Florida Humanities Council FCT Registration

Teacher Programs > Summer Seminars

FHC Summer Seminar Application

Before completing this application, click here to read FHC’s eligibility and application guidelines.

* Denotes a required field

TEACHERS CENTER ATTENDEE INFORMATION

* Are you an alumnus of the Teachers Center?
Reminder: Alumni must pay the cost-share fee of $600 to attend an FHC summer seminar.

Yes No

* If yes, name of program attended:

* Year attended:

* Are you a recipient of a scholarship from your local education foundation to attend the FHC Teachers Center?

Yes No

REFERRAL INFORMATION

* How did you hear about us?

If other, please specify:

PERSONAL INFORMATION

* Salutation:

* First Name:

* Last Name:

* Home Address Line 1:

Home Address Line 2:

* Home City:

* Home State:

* Home Zip Code:

* Home County:

* Home Telephone (Including Area Code):

xxx xxx-xxxx

Cell Contact Number(Including Area Code):

xxx xxx-xxxx

* Preferred Email:

* Email Type:

FHC communicates exclusively through e-mail. We strongly recommend that you use a personal e-mail address rather than your school e-mail address. School e-mail systems tend to have very strict SPAM filters that may prevent you from receiving important communications from the online application system

Click here if you would like to be added to FHC's electronic mailing list.

SCHOOL INFORMATION

* School Name:

* School Address:

* School City:

* School State:

* School Zip:

* School County: (For Florida Virtual School, Select Orange County)

* Is your school public or private?

Public Private

* School Contact Number (Including Area Code):

xxx xxx-xxxx

School Fax Number (Including Area Code):

xxx xxx-xxxx

* Principal's Salutation:

* Principal's First Name:

* Principal's Last Name:

* Principal's e-mail address:

* What grade level do you teach?

* What subject do you teach?

If other, please specify:

RESUME INFORMATION

* What College/University did you attend (for highest degree earned)?

* College/University City/State:

* Highest Degree Earned:

* Area of Certification:

If other, please specify:

What year did you begin teaching?

What year did you begin teaching in Florida?

What other relevant educational, career, or volunteer information should we know about? Please include awards, special certifications, etc.

SEMINAR PREFERENCE

Please choose the topics you would like to explore in order of your preference, 1 being the highest, 2 being the lowest:

* First Choice:

* Second Choice:

* Third Choice:

PERSONAL STATEMENT

* In the space provided, please provide a statement of up to 250 words telling us why you want to spend a week exploring the topics you've chosen. This is one of the most important pieces of your application – it is the only way you have to introduce yourself to a selection committee who does not know you. Please address the following items:

how the seminar will benefit you professionally
how the seminar will benefit your students
how your personal and professional background will enrich discussions and collaborations with seminar colleagues

You may cut and paste your statement from Microsoft Word. Note: Alumni of the FHC Teachers Center do not need to complete the essay portion of the application.

"I certify that the information contained in this application is correct and true."