Teacher Champion Application

Application

*required items

Application Type*

Name*
(for a corporate application this is the contact or HR person)

Company (if applies) Title (if applies)

Work Address* City* Zip*

Work Phone* Fax Work email*

Home Address City Zip

Home Phone Cell Home email

Preference (individual applicants please provide a home or cell number)

(This section need only be completed by an individual applicant.)

Do you have a Teacher Champion Partner?

Yes

Partner Name
(If so, they must also complete this form separately)

What region would you prefer to be placed in?

Grade level preference? 2nd choice?

Do you have a subject area preference?
(if none, or not sure, leave blank)

Are you familiar with The Education Fund's programs?

Yes

If so, which ones (select all that apply)?

Art of Found Objects Art Auction
AmeriCorps
Citibank FamilyTech
Citibank Success Fund
Education License Plate
IMPACT II Adapter & Disseminator
IMPACT II Idea EXPO
New Teacher Mentoring Program
Ocean Bank Center for Educational Materials
Parent Resource Guide
Teacher Mini-Grants
Other

How did you hear about The Education Fund’s
Great American Teach-A-Thon?

*On behalf of myself or the organization I represent, I/we agree to participate in The Education Fund’s Great American Teach-A-Thon. In doing so, I/we agree to assemble at least one team of two people, who will commit to the following:

• The team will help The Education Fund champion the teaching profession.

• The team will recruit a partner and will work with the teacher assigned,
learning what it takes to be an effective teacher.

• The team understands that each person only need to commit approximately two hours per month, from mid-August through mid-November.

• During the two hours per month, the team commits to enjoying two fun networking/training events (we can choose ones offered during the day or after work), two parties (a kick-off event and a celebration event), and periodic calls with our teacher.

• The team will gladly spend approximately two hours on the day of the Great American Teach-A-Thon teaching in the classroom (with our teacher acting as our aid!).

• The team will raise money from friends, co-workers, and family based on how many minutes we can “survive in the classroom.” Funds raised will benefit all teachers through The Education Fund (50%) and participating teachers’ classrooms (50%).

Questions? Please contact Corey Yugler, Campaign Coordinator
The Education Fund, 305-892-5099, ext. 12, cyugler@educationfund.org.

For additional information on The Education Fund’s Great American Teach-A-Thon
or on any other program, please logon to: www.educationfund.org