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Application for admission to
Mini-Institute at Georgia/Nebraska



Please be sure to have your written statement and resume ready to upload before you fill out this application.


Items marked with an * are required.

Personal Information
Name  
First*:
Middle Initial:
Last*:
Home Mailing Address  
Line 1*:
Line 2:
City*:
State*:
Zip*:
Contact Information  
Email Address*:
School Phone:
Home Phone:
School Information  
School Type:*
School Information:*
School Community:*
School Name*:
Address Line 1*:
Line 2:
City*:
State*:
Zip*:
Present Position or Status*
How many years have you been teaching?*
   
 The Application
Location to which
you are applying: *
 
If you are not selected to the Institute location of your choice, would you be willing to attend the other?*     Yes        No
* Please append a statement explaining your background and goals for your study at this institute. Be sure to mention any institutes or seminars you have attended. The statement ought not to exceed three pages. (MS Word or Adobe PDF only)
* Please append your current resume. (MS Word or Adobe PDF only)
   
 Supporting Materials
In order for us to get to know more about you, you must have a former student and a supervisor send us a supporting letter via email. They should be emailed to educate@Folger.edu with your name in the subject area. Please submit their names below.
 Student's Name:*
 Grade and Class:*
 Email Address:*
The second letter must be from your department chair or supervisor certifying your status in the department and any other details about your teaching that they think relevant.
 Name:*
 Position:*
 Email address:*
   
Submitting the Application
   
                  


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