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Application for the MCCSC Teaching American History Project

History Educators Project: Teaching American History through the Lens of Indiana

For information about project activities and requirements, please see FAQ and Invitation Letter. For questions about this application or the project, contact Connie Ables at connie@tahindiana.org.

All fields are required fields. All information is necessary to apply for the project.

Your Contact Information

Your Name:

Home Address:

City: State: Zip Code:

Home Telephone Number:

Cell Phone Number:

Home Email Address:

School Information

Name of the school where you currently teach:

School District:

School Address:

City: State: Zip Code:

School Telephone Number:

School Email Address:

Teaching Experience

How many years you have taught, through 2008–2009?

What grade are you teaching in 2009–2010?

Do you teach a US history-focused social studies class in 2009–2010? Yes No

If you answered “no” please describe the focus of your social studies curriculum for 2009–2010.

Approximately how many students will you teach US history-focused social studies in 2009–2010?

Does your US history-focused social studies run all year long? Yes No

If not, please briefly describe the timeline for your course.

Certifications Currently Held:

Undergraduate Studies in US History (include year and institution):

Graduate Studies in US History (include course description, year, institution, and degrees obtained):

Describe any other advanced training in US history, social studies, or methods for social studies (include course description, year, and institution):

Principal's Endorsement

Principal's Name:

Principal's Email Address:

Teacher Acknowledgements

I have reviewed the dates for project activities for this year and I am able to obligate my time for these dates.

I have reviewed the student evaluation requirements and I am able to comply with taking students to my school's lab to complete evaluation instruments twice per year in the specified time windows.

I have reviewed the summary of the project and I am able to fulfill my commitment to revising my curriculum throughout each year of the grant to incorporate new content, resources, and strategies as directed by the project staff.

Comments: