Executive Function and Equity Fellowship Application Form

Please fill out the questions below. Applications will be interviewed on a rolling basis through September 2022. If you have any questions or concerns, please contact Caitlin Vanderberg, M.Ed., SMARTS Associate at [email protected]

Name*

First Last

Email*

Name of School/Organization:*

City:*

State:*

Professional Role:*

Grade levels you teach:*

Please describe your school community:*

Rate your familiarity with executive function strategy instruction:

Beginner
Somewhat experienced
Very experienced

What are the primary obstacles interfering with your students' success?*

Why are you interested in learning more about EF and how does EF instruction align with your goals as an educator ?*

How have you taken steps to move towards equitable learning for all students? What are your goals in this area?*

This fellowship will involve teaching EF strategies regularly, with a recommended minimum of 20 minutes a week. How do you see that time fitting into your school day?*