Urban Education Internship Application Form

Dear Students,

Please answer these questions to help us prepare for your placement. Spaces are limited and we will contact you to let you know if you have been granted a waiver and a place in the program.

If you have any questions please contact

Prof. Jonathan Miller-Lane, jmillerl@middlebury.edu
Ms. Trish Dougherty ext 5013

Name *

College ID number *

Projected graduation date *

Please indicate your minor *

EDEL, elementary education with licensure

EDSL, secondary education with licensure

EDGW, general minor in education studies

undeclared

Other...

Please indicate your minor Other...

Have you taken one of the prerequisite classes, EDST 0115 or SOAN 0215? *

Yes

Why are you interested in this internship? *

In no more than four sentences please tell us how this internship will enhance your Middlebury education.

What skills and talents can you bring to this internship? *

You shared how the internship will benefit you, in no more than four sentences tell us what you can bring to the classroom.

What subject or grade would you like to teach?

If we are able to take your preference into consideration which grade level would you prefer? To which content areas might you be able to contribute, e.g. math?

Are you familiar with the DC area? *

Leave this field blank

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Urban Education Internship Application Form

Program in Education Studies