TaRGET - American History

TaRGET Application

*Required

Our goal is to train at least one elementary (grade 4 or 5), middle (grade 7 or 8), and high school (World History or U.S. History) in your district by the end of year 3 of the grant. Please complete this form if you would like to apply. For more information, click here. You will have an opportunity to print your application after you submit it.

Teacher First Name:*

Last Name:*

Email:*
Home Phone:*	Work Phone:*

District:*

Campus:*

Grade:*

American History Experience:*

Leadership Experience:*

How would you rate your proficiency in using technology?*

Have you ever conducted a professional development session? If so, please explain:*

Resume:*
Lesson Plan:*

Nominated or Approved By:* Please enter name of your supervisor or principal.

By approving the nomination above you agree to support the criteria and requirements listed. If you have any questions, contact:
Bobette Mauck, TaRGET Administrative Assistant, Region 10 ESC.