Mississippi River Institute Application All fields are required unless noted. Personal Information First Name Last Name Work Email Address Summer Email Address Phone Number (Select) Cell Home Date of Birth Gender (Select) Female Male Home Address Street City State Zip Code School Information School Name School District County Address City State Zip Code Grades Taught Subjects Taught If you are not a classroom teacher, please explain your current employment situation as it relates to education. Rivers Institute Preferences If we are unable to admit you to the Mississippi River Institute, are you interested and able in attending the St. Croix River Institute? (Select) Yes No Have you participated in a Rivers Institute through Hamline before? (Select) Yes No If yes, when and which one? Personal Statement Due to space limitations, we are unable to accept all applications. To help us understand why you would like to be a Rivers Institute participant, please write a personal statement (400 words or less) addressing the following questions: What is your personal interest in water, rivers or watersheds? What do you hope to learn by participating in the Rivers Institute Describe the specific kinds of science concepts that interested you most, including process standards, related curricular units, and/or hands on investigations. How do you think this program might help your students learn literacy skills, science or both?