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Brightstorm Teacher Application


Thanks for your interest in the Brightstorm Teaching program. All information submitted via this form is private and will not be shared with anyone outside of Brightstorm.
* Required
First Name
*


Last Name
*


Gender
*
Male
Female


Age
 


Ethnicity
 
Caucasian
Black
Latino
Asian
Other


Email
*


Phone
*


Street Address
*


City
*


Zip
*


Country
*


State
*


Personal Blog or Website
Full URL
 


Please list your undergraduate and graduate degrees, including all teaching credentials.*
For example, "UCLA, M.Ed., 1997"



Please list any awards or special recognition you have received as a teacher or educator.
For example, "Teacher of the Year in San Mateo County, 2005"


Name of the School/Program
where you currently teach
 


Location of School/Program
City, State, Country
 


Kind of Educational Setting
*
High School
Private Tutoring
After School Program
Academic Summer Camp
2-Year College
4-Year University
Other


List the specific courses that you currently teach. Please note if any are AP or Honors.*
For example, "Algebra II Honors"


List other courses you are also capable of teaching.
Include courses you have taught in the past, have particular expertise in, etc.



Years Teaching High School Students
*

What educational settings have you
worked in during your professional career?
Please check all that apply.
 
Elementary School
Middle School
High School
Private tutoring
After school program
2-Year University
4-Year University
Other


What is your experience in developing original curriculum?
*

This includes: selecting and structuring content, designing learning activities,
developing original handouts/resources, finding and selecting complimentary materials, etc.
Expert - I develop almost everything I use from scratch.
Average - I've developed some materials, but I usually use or modify materials created by others.
Novice - I have little experience designing curriculum, but would like to learn.
Have no interest in developing my own curriculum.


Briefly describe an exceptionally engaging lesson or instructional activity that you created.
*

Please limit this explanation to a couple sentences.


Are you comfortable being recorded on video camera?
*
All Master Teachers are filmed for their video courses on a production set.
Experience in public speaking or acting is recommended.
Yes - I've done it many times. I'm a total "ham".
Probably - However, I don't have much experience on camera.
No - I think I'd be too nervous.


Are you comfortable with new technology and current web services?
*

Yes - Blogs, podcasts, and social networks are my thing. Just call me "Chief Geek."
Somewhat - I know how to surf the web, but I'm lost when it comes to that Web 2.0 stuff.
Not really - E-mail is about all I can take


Have you ever been convicted
of a felony?
*
Yes
No


Any other questions for us?


Anything else we should know about you?


How did you hear about us?



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