Personal Information
School Information
Teaching Information
Please write a brief profile of your professional life in the third person (i.e. do not use "I"), including ways you have been innovative in education. Possible topics include education, subjects areas taught, coaching, accolades, leadership, unique experiences, career highlights, etc. See an example of a profile.
Please upload your most recent school yearbook photo or a professional looking photo with a solid background. Selfies, photos with spouses and/or children cropped out, and silly faces are photos that do not meet the guidelines. If possible, a high resolution image is preferred.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png bmp tif.
I give permission to use my information in a published document to showcase certified STEM Innovator® teachers.
Team Information

One team member from each team must complete this section. Answers should be written collaboratively by the team. If you are not on a team, please make sure you still fill out this section.

If applicable, list your team members, in alphabetical order by last name.
How do you plan on communicating with your team members? If you have other teachers at your school involved in STEM Innovator, but aren't going through this scale up program with you, how will you communicate with them (i.e. during the week long training AND after the week long training)? Will you text, call, email, have regular meetings to collaborate, or...? List your plan to communicate here.
Please submit a brief description of your school or school district. Please include demographic data, unique features, opportunities, areas of focus, and challenges.
Please submit a brief description of your community. Please include unique features, opportunities for engagement, and challenges.
Onsite Lunch Information

Please list any dietary restrictions (i.e. vegetarian, gluten free)