Cultivate Scholarship

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Name *

First

Last

Email *

Phone *

School District *

• Huntsville City Schools
• Madison City Schools
• Madison County Schools
• Limestone County Schools
• Athens City Schools
• Other

School District

Grade Level (select all that apply) *

• Daycare/PreK
• Kindergarten
• First grade
• Second grade
• Third grade
• Fourth grade
• Fifth grade
• Sixth Grade
• Middle School
• High School
• Other

School Name *

Do you teach at a Title 1 school? *

• Yes
• No

Please choose which category below best describes your role. *

• Classroom Teacher
• STEM Teacher
• Science Teacher
• Gifted Teacher
• Homeschool Teacher
• Administrator
• Other

How many of your students do you think will be impacted by what you learn in the STEM Teacher Professional Development Program? Please state this as your best estimate in number format. *

How confident are you in your ability to teach STEM plant science lessons? (1: not confident at all; 10: extremely confident) *

• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10

What do you hope to gain from attending the STEM Teacher Professional Development Program? What are your expectations and goals for this program? *

When you click submit below, instructions for the next step in registering for the next Cultivate session will be emailed to you including the link and discount code. Be sure to note the information. *

• I understand this form does NOT register me for the class. The next message that pops up after I click submit will give me instructions on how to register using the promo code. I will return to the HBG website to register by clicking on the date/time for the session I wish to attend.

Submit