Teacher Application Form

PPL Foundation STEM Stars Awards – Teacher Application

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About You

Your Name(Required)

First Last

Your Email Address(Required)

Email Address Confirm Email Address

Primary Phone Number(Required)

School(Required)

Principal's Name(Required)

First Last

Principal's Email Address(Required)

Email Address Confirm Email Address

School District(Required)

Which award would you like to be considered for?(Required)

Please share a current resume and/or CV that includes relevant career positions, degrees, and other professional activities. (maximum 2 pages)(Required)

Max. file size: 24 MB.

Upload First Letter of Recommendation (must be from your building administrator or department head).(Required)

Max. file size: 24 MB.

Upload Second Letter of Recommendation(Required)

Max. file size: 24 MB.

Please share a STEM Lesson (Up to 5 files) that includes:(Required)

* Goals and objectives of the lesson. * The plan for lesson that describes learning activities, sequence and timing. * Supporting documents (i.e. student handouts, resources, rubrics, student work samples, etc) * Grade-level standards that are supported. * 3-4 scans/photos of student work samples and/or students engaged in learning (please redact names and ensure photo permissions). * A reflection on student learning that was achieved.

Drop files here or

Max. file size: 24 MB, Max. files: 5.

Please upload a file with your Personal Reflection on STEM Learning that addresses both of these prompts:(Required)

*How do you define Integrated STEM Learning and why is it valuable for students and the community? *What are some short and some long-term benefits from students engaging in Integrated STEM learning?

Max. file size: 24 MB.