2018Teen Teacher Application

Summer of Science

Funded by UMaineEPSCoR, Maine 4-H Foundation and the USDA Children,

Youth and Families At-Risk program.

Due: June 1, 2018

Name: ______

Last First Middle

Mailing

Address: ______

Street City State Zip

Phone - Day: ______Phone - Evening: ______

Grade in School: ______School: DOB: ______

E-mail Address: ______

Have you ever been in 4-H? ______Yes ______No ______Not Sure

Have you ever been a 4-H teen leader or teacher? ____ Yes ____ No

If yes, how many years? ______Where? ______

City/State

Please complete the following parts of the application and submit electronically or to the address below:

☐Attached Teen Teacher Profile

☐ One (1) letter of recommendation

Upon completion, please return application to:

UMaine Extension Cumberland County

Attn: 4-H

75 Clearwater Dr. Ste. 104

Falmouth, ME 04105

Questions? Please contact your local Extension EducatorMitch Mason, 207-781-6099,

2018Teen Teacher Profile

1. Tell us about volunteer experiences you have had before - you can talk about what you did as a volunteer, where you volunteered or anything else you want us to know. (in 100 words or less)

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2. Imagine you have completed this job and it is end of summer. Do you think you will be better at doing something? If so, what will you do better at the end of summer than what you do now?

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3. What do you think is the most important step when teaching a lesson to an audience?

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2017 Summer of Science

Teen Teacher Profile (page 2)

4. Think about yourself as an adult with a job in 10 or 20 years. Tell me the most important skills you will need to do well at your job as an adult?

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REFERENCE

List one reference who can speak to your qualifications as a Teen Leader:

(Be sure to ask permission to list each reference and let them know about your application.)

Name:

Phone Number:

Email address:

MARK YES OR NO

___ YES ___ NO“I have discussed the responsibilities of this leadership role with my family and am prepared to fulfill the commitments.”

___ YES ___ NO “I can attend the mandatory two day trainingin Portlandon June 26, 27, & 28, 2018.”

Finished!