Network Resources and Training Site
Summer'99 Eisenhower Educator Training Application
June 21 - July 2, 1999
Teacher's Name______________________________Grade/Subject______________________
Home Phone________________________________SSNO._____________________________
Home Address_________________________________________________________________
School Name_______________________________________________Phone______________
School Address________________________________________________________________
Principal______________________________________________Fax_____________________
School Tax ID#_______________________email address:______________________________
PTA Chairperson ____________________________________ phone_____________________
Number and type of computers in the school capable of internet connection.
Place an asterisk beside the type of computer you will use for your project.
type number
__________________ ____
__________________ ____
Demographics:
Enter the enrollment in your school by level and ethnicity. Provide number and percent
of total school enrollment. Note with asterisk those categories with individuals with
disabilities and indicate in parenthesis the number of students.
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African American no. % |
American Indian no. % |
Hispanic no. % |
Native Alaskan no. % |
Pacific Islander no. % |
Other (specify) no. % |
White no. % |
Total no. % |
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| Elementary |
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Total |
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Applications must be postmarked by Feb. 19, 1999.
With this completed form include the following.
- Well written statement of interest. Explain what you hope to gain from the
program and how you plan to use the training during the academic year 1999-2000.
Indicate your current knowledge of and use of the WWW along with the access you have
to the Internet.
- Letter of support from your principal or other school official.
- A current resume.