Name: 							School:

School District: 					Position and Grade Level: 

Name(s) of other educators from your school who are applying as part of your team (each individual team member must fill out their own application):

Why do you feel that creativity is an essential part of learning?

What is the role of creativity in education today? What does creativity look like in your classroom or position?

What do you hope to gain from the Teaching for Creativity Institute?

What strengths will you be able to bring to the Teaching for Creativity Institute cohort? 

Home address:						School address:

Home phone number:					School phone number:

Email address: 

Please complete and return via email to Jennifer Lehe, Jennifer.Lehe@cmaohio.org . Early acceptance date is Friday, April 3, 2014; final deadline for application is Sunday, May 10.