Application for Teachers

1. General Information

   First Name
   Last Name
   Middle Initial
   School/Organization
   Street Address
   Address (cont.)
   City
   State/Province
   Zip/Postal Code
   Country
   Work Phone
   Home Phone
   E-mail
   Date of Birth
   Passport Number
   Date of Issue
   Place of Issue
   Date of Expiry
   Class/es  You Teach
   Subject/s

   2- How long have you been participating in iEARN?

   3- Write a short essay (150-200 words) elaborating  why do you want to attend this conference?

   4. List all the iEARN Projects that you have lead or integrated and the number of students that have participated in each of these projects. Remember to mention the forums and the months in which these postings were made.

   5- The iEARN Conference Scholarship recipient are expected to contribute back to their own schools and communities supporting the iEARN programs. Share your plans that you have for iEARN support?

6- Which scholarship you wish to apply for, click one option below:

CIVICS/GYSD        Folktales    Write On    Teddy Bear     Art Projects      Open

7. Do you have sponsorship or funds available to cover costs not included in the scholarship?

YES            NO  

if YES mention the source of funding.