Google Teacher Academy Application

Applications now open for: GTA NYC 2008

Location: New York, New York

Event Date: November 18, 2008

Application Deadline: October 10, 2008


SPECIAL NOTES:
  • Please read through all the requirements and directions BEFORE completing this application.
  • Educators worldwide may apply.
  • Previous Google Certified Teachers are not eligible.
  • Because there is no way to save an application in progress, you should prepare all your responses BEFORE starting this application. This includes the required, one-minute video.

Personal Information

First Name
Last Name
Email Address
Phone Number
Personal Website URL (optional)
Gender (optional)
Role/Position
(choose best applicable title)
How did you find out
about the GTA?		      Other:

Work Information

District or Organization
School or Site Name
Organization URL
Street Address
City
State/Province
Zip/Postal Code
Country
Type of Organization
Percentage of students in your district/school receiving Free and Reduced Lunch
Supervisor's Full Name
Supervisor's Title
Supervisor's Phone
Supervisor's Email

K-12 Experience

How many years of experience do you have working in K-12 education?

Subject Matter Expertise

What percentage of your time is spent working directly with students?

What level of students do you currently work with?

Approximately how many students do you work with each school year?

In your current position, what percentage of your time is spent training or supporting classroom teachers?

Approximately how many educators do you currently reach each school year with the professional development activities that you lead.

Which of the following professional development services do you currently provide to K-12 teachers in your school, district, or region on a regular basis?

List any professional development organizations you belong to.

List any professional awards or accolades you have received.

Technology Experience

How would you describe your technology skills?

Which of these Google tools/resources are you most proficient with?

List three of your favorite NON-Google technology tools/products that you use on a regular basis.


Short Answers

Why should we select you to be a Google Certified Teacher? And what do you hope to get out of the Google Teacher Academy?
(150 words max)

Describe one of your favorite teaching moments. What made it so special for you and your students?
(150 words max)

Describe your role as a Professional Developer.
(150 words max)

Describe an obstacle you encountered in your professional life and how you overcame it.
(150 words max)

Personal Video

Create an original one minute video on ONE of the following topics:
"Motivation and Learning" OR "Classroom Innovation."

We're specifically looking for educators that can creatively address one of the specific topics listed above. You do not need to be in the video, but please do not submit videos produced for another project or videos created by others.

This video is a very important part of your application. The task is designed to demonstrate your technical ability, your resourcefulness, your commitment, and your unique personality and interests. We realize that you may have never produced a video before and that you may not own video equipment, but through perseverance we are confident you can find a way to meet this requirement.

Once you create the video, you must post it on Google Video or YouTube for us to view or download, then paste the specific website URL where we can see your video into the field below. Please double check that your URL is valid before posting it here and that it's easy for us to find. We will not accept videos by email, and we will not watch more than one minute. So, make it count!

Video URL

Anything special we need to know about your video?

Signature

If selected to attend the Google Teacher Academy, I understand...

  1. Google Certified Teachers are not paid, and I must arrange transportation and lodging to attend the Google Teacher Academy in New York, NY.
  2. There is no cost associated with the GTA or any other activities related to Google's K-12 education programs, other than your own transportation and lodging.
  3. I am required to lead three professional development activities as a Google Certified Teacher, and I need to report on my progress with these activities each year.
  4. I will activitely participate in the Google Certified Teachers online community.
  5. I must arrange for approval from my immediate supervisor to attend the Google Teacher Academy and conduct training as a Google Certified Teacher.

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Signature: Type your full name here to approve the contents of this application.