Smithsonian American Art Museum and the Renwick Gallery

Larger Type

Smaller Type

Social Media @ American Art

Education

The Clarice Smith National Teacher Institutes
Smithsonian American Art Museum

Application Form

Thank you for your interest in applying to the Clarice Smith National Teacher Institutes. Whether applying alone or as a member of a team, each teacher must submit a complete, individual application.

Applications Due: April 1, 2013

Acceptance Notification: April 22, 2013

Acceptance notification and other communication about the Institute will occur via email. In the "Preferred Email Address" text box of the application, please provide us with the email address for the account you will have regular access to throughout the summer.

You will not be able to save your application or return to it once it has been submitted. Before submitting, be sure that all sections of the application are complete and that you print a copy for your records.

If you are experiencing technical difficulties with this online application form, email: AmericanArtClariceSmithInitiative@si.edu

Fields marked with an * are required.

Contact Information

First Name *

Last Name *

Preferred Email Address *

Personal Email Address

Work Email Address

Home Address 1 *

Home Address 2

City *

State/Territory *

Country*

Personal Phone Number *

Team Member(s), if applicable

School Information

School Name *

School Type *

If Other, please specify

School District or Affiliation

School Address 1 *

School Address 2

City *

State/Territory *

Country*

School Phone Number *

School Website

Subject(s) you teach (select all that apply) *

Art history/visual arts
English/language arts
ELL/ESL/ESOL
Foreign language

Library science
Math
Media/technology
Music/performing arts

Science
Social studies
Special education

Other (please specify)

Grade level(s) you teach (select all that apply) *

6 7 8 9 10 11 12 Other (please specify)

Total years teaching *

Institute Preferences

First Date Choice *

Second Date Choice *

Tell Us More About Yourself

Describe an interdisciplinary project you took part in teaching and/or planning. What made it challenging? What made it rewarding? *

Describe an innovative lesson you created and taught which you found successful. What do you think your students gained from this lesson? *

Tell us more about yourself and why you (and your team, if applicable) are uniquely suited to participate in and contribute to this Institute. *

Which of the following technologies and applications are you currently using for instructional purposes (select all that apply)?

Computers
Interactive whiteboards
Overhead/LCD projectors
Mp3 players/digital recorders
Videoconferencing
Internet access
Mobile devices

Collaborative tools (e.g. Google tools)
Presentation tools (e.g. PowerPoint)
Multimedia tools (e.g. VoiceThread)
Audio editing tools (e.g. Audacity)
Social networking websites (e.g. Ning)
Course management software (e.g. Moodle)
None of the above

Other (please specify)

Explain your instructional use of the above technologies and applications.

Which of the following factor(s) influenced your decision to apply to the Institute (select all that apply)? * Art integration aspect of the Institute
Availability of Clarice Smith scholarships
Dates of sessions
Financial support from school/district
Professional development/advancement/graduate credit
Smithsonian brand name
Technology aspect of the Institute
Washington, D.C., location
Other (please specify):

Do you plan to apply for graduate credit for your participation in this Institute? *

Do you anticipate receiving professional development credits through your school or district for your participation in this Institute? *

Before submitting, be sure that all sections of the application are complete and that you print a copy for your records.

The Clarice Smith American Art Education Initiative is supported by a generous gift from the Robert H. Smith Family Foundation.

Education

The Clarice Smith National Teacher Institutes
Smithsonian American Art Museum

Application Form

Contact Information

School Information

Institute Preferences

Tell Us More About Yourself

Hidden Treasures

Popular Links

Education

The Clarice Smith National Teacher Institutes Smithsonian American Art Museum

Application Form

Contact Information

School Information

Institute Preferences

Tell Us More About Yourself

Hidden Treasures

Popular Links

The Clarice Smith National Teacher Institutes
Smithsonian American Art Museum