Exterior of a large beige building with ceiling-height windows at the entrance and a bronze statue of a man walking in front.

Photo by Mark McDonald.

The Promise of America Application Form

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

School Name(Required)

School Address(Required)

School Phone Number(Required)

School District’s Congressperson(Required)

What is the median income for households in your district?(Required)

School’s Title One Status / ~ % of Students Receiving Free or Reduced Lunch(Required)

What is the ethnic breakdown of your school’s population?(Required)

What grade level do you teach?(Required)

What content area(s) do you teach?(Required)

Tell us about yourself and your experience as a classroom teacher.(Required)

What are some current instructional or classroom challenges that you are facing, and how do you think participating in this program will help you address them?(Required)

In thinking about new skills, understandings and connections, what are you hoping to get out of this program?(Required)

In what ways do you collaborate with other educators?(Required)

How will you share your experience in the program with colleagues and administrators in your home school/district?(Required)

Which other programs offered by Ford’s or the Truman Library have you participated in previously?(Required)

Is there anything else you would like to inform us about your school community or teaching practice?(Required)

How did you hear about this program?(Required)

By checking this box, I acknowledge that this professional development opportunity is held in Independence, Missouri, and I am responsible for arranging my own transportation and accommodations.(Required)

Agree