IBiS/SEARLE CENTER TEACHING CERTIFICATE
APPLICATION FORM
Please return the application materials to Cathy Prullage in the IBiS office by noon of May 4, 2016.
Materials to be submitted with the application (please refer to the announcement for details):
1. IBiS/Searle Center Teaching Certificate application form
2. Letter of interest
3. One-page teaching philosophy statement
4. CV including list of publications
5. Evidence of teaching ability
Name of Applicant: _________________________________________________________ Matriculation date: __________
Daytime phone number _______________________ E-mail address ______________________________________
Principal Investigator (PI) signature ___________________________________________________________________
Research topic:
SELECT ONE:
[ ] I have already signed up for or completed the Searle Center Teaching Certificate Program, but I have not done any teaching
yet.
[ ] I plan to sign up for the Searle Center Teaching Certificate Program in Fall 2016
INDICATE YOUR COURSE PREFERENCE:
______ co-teaching a biology-related freshman seminar in Spring 2017
______ co-teaching BIOL SCI 164 Genetics and Evolution in Spring 2017
STATEMENT OF PURPOSE:
Please indicate why you wish to complete this Certificate Program and how it would be useful towards your career aspirations (use
additional space if required).
Signature of Applicant: ___________________________________________________________ Date:__________________