Baby Photograph

Community Outreach Educator Application

*First Name
*Last Name
*Organization
*Street Address
 
*City
*State
*Zip
*County
*Work Phone
*Email Address

Please specify a password for future edits
to your profile and access to your submitted materials.
*Password:



EDUCATIONAL BACKGROUND:
High School Diploma
Bachelors Degree      Major:
Masters Degree      Major:
Some college coursework      Major:
Currently taking courses
Other      Specify:


CURRENT EMPLOYER:
*Employer Name

*Job title

*General description of duties


Experience Educating Others about Early Childhood Development:
How many years of experience do you have educating others about early childhood development, in large group training or formal course teaching, small group instruction, and/or individualized instruction?

One of the qualifications for becoming a BBB educator is documented experience in educating others about early childhood development.

*Please describe your experience in large group training or formal course teaching related to early childhood development. Describe the content you have taught and audiences you have reached. If appropriate, include the titles of formal courses or training workshops.


*Please describe your experience in small group instruction related to early childhood development. This may include informal instruction or technical assistance to small groups. Describe the content you have taught and people you have reached.


*Please describe your experience in individualized instruction related to early childhood development. This may include one-on-one teaching, home visiting, technical assistance, or informal conversations in which you share information about early childhood development with another person. Describe the types of information you have taught and the settings where you provided this type of individualized instruction.



Reason for Applying to Be an Educator

One of the qualifications for being a BBB educator is a commitment to share brain development information at least once per year.


*Tell us why you want to attend the 2-day BBB Community Outreach Educator workshop. Please be specific about your interest in the training.

*How do you plan to use the BBB educational materials and information when you complete the training? Please be specific.

any audience  
my network/co-workers child care providers
civic groups social service providers
parents home visitors
media advocates
faith organizations volunteers
business leaders school employees
decision makers health care providers
other - describe:



*In what parts of Georgia would you be willing to share BBB information? Please see the region map if you are unfamiliar with the regions.

all regions
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Outside Georgia

Because BBB is funded in part by the Governor's Office for Children and Families, priority is given to applicants in Georgia. Qualified applicants from outside Georgia will be accepted on a case-by-case basis if space is available.

Comments


List educator information in searchable public database? Yes No
Can you be available to teach BBB information in Spanish? Yes No