Ohio Rural Educator Program Application Home > Forms > Ohio Rural Educator Program Application Ohio Rural Educator Program Application Name(Required) First Last Email(Required) Are you a middle school science teacher?(Required) Yes No Other Your demographics(Required) Black, African or Caribbean Central Asian East Asian Hispanic, Latina or Latino Indigenous or First Nations Middle Eastern or North African Pacific Islander South Asian Southeast Asian White A race or ethnicity not listed I prefer not to answer Please select all that applySchool name(Required) School IRN(Required) You can find your IRN here: https://oeds.ode.state.oh.us/SearchOrgSchool Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School's county(Required)Adams CountyAllen CountyAshland CountyAshtabula CountyAthens CountyAuglaize CountyBelmont CountyBrown CountyButler CountyCarroll CountyChampaign CountyClark CountyClermont CountyClinton CountyColumbiana CountyCoshocton CountyCrawford CountyCuyahoga CountyDarke CountyDefiance CountyDelaware CountyErie CountyFairfield CountyFayette CountyFranklin CountyFulton CountyGallia CountyGeauga CountyGreene CountyGuernsey CountyHamilton CountyHancock CountyHardin CountyHarrison CountyHenry CountyHighland CountyHocking CountyHolmes CountyHuron CountyJackson CountyJefferson CountyKnox CountyLake CountyLawrence CountyLicking CountyLogan CountyLorain CountyLucas CountyMadison CountyMahoning CountyMarion CountyMedina CountyMeigs CountyMercer CountyMiami CountyMonroe CountyMontgomery CountyMorgan CountyMorrow CountyMuskingum CountyNoble CountyOttawa CountyPaulding CountyPerry CountyPickaway CountyPike CountyPortage CountyPreble CountyPutnam CountyRichland CountyRoss CountySandusky CountyScioto CountySeneca CountyShelby CountyStark CountySummit CountyTrumbull CountyTuscarawas CountyUnion CountyVan Wert CountyVinton CountyWarren CountyWashington CountyWayne CountyWilliams CountyWood CountyWyandot CountyIs your school a Title 1 school?(Required) Yes No Not sure School type(Required) Urban Suburban Small town Rural If you're unsure, see this typology from the Ohio Department of Education: https://education.ohio.gov/Topics/Data/Report-Card-Resources/Report-Card-Data-Forms-and-Information/Typology-of-Ohio-School-DistrictsHow many students do you impact each year?(Required)Your principal's name:(Required) First Last Your principal's email:(Required) What grade do you teach/support?(Required) Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 What county is your school building located in?*(Required)First ChoiceSecond ChoiceThird ChoiceWhich location do you wish to attend for the Kick-Off meeting?(Required) Northwest Southeast I see value in connecting my students to careers in agriculture(Required) Strongly Agree Agree Undecided Disagree Strongly Disagree I see value in teaching science through the lens of agriculture(Required) Strongly Agree Agree Undecided Disagree Strongly Disagree Why are you interested in this opportunity? What do you hope to learn during your experience?(Required)(100 words or so)Do you currently use PBL in your science classroom?(Required) Yes, sometimes Yes, all the time Rarely/never Not yet, but I can't wait to start How do you currently incorporate agriculture content into your science classes? (If you don't, just tell us -it's okay!)(Required)(100 words or so)How familiar are you with designing cross-disciplinary Problem Based Learning lessons/units?(Required) Very familiar Somewhat familiar Not very familiar Unfamiliar How familiar are you with developing partnerships between your classroom/school and community partners?(Required) Very familiar Somewhat familiar Not very familiar Unfamiliar How familiar are you with exposing students to STEM career opportunities in the local community?(Required) Very familiar Somewhat familiar Not very familiar Unfamiliar This program is funded by the U.S. Department of Agriculture. Program participants will be asked to participate in program evaluation and data collection. If you are selected, do you agree to fully participate in evaluation activities?(Required) Yes No I'd like more information Would you like to sign up for emails from the Ohio STEM Learning Network about other resources and professional development opportunities? Yes No Letter of supportYour principal will need to complete the Jotform below to finalize your application. Please send your principal this link: https://form.jotform.com/212003442014030I sent the letter of support to my principal(Required) Yes No I had an issue
