IPaSS Application

Completion of this form is the first step in our application process. Your answers to the questions below will be used to give us a sense of your interest in IPaSS and inform our future communication with you. You should expect a member of the IPaSS team at U of I to reach out within a week of submission to start a dialogue with you about your teaching background, goals and specific needs.

1. Your name

2. Your email address answer must be an email address

3. Your phone number answer must be phone number with area code like 217-333-1000

limited to 14 characters.

4. Your school's name

5. Your school's city

6. Your school's state

limited to 2 characters.

7. Your school's zip code answer must be a zipcode like 61864 or 61864-8180

8. Your position

9. Which level of partnership best matches your interest?

9. Which level of partnership best matches your interest?

I'm not sure

Exploratory

Gateway

Fellow

10. Which description best matches your level of interest?

Undecided, just trying to learn more

Interested, hopeful this is a good match for my situation

Enthusiastic, I'm confident this is a good match for my situation

11. Using the space below, please briefly describe why you are interested in joining IPaSS. What are some of your goals and what do you think this program might be able to offer? If you have any questions about partnering with us, please also note them here. This information will help us frame our next conversation with you.

Include your email address in your submission to:

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