Cellular Construction Workshop                 Teacher Application

Thank you for your interest in SEP's Cellular Construction Workshop. Please complete the application to the best of your ability.

If you are nominating students, they will receive an email once your application is submitted with a link to their own application form.  Please note that the student application deadline is Friday, March 24th, 2017.  Therefore, please fill out this application in advance to give your students plenty of time to apply.
Teacher Info
Please fill in the information below about yourself.
All the information in this section is required to enter your nomination(s).












If you selected "other", please enter your school name and district.







If you have any difficulty submitting your nominations please e-mail or call Jessica Allen at Jessica.Allen@ucsf.edu or 415-476-6431.
Hidden Fields



Student Nominee Information
Please enter information for your nominee below for the Cellular Construction Workshop (current 10th or 11th graders only).  You can nominate additional students (up to three students total) by clicking "Nominate another student" on the bottom right of this form.

Please remember to give each nominated student a copy of the "Student Guidelines" and "Letter of Recommendation Guidelines" found in your email.
Nominated Student Information







Only current 10th or 11th graders can be nominated for the Cellular Construction Workshop.

mm/dd/yyyy




Connection to student
Select the grade level and subject that you are teaching or have taught the student.


Short answer questions






Please select/list any professional development activities in which you have participated.


Comfort level with content
How comfortable are you with....?
Not comfortable at all Comfortable Very comfortable
Teaching experience
How many lessons have you taught that included the following topics?
None Some Many

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