conference? On a scale of 1 to 5, with 5 being most likely.

14. How willing are you to participate in professional networking about this workshop? On a scale of 1 to 5, with 5 being most likely.

15. If you are in a leadership position (chair, lead teacher, district-level committee chair, curriculum development committee, etc.), please explain here.

Knowledge Base

16. What do you know about the history of Japanese American incarceration in WWII? (No knowledge required)

17. Why are you interested in this workshop?

18. Which session do you prefer? Session I: June 21-25, 2021 or Session II: July 19-23, 2021

II. Please submit your current resume or bio (no longer than 150 words).

III. Please submit an application essay (no longer than 500 words) addressing: your professional background; your interest in the subject of the workshop; your special perspectives, skills, or experiences that would contribute to the workshop; and how the experience would enhance your teaching or school service.

I understand that I will not be able to edit my responses once I have submitted them.