Summer Program :: Instructor Application

Apply for the Summer Program's Leapfrog, Apogee, Spectrum or Equinox programs

For... Students Parents Educators Alumni

Section A: Personal Contact Information
*First Name
Middle Name
*Last Name
*Birth Date:
*Street Address
Suite/Apt.
*City
*State
*ZIP
Country
Evening phone (with area code)
Cell/day phone (with area code)
*Email
*Can you attend the instructor orientation?	Yes No
*Do You Need Library Privileges?	Yes No
Course 1 Information
Program:
	Teachers working in the Leapfrog or Apogee One-Week programs should select Session 1.
Session:
Course Name:
Do Students Need Library Privileges?	Yes No
Course 2 Information
Program:
	Teachers working in the Leapfrog or Apogee One-Week programs should select Session 1.
Session:
Course Name:
Do Students Need Library Privileges?	Yes No
Course 3 Information
Program:
	Teachers working in the Leapfrog or Apogee One-Week programs should select Session 1.
Session:
Course Name:
Do Students Need Library Privileges?	Yes No
Course 4 Information
Program:
	Teachers working in the Leapfrog or Apogee One-Week programs should select Session 1.
Session:
Course Name:
Do Students Need Library Privileges?	Yes No
Course 5 Information
Program:
	Teachers working in the Leapfrog or Apogee One-Week programs should select Session 1.
Session:
Course Name:
Do Students Need Library Privileges?	Yes No
Course 6 Information
Program:
	Teachers working in the Leapfrog or Apogee One-Week programs should select Session 1.
Session:
Course Name:
Do Students Need Library Privileges?	Yes No

	* denotes required field

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