<p>Educator-in-Residence Application Form and Instructions </p><p>Please complete this form and then follow the directions that follow!</p><p>Name (Last, First, Middle): </p><p>Email Address: </p><p>Phone Number: </p><p>Fax:</p><p>Preferred Postal Address: </p><p>Proposed Project Title: </p><p>Professional Employment: (List the positions and dates beginning with the most recent):</p><p>Professional degrees, dates obtained, institutions, disciplines, beginning with the most recent:</p><p>Please describe your experiences and background in career and technical education including your involvement with ACTE: </p><p>What are the beginning and ending dates you are proposing for the Educator-in-Residence Program?</p><p>Beginning Date: Ending Date: </p><p>Please briefly answer the following questions:</p><p>1. What do you expect your Educator–in-Residence activities will contribute to career and technical education or to ACTE? </p><p>2. How would you benefit from your stay as an ACTE Educator-in-Residence?</p><p>3. Are there any specific individuals or areas within ACTE or in the Greater Washington DC area that you would like to interact with while serving as the Educator-in-Residence? Additional Instructions:</p><p>1. Attach an up-to-date resume</p><p>2. Include a list and description of the proposed activities in which you would like to be involved in as the Educator-in-Residence. The maximum length should be 300 words or less.</p><p>3. Include a more detailed description of the proposed activity or activities. The maximum length should be 1,500 words. The entire document should be double-spaced, in 12 point typeface, with one inch margins. Please address the following:</p><p>A. Importance of or need for this activity B. Objectives to be accomplished/products to be developed C. Specifically what are you proposing to do? D. Proposed Timeline E. Anticipated Final Product </p><p>4. Three letters of recommendation/support from faculty or professionals in your field, administrators or other appropriate individuals should be included with your application package. </p>