James Madison Legacy Project - Cohort III Application

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Thank you for your interest in joining the 3rd Cohort of the James Madison Legacy Project. We will take applicants in two rounds.
Please complete this application no later than July 1, 2017. Notifications will be sent within 72 hours of receipt.

Email *

Your first name *

Your last name *

Your preferred email - for regular contact and to be shared with colleagues *

Your preferred phone number - please ensure you have access to the phone throughout the summer and are willing to share with colleagues. After phone - please write if cell/mobile or land line. *

Your school(s) where you teach (as expected for the 2017-2018 school year). *

Your school district (as expected for the 2017-2018 school year). *

What is the name of your principal and superintendent (or other administrative structure). *

What is your teaching assignment for the 2017-2018 school year? *

My school is scheduled in: *

Semester Courses

Trimester Courses

Year Long Courses

Other:

My civics or government focused course(s) occurs (please describe if first semester, first trimester, etc.). *

Are you interested in SCECH credits or Graduate Credits? *

Yes. SCECH credits ($5)

Yes. Graduate credits (typically about $200 a credit hour - 2-3 credit hours)

I do not know yet.

No.

Other:

Does your district have a dedicated instructional model? If yes, please describe. If no, do you have a particular instructional model you like to follow? *

Does your district have a dedicated evaluation model? If yes, please describe. *

In what ways might participation in the year-long Project benefit you and your students? Please explain your motivation applying and describe what you are hoping to gain from your involvement. *

In what ways might your school serve high needs students? (Please complete to your best ability - this will not define acceptance - we will read and consider all applications.) Please check all that apply. *

Students served by Rural Local Educational Agencies

Students with disabilities

English learners

Students in lowest-performing schools

Students who are living in poverty and are served by schools with high concentrations of students living in poverty (please consider Free and Reduced Lunch recipients)

Disconnected youth or migrant youth

Students who are members of federally recognized Indian tribes

Students who attend high minority schools

Students who are far below grade level

Students at risk of not graduating with a diploma on time

Students who are homeless or foster care

Students who are incarcerated

None of the above. I do not serve a 'high-needs' population by this definition.

Other:

Required

Please describe the students you serve. *

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