Sponsored by:


The University of Tulsa

The National Science Foundation


2012 Teacher Application Form

This form may be submitted electronically, or printed and mailed to:

TEC Academy
University of Tulsa
Education Department
800 S Tucker Drive
Tulsa, Ok 74104

* - required fields
Applicant's Email: *
(You must enter your e-mail address or the form will not be sent.)

Which academy are you interested in attending?

Academy 1

Academy 2 

Academy 3  Academy 4 

Academy 5

Academy 6

Personal Information

Applicant Name:

Last *

First *


Address *

Phone *


Professional Information




Grade taught

Subject area

Years taught

Years at current position


What size T-shirt would you prefer?

 ADULT Sizes

Small Medium Large X Large X X Large




Describe your current use of technology within your subject area.

Briefly share your vision of technology usage in your subject area or education in general.

How do you envision mapping technology being used within your subject area?


Submission may take a moment. Only select Send Message one time.

 Direct questions or problems with form to david-brown@utulsa.edu