Haverford College Summer K-12 Institute
Virtual Thinking/Learning Institute
Applications should be mailed to Jodi Jacoby, Secretary, Department of Biology, Bryn Mawr College, Bryn Mawr, Pennsylvania 19010-2899, or faxed to 610-526-5086. See http://serendip.brynmawr.edu/local/suminst/vti08/ann.html for further information about this institute and http://serendip.brynmawr.edu/local/suminst/ for additional general program information.
Your name (last, first, middle):
Social Security Number:
Home Address (street, city, state, zip):
Home Phone (include area code):
School (full name):
School Address (street, city, state, zip):
School Phone (include area code):
Teaching Assignment (subject):
How did you hear about the Summer Institutes program?
List previous Summer Institutes attended with years.
If you are applying as part of a team including additional teachers at other grade levels, please list the names of the other teachers in the team:
Please give a brief description of your reasons for wanting to join the Institute (continue on back of page):
Do you use a computer regularly? If so, for what types of tasks?
Do you have your students work on computers as part of your courses? If so, for what types of projects/assignments?