Teaching the Genome Generation Application Form Teaching the Genome Generation Save my progress and resume later | Resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: Part A: Personal Information First Name Last name Degree email address Course selectionPlease select... Brunswick, ME - June 23 - 28 Phone number This number is my:Please select... Mobile phone Home phone School School Address City State Zip Home Address City State Zip ~~~ Part B: Background and Experience Summary of education and teaching background Please summarize your educational background and teaching experience. When and where did you earn your postsecondary degree(s) and in what subject(s)? When and where did you begin your teaching career? Summary of current instruction What courses do you teach now and what courses you teach next academic year? At what level do you teach? (Intro, Honors, AP, IB, etc.) Teaching certificates held (State and subject area) Resume or CV Upload a copy of your current resume or CV (a detailed academic resume). ~~~ Part C: Statement of Interest Explain why you would like to participate in this professional development program. ~~~ Part D: School informationTeaching the Genome Generation combines summer professional development with academic year implementation of our unique laboratory curriculum, including all equipment and supplies. We would like to help teachers share information about this program with their department chair, dean of curriculum, etc. Administrator's name Please list the person at your school with whom we should share information about TtGG. Administrator's title Administrator's email address ~~~ Part E: Demographics Gender. "I am ..." Race / Ethnicity Please select... American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander WhiteSelect one or more ~~~ Part F: CertificationBy initialing here, I confirm my application to Teaching the Genome Generation at The Jackson Laboratory. Initial here Save my progress and resume later | Resume a previously saved form Need assistance with this form?