Application for Idea Institutes: Indicate if this is a Scholarship Application

Name :

Address:

City: State:

Zip Code:

Phone number with area code:

Cell phone with area code:

Email:

School District:

School Name :

School Address:

School City: State:

School Zip Code:

School Phone number with area code:

School Email:

Scholarship Application Requirement:

Include 250 word statement why you/your group deserves to be awarded a scholarship.

Indicate which presentation format interest you/your group.

( see choices below)

How after having been awarded the scholarship will the information impact your teaching style? your classes? your students?

Submit slides ( digital or 35 mm) of your portfolio with a description sheet (optional)

Slides being mailed No, slides are not being sent! Mail slides to:

IIS 111 Main Street S.L. TX 77478

Check area of interest:

Date for Professional Development Session: Month/day 05/16/

Year: 20062007 2008 2009 2010

Come to my school district for a group of teachers who want to get together for IDEAS!

District would pay for:

1 day 2 days3 daysa week ( 5 days)

Note: Hotel accommodations, meals and travel must be included in whatever choice is made.

Sign me up in a SUMMER RETREAT in a pretty place for one week ( 5 days)

Sign me up in a WINTER RETREAT in a pretty place for one week ( 5 days)

in Texasout of Texas in a cabin/resort like setting with morning sessions of viewing student art work and afternoon sessions of making art in different experimental processes. The focus of these IDEA INSTITUTE sessions would be the exchange of lessons on; drawing, painting, journal work, altered books, design, mixed media, and digital/electronic media.

Train me/my teachers in Grantwriting , our dreams are bigger than our budgetary alocations.

Train me/our teachers in the winning BOOTCAMP grant to fly into schools with/without computers and train them in the effective use of making art on the computer.

We want a customized staff development that focuses on the following:

Show Project IdeasShow Media ExamplesShow Student Portfolios

Show Art 1 Art 2Art 3Art 4AP ( Advanced Placement)All levels

Any additional comments:

Thank you for taking time to make application to the Idea Institutes. A staff member will be contacting you to let you know of the availability of the requested sessions in your area.

A gift has been prepared especially for you. An email link will be sent to you so that you may acquire your gift. Indicate which preferred email link you would like to have your gift sent.

Send FREE GIFT to my home email or my school email address.

Home Email:

School Email:

Thank your for your time and consideration in this matter. We look forward to working with you!


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