STEM Rural Ohio Fellowship Application

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"*" indicates required fields

First name:*

Last name:*

Email*

Phone*

Your school:*

Your school's IRN number:*

You can find your IRN here: https://oeds.ode.state.oh.us/SearchOrg

Classification that best describes your school*

Rural

Small town

Suburban

Urban

Please see the Ohio Department of Education's guide to school district types.

County of your school*

Which location would you like to attend for the Kick-Off meeting?*

Southeast

Northwest

Is another educator from your school applying?*

Yes

Co-applicant name*

First Last

Co-applicant email*

Grade levels in your school:*

How many students do you impact?*

Principal's full name:*

Principal's email*

Your role:*

Teacher

Lead teacher

Other

What is your experience with place-based or problem-based learning?*

Please note, this is not a pre-requisite.

Is your school STEM/STEAM designated?*

Yes, STEM

Yes, STEAM

Has your school ever applied for the STE(A)M designation? If so, when?*

Please note, this is not a pre-requisite.

Please describe the STEM practices that have been established in your school, if any.*

Please refer to the Quality Model for STEM and STEAM schools. Please note, this is not a pre-requisite.

STEM Hub region your school belongs to:*

Akron

Central Ohio

Dayton

Northeast Ohio

Northwest Ohio

Southeast Ohio

Southwest Ohio

For information Hubs, please visit our Hubs Page https://osln.org/schools-hubs/hubs/

Acceptance to this professional learning program requires a commitment to attend and participate in all program events. The participant will communicate directly with the OSLN program manager in case of any emergencies that would prevent the participant from attending.*

Yes, I understand and agree

I don't agree

Would you like to sign-up for future emails from OSLN about events and professional development opportunities?

Yes

STEM Rural Ohio Fellowship Application

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