Preceptor Application: UT EdEN Intern Program
Thank you for your interest in becoming a Preceptor for the UT EdEN (Education, Evaluation, Nutrition) Intern Program!  Preceptors will host two EdEN Interns who will work with you to lead 5 nutrition-focused lessons in your school garden during the Spring 2023 semester.  
Please complete this Preceptor application to host EdEN Interns for the Spring 2023 semester. Applications are due NO LATER than December 12, 2022. You will be notified of your acceptance into the program by December 15, 2022. 
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Email *
Name *
School *
School District *
Preferred method of communication *
School email address *
Non-school email for alternative communication option *
Cell phone number *
Did your school participate in the TX Sprouts program? If so, what year? *
Did you and your class(es) participate in the TX Sprouts Program? If YES, what grade did you teach at the time, and who was the TX Sprouts educator? *
Have you been a Preceptor for UT EdEN Intern(s) in the past? If so, what year and what was the name of your Intern(s)? *
Have you participated in the SproUTing Teachers Program in the past? If so, during what year, and what was the name of your coach? *
What grade level do you currently teach? *
How many years have you been teaching at your current school? *
Are you departmentalized OR self-contained? *
If you are departmentalized, what subject(s) do you teach, and how many sections of each subject do you teach? *Please note, intern pairs are only available to teach ONE section.
If other teachers on your grade level team are applying to be Preceptors, how do you feel about participating if you are the ONLY teacher from your grade level who is selected as a Preceptor? *
Why are you interested in hosting a pair of EdEN Interns? *
Why do you think it’s important for elementary students to learn about nutrition and making healthy food choices? *
In what language would you prefer the Interns teach their lessons? **Please note that Spanish-speaking Interns are a possibility, but are not guaranteed.** *
How is your school garden managed (e.g. a leadership team made of teachers/parents/staff; a few dedicated teachers who use the garden regularly; one "champion" teacher who does most of the work; etc.)? *
Have you been involved in caring for your school's garden? If so, please explain your involvement (e.g. what was your role, how many years have you helped with the garden, etc.)? *
What features does your school's outdoor classroom area contain (please check all that apply)? *
Required
Please describe your school's garden: How many garden beds are there? Approximately what size are the beds? Who currently uses them? Will the beds be available for you to use in the spring semester (with an Intern pair)? *
Please describe the status of your school's garden at this moment (e.g. in total disrepair, no weeds but also not being utilized for veggies, fully functioning with veggies/flower/intentional plants, etc.). Be honest! *
Will you be available to attend a mandatory 2-hour virtual Preceptor training the week of January 9-15, 2023? Multiple dates/times will be offered (TBD). Note that participants will be given 2 hours of CPE credit for attendance. *
At this time, what dates/times in January would you PREFER to attend the 2-hour virtual training (e.g. January 11 after school, Saturday morning, weekday evening, etc.)? *
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