Educator Application for STEM Externship
Are you ready to embark on an enriching journey of professional development that not only captivates your interest but also equips you with skills directly applicable to your students' future careers? We invite you to take part in shaping the future of education and workforce development in Colorado through the innovative K-12 Teacher Externship Program, a groundbreaking initiative brought to life by the Colorado Department of Labor and Employment (CDLE) in response to Colorado House Bill 23-1198. 

As a participant in this program, you'll not only enhance your understanding of STEM fields but also develop practical skills that will resonate in your classroom. The connections you forge with professionals in the STEM industry during your externship will be invaluable, enriching both your personal growth and your students' educational journey.

Please answer all the questions below, which will allow us to tailor the first year of the program to your unique needs and interests, and to match you with an employer who can provide an Externship opportunity that is a good fit for you. Applicants must be currently employed by a public school in Colorado with plans to return to the classroom in the 2024-25 school year to participate.
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Name (First, Last, Middle Initial) *
Home Address (Street Address, City, State, Zip)
Your email address *
Your phone number *
Your current employer school information  (name, street address, city, state, zip) *
Name of district or authorizer of the school where you currently work  *
Your supervisor's name and title *
How did you hear about the CDLE Externship Program? *
Education/Degrees (list all degrees earned, area of study, college or university name(s)  *
Employment/Teaching Background (please include experience that is relevant for the Externship you are seeking rather than a full job history) *
Current course(s) and grade level(s) taught *
If known, what course(s) and grade level(s) will you be teaching in the 2024-25 school year?
Previous course(s) and grade level(s) taught
Please list any professional development, awards, research, or any other information you would like us to consider.
Please list your area of interest for the Externship you wish to secure. Be as specific as possible. *
What level of time commitment would be ideal for addressing your area of interest with the Externship? 
*
If known, please provide the name and location of the business with which you would like to partner for your Externship. If there is more than one, please include them in your response.
If applicable, please list any teachers also applying for an externship with whom you would like to work.
Please list any applicable STEM experiences you have that are relevant to the externship you are seeking.
Computer skills: please rank your proficiency in the following programs or skills *
I am not proficient in this area
With a little support, I could become comfortable/proficient in this area
I am comfortable/proficient in this area
I am already an expert in this area
Word processing
Spreadsheets
Social media networking
Computer programming, coding
Computer-Aided Design (CAD)
Databases
Office Skills
Lab-based computer programs
Why are you interested in participating in this Externship program and what are your expectations for this experience? *
If offered an Externship, how do you foresee using the knowledge gained to enrich your classroom setting? *
References:  Please provide names, emails and phone numbers for at least two professional references that can attest to your work quality, ethics, and reliability.  Please include the reference's professional title and your relationship to them.   *
By typing your full name below, you acknowledge and accept the following statement:  

"I hereby certify that all information provided on this application is true and complete to the best of my knowledge. If accepted, I understand that providing false information is grounds for dismissal from the program."
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