Edelman Fellowship 2023-2024 Application

Edelman Fellowship 2023-2024 Application

Certification of Eligibility

In order to be eligible for a Cindy Edelman Excellence in Teacher Fellowship, you must meet all of the following criteria.

Please review each criterion and certify that you meet each of them.

I am a teacher in Duval County Public Schools or a public charter school teacher in Duval County.

Yes, I affirm this to be true.

I spend at least 50 percent of my work week directly instructing students.

Yes, I affirm this to be true.

I have at least two full years of teaching experience.

Yes, I affirm this to be true.

I intend to return to teach in Duval County Public Schools or a public charter school in Duval County in 2023-24.

Yes, I affirm this to be true.

My principal is aware of my application to the Fellowship, and has provided a letter of support for my participation.

Yes, I affirm this to be true.

Principal First Name	Principal Last Name
Principal Work Email	Principal's Letter of Support

Application Type

I am applying as a(n)

IndividualTeam

Personal Information

First Name

Last Name

Work Email

Mobile Phone

Home Address

Home Address City

Home Address State

Home Address Postal Code

Demographics

Gender

MaleFemalePrefer not to answer

Ethnicity

Hispanic/Latinxnot Hispanic/Latinx

Race

American Indian/Alaska NativeAsian/Asian AmericanBlack/African AmericanNative Hawaiian/other Pacific IslanderWhite/Caucasian

Add another team member?

YesNo

Personal Information - Team, Second Applicant

First Name

Last Name

Work Email

Mobile Phone

Home Address

Home Address City

Home Address State

Home Address Postal Code

Demographics

Gender

MaleFemalePrefer not to answer

Ethnicity

Hispanic/Latinxnot Hispanic/Latinx

Race

American Indian/Alaska NativeAsian/Asian AmericanBlack/African AmericanNative Hawaiian/other Pacific IslanderWhite/Caucasian

Add another team member?

YesNo

Personal Information - Team, Third Applicant

First Name

Last Name

Work Email

Mobile Phone

Home Address

Home Address City

Home Address State

Home Address Postal Code

Demographics

Gender

MaleFemalePrefer not to answer

Ethnicity

Hispanic/Latinxnot Hispanic/Latinx

Race

American Indian/Alaska NativeAsian/Asian AmericanBlack/African AmericanNative Hawaiian/other Pacific IslanderWhite/Caucasian

Abstract

Please describe your project with as much detail as possible so that the selection committee will be able to fully understand every element of your proposed learning experience.

Please provide a one sentence summary of your project. (Limit 50 words.)

Please provide the Youtube link for your elevator pitch.

Rationale and Purpose: What is the problem or need you are seeking to address through this fellowship proposal? (Limit 50 words.)

Project Description: What are the key components of this proposal? What are your primary goals? (Historically, winners wrote on average 150 - 250 words. Limit 275 words.)

Professional Growth and Learning: How will the activities of your project support your personal and professional learning and your career development goals? (Historically, winners wrote on average 150 words. Limit 175 words.)

Student Growth and Learning; Benefits to the School Community

How will the activities of your project lead to significantly improved student outcomes in both academic and non-academic (teamwork, critical thinking, etc.) ways?

Students: How will your project help you address the needs of your lowest performing students? (Limit 175 words.)

School and Community: How will the fellowship benefit your school and community? What are your specific plans for sharing your learnings with your colleagues? (Historically, winners wrote 125-150 words. Limit 175 words.)

Implementation Plan: How will you integrate and evaluate the learnings from your fellowship in your classroom and school? Be as specific as possible with your measures. (Historically, winners wrote on average 150-200 words. Limit 225 words.)

Fellowship Logistics

Please do your best to provide as much detail about your proposed learning experience as is currently available. The selection committee is sympathetic to the current uncertainties.

What is the estimated length, in days, of your fellowship activities?

If you know, what are the estimated start and end dates of your fellowship activities?

Start Date

End Date

City

Country

State

Proposed Fellowship Budget - Individual

Please provide a budget for your Fellowship experience. Combine like items (e.g. multiple plane tickets) together. Please convert all foreign currencies to U.S. Dollars and round to the nearest dollar.

Download a copy of the Edelman Budget Template

Upload your proposed budget.

Total Funding Request (not to exceed $6,500.00)

Budget Narrative: Please provide a brief narrative showing evidence of thoughtful planning and research for your specific itinerary. The narrative should explain the rationale for the project's expenses and approximate costs as closely as possible, while citing the resources you used to estimate costs. Costs must be realistic in relation to the proposed scope of the fellowship. (Limit 200 words.)

Please attach any supporting documentation for the cost estimates you have included in your fellowship budget. Example documentation includes itineraries from travel websites, conference information pages, or online listings for items to be purchased. Please consolidate all items into a single PDF file.

Additional contribution(s), if applicable: Should the cost of your fellowship exceed $6,500.00, please share sources of funding that you will use to meet the needs. Please include the source and the amount.

Proposed Fellowship Budget - Team

Please enter the total costs for each of these common budget categories. Combine like items (e.g. multiple plane tickets) together.

Please convert all foreign currencies to U.S. Dollars and round to the nearest dollar.

Download a copy of the Edelman Budget Template

Upload your proposed budget.

Total Funding Request (not to exceed $10,000.00)

Budget Narrative: Please provide a brief narrative showing evidence of thoughtful planning and research for your specific itinerary. The narrative should explain the rationale for the project's expenses and approximate costs as closely as possible, while citing the resources you used to estimate costs. Costs must be realistic in relation to the proposed scope of the fellowship. (Limit 200 words.)

Please attach any supporting documentation for the cost estimates you have included in your fellowship budget. Example documentation includes itineraries from travel websites, conference information pages, or online listings for items to be purchased. Please consolidate all items into a single PDF file.

Additional contribution(s), if applicable: Should the cost of your fellowship exceed $10,000.00, please share sources of funding that you will use to meet the needs. Please include the source and the amount. (Limit 100 words.)

School and Teaching Information

Current school

If other, please specify.

Grade level(s) you teach

Subject area(s) you teach

Number of years teaching

Number of years at your current school

Is there anything about your current teaching assignment that you want us to know? (e.g. if you teach at multiple schools, etc.) Limit 250 characters.

Fellowship Agreement

Should you be awarded a fellowship, please affirm that you will:

Accept the fellowship

I agree

Submit all necessary paperwork (e.g. grant contract, media release, W9s if a portion of the award is going toward stipends) prior to receiving the award payment.

I agree

Understand that a portion, or all, of the award may be considered taxable income (e.g. stipend payments are taxable income).

I understand

Provide blog entries, photos, and other media to the Jacksonville Public Education Fund before, during and after your fellowship.

I agree

Attend recognition events and be willing to present about your learnings and experience on a regular basis.

I agree

Be e-signing my name below, I certify that the information that I have provided is complete and correct. I understand that my failure to provide complete, accurate, and truthful information on the application is grounds to deny or withdraw my fellowship and seek reimbursement for any funds already awarded.

How did you hear about this fellowship opportunity?

Social Media	Teacher of the Year Orientation
JPEF Website	Word of Mouth
A previous Fellow	JPEF Team Member
Other

If other, please specify.

Contact Information