CRANE Professional Development Application for Educators May 2024

Please make sure to carefully read the instructions at the bottom of the form to ensure proper submission. You will need to send this to your principal for approval by entering their email address at the bottom.

You will also need to send in your supporting documents which include proof of payment and proof of completion in order for your application to be considered complete.

If you have any questions, please contact Terri Rosen at tnrosen@jesbaltimore.org or 410-735-5008.

Funded by the Charles Crane Family Foundation
Administered by Jewish Educational Services
Due Date: May 24, 2024

1Teacher Application > 2Principal Signature
Applicant Name: Applicant Name: First Last
Email:
Phone Phone - ### - ### ####
Name of School

If your school is not listed, please contact Terri Rosen - tnrosen@cjebaltimore.org
School Type

If you teach in a preschool that is part of a day school, please select Early Childhood.
I am a:

I am a: Teacher Assistant Teacher Special Education Teacher Principal/Director Assistant Principal School Counselor Librarian Nurse Permanent Substitute Office Staff Other Other
Do you teach a class?

Do you teach a class? Yes No Other Other
Sorry - you are not eligible for this grant and do not need to complete this form.
Grade(s) & subject(s) you teach (write NA if not applicable):
How many years are you teaching in your current school?

How many years are you teaching in your current school? 1 year or less 2-5 years 6-10 years 11-20 years over 20 years
How many years are you teaching in Jewish Education?

How many years are you teaching in Jewish Education? 1 year or less 2-5 years 6-10 years 11-20 years over 20 years
How many years have you been in Jewish Educational Administration?

How many years have you been in Jewish Educational Administration? 1 year or less 2-5 years 6-10 years 11-20 years over 20 years
How many years have you been in administration in your current school?

How many years have you been in administration in your current school? 1 year or less 2-5 years 6-10 years 11-20 years over 20 years
Program specifics

Please provide as much information as possible on the program you attended.
What is the name of the Professional Development Program you attended?
Please provide a website with a description to the program, if possible.
If there is not a website with the information, please upload a document describing the professional development program.

Attach Files
Location of Program:

City and state
Dates of Program

include year
Is this an application for reimbursement for the Torah U'Mesorah Convention?

Is this an application for reimbursement for the Torah U'Mesorah Convention? yes no
Subject matter of this professional development opportunity. Select all that apply.

Subject matter of this professional development opportunity. Select all that apply. Working towards Master's or College Degree New School Year/Orientation Special Education Early Childhood Education Curriculum Development/Classroom Management Pedagogical Strategies Other Other
Is this a testing-only course?

Is this a testing-only course? Yes No
Is this an online course? Please explain how classes are given - self-paced recordings, live professor.
Were meals provided as part of the professional development program?

Were meals provided as part of the professional development program? Yes No
Total Cost of Program for Reimbursement $ Dollars . Cents
Do not use commas.
We can only reimburse those costs for which you provide receipts. This includes transportation and other related costs.
Did you receive other funding for this program?

Did you receive other funding for this program? Yes No
If yes, how much?
Organization you received funds from:
This program:

This program: Did not meet my expectations Met my expectations Exceeded my expectations

Please indicate how strongly you agree with the following statements:
	Strongly Agree	Agree	Disagree	Strongly Disagree
This program positively influenced my teaching practice	This program positively influenced my teaching practiceStrongly Agree	This program positively influenced my teaching practiceAgree	This program positively influenced my teaching practiceDisagree	This program positively influenced my teaching practiceStrongly Disagree
My student/s showed a change in performance, attitude or skills as a result of this professional development training	My student/s showed a change in performance, attitude or skills as a result of this professional development trainingStrongly Agree	My student/s showed a change in performance, attitude or skills as a result of this professional development trainingAgree	My student/s showed a change in performance, attitude or skills as a result of this professional development trainingDisagree	My student/s showed a change in performance, attitude or skills as a result of this professional development trainingStrongly Disagree
Taking this professional development has encouraged me to stay in education	Taking this professional development has encouraged me to stay in educationStrongly Agree	Taking this professional development has encouraged me to stay in educationAgree	Taking this professional development has encouraged me to stay in educationDisagree	Taking this professional development has encouraged me to stay in educationStrongly Disagree

Describe one new technique that you have applied in your classroom as a result of participation in this program. If you are a principal, describe how this has helped you in your administrative role.
Please provide a brief example of how your student/s showed a change in performance, attitude or skills as a result of this professional development training.
Will you have the opportunity to share your experience with other educators in your school (formally or informally)?
I understand that I need to submit proof of payment (such as a receipt) AND proof of completion (such as a certificate, grades or conference badge).

I understand that I need to submit proof of payment (such as a receipt) AND proof of completion (such as a certificate, grades or conference badge). Yes and I am attaching them to this application Yes and I will email them to you separately I do not have these proofs and understand that I am not eligible to receive the grant without them

These documents can be uploaded here or emailed to tnrosen@jesbaltimore.org.
You must submit proof of payment and proof of program completion which you can upload here. If you have saved the form, please make sure your attachments are still here before submitting.

Attach Files

If you have any questions, please contact Terri Rosen at tnrosen@cjebaltimore.org
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Signed Date Signed / MM / DD YYYY
STOP! Please read carefully.

Educators: Check the box below marked “save my progress and resume later.” You will be prompted for an email address. If you are not ready to submit to the principal, then enter your email here. When you are ready to submit for review, enter your principal’s email address at the prompt and then hit the “Save form and Resume Later” button. DO NOT HIT THE CONTINUE BUTTON. Your application will automatically be forwarded to your principal for signature and upon his/her completion you will receive a receipt that your application was submitted. If you do not receive an email confirmation, please reach out to your principal to ensure completion.

If you have saved the form, please make sure your attachments are still here before submitting.

Principals: On the next page you will need to enter the amount to recommend for reimbursement, so be sure to calculate that amount from the total entered above. Then click on "Continue" in order to verify this application and submit your signature.
I am the supervising principal:

I am the supervising principal: Yes

If you are not the principal signing off on this application, please follow the instructions above to send the application to your principal
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

CRANE Professional Development Application for Educators May 2024

CRANE Professional Development Application for Educators May 2024

Sorry - you are not eligible for this grant and do not need to complete this form.

Program specifics

STOP! Please read carefully.