Barringer Fellowship Application Form

Print and complete form. Applications must be received by March 2, 2012.

Name:

Address:

City, State, Zip:

Home Phone: Office Phone:

Cell Phone: E-mail:

Full name and address of school where currently teaching:

Grade currently teaching:

Subjects currently teaching:

Interests unrelated to teaching:

Please fill out the above information and submit it along with:

1. Résumé (limited to two pages).
2. Statement of personal and professional reasons for wanting to participate. Please include a brief description of proposed project, project title, and ways you would maximize the opportunity to research onsite at Monticello (limit to 500 words).
3. Description of another research–based project or learning experience of yours that enriched and enhanced your classroom teaching (limit 350 words).
4. Your preferred fellowship session: July 23 – August 3 or July 30 – August 10.
5. Contact information for three professional references.

Address all materials to:

Linnea Grim
Hunter J. Smith Director of Education and Visitor Programs
Thomas Jefferson Foundation
P.O. Box 316
Charlottesville, VA 22902

FedEx/ UPS address only:

Linnea Grim
Hunter J. Smith Director of Education and Visitor Programs
TJF Distribution Center
Ivy Business Park
556 Dettor Rd, Suite 107
Charlottesville, Virginia 22903