Regional Learning Project

Teaching American History Grant

Application Form

Teacher Responsibilities form
Principal Responsibilities form

Time Travelers: Teaching American History in the Northwest
Year Three

Deadline for application: December 1, 2007
Please provide the following information:
Date ________________
Name ________________________________
email _________________________________
Phone # home___________ work___________
Mailing address ___________________________________________________________________
School and District _____________________
I teach:
__ U.S. History __ State History __ Government
Grade levels: ____________________
Number of years as a teacher ___
Principal’s agreement:
I am aware of the requirements of this grant and welcome the opportunity
for this teacher to participate.
___________________________________
Principal Date

Please clip this portion and return to:
Dr. Sally Thompson
Regional Learning Project
UM Continuing Education
Missoula, MT 59812

Fax: 406.243.2047
Phone: 406.243.5889/5890