Teacher Application Form Name: District: Address: Grade Level: # Years Taught: (School) Phone: (Home) Phone: Address: Grade Level in 1995-96: Soc. Sec. No.: Are you applying as part of a team from your school? If so, please give the name of you partner: Educational background (including education and science courses, workshops, etc.) Rate your current comfort level with teaching (1=very uncomfortable to 5=very comfortable): Briefly describe your teaching style or approach. Give an example of a typical science lesson or activity you use with your students that you think is effective. Please present your reasons for wishing to participate in the Institute of Ecosystems Studies' Schoolyard Ecology for Elementary School Teachers (SYEFEST) program. How would you and your students benefit? What currently limits your use of the schoolyard for teaching ecology? Send completed Application and Principal Endorsement Forms by _________ to: Lead Teacher/Lead Ecologist/Project Leader Institution or organization Address Phone: Fax: Email: Website: