Online Survey

Welcome to the Changing Education Through the Arts (CETA) Certificate of Study Application!

The Kennedy Center’s Changing Education Through the Arts (CETA) Certificate of Study is an ongoing program that annually recognizes teachers’ participation in professional learning. Teachers who complete the requirements for the 2012-13 Certificate will be invited to the Kennedy Center for a special awards dinner and ceremony followed by a performance of Show Boat on Friday, May 10.

Before completing this application, be sure that you have fulfilled all requirements listed on page 37 in the Kennedy Center School Brochure. All fields MUST be complete for your application to be considered.

If your examples of documentation are too large to be uploaded to this application, then send them to MLCarney@kennedy-center.org via Dropbox or mail them to CETA Certificate of Study, Education Division, The Kennedy Center, P.O. Box 101510, Arlington, VA, 22210. All assignments but be received by March 15.

If you have questions at any time during this process, then call Michelle Carney, CETA Program Coordinator, at (202) 416-8842.

1.	Please specify the year and semester (e.g. Spring 2012) that you attended the following required workshops:

Laying the Foundation: Defining Arts Integration
Documenting the Power of Learning Through the Arts: Session 1
Documenting the Power of Learning Through the Arts: Session 2

2.	Check that you completed one of the following options:

One course and nine hours of workshops

Two courses

One course and Arts Coaching (CETA Schools Only)

One course and participation in a Kennedy Center-approved Independent Study (CETA Schools Only)

3.	Please complete the following fields:

Surname (Mr., Ms., Mrs., Dr.)
First Name
Last Name
School Name
School Address
School Phone Number
School District
Subject/Grade Taught
Name (as you would like it printed on the Certificate)

4.	Reflection Questions: Answer the following questions (in 500 words each) about the impact of the Kennedy Center's professional learning for teachers program.

How have the Kennedy Center workshops/courses impacted your teaching and student learning?
In what ways has your understanding and appreciation of the arts grown as a result of your attendance at these workshops/courses?
Please share any additional comments, stories, or thoughts.

Please provide two examples of documentation that capture the process and the product of an arts-integrated lesson or unit as a result of Kennedy Center workshops/courses (using one of the formats taught in "Documenting the Power of Learning Through the Arts"). You must include your name in your file title or it will NOT be accepted (ex. Michelle Carney Documentation 1.docx). You must click the UPLOAD button for each file for it to be submitted.

Documentation Example 1:

Documentation Example 2:

My files are too big to upload. I will email or mail them to the Kennedy Center by the appropriate deadline.

Please upload the letters of attendance for the workshops, courses, independent study, and arts coaching that you have attended here (if you are registered to attend a workshop after the application deadline or if your course has not yet completed, please list that in the other comments box - make sure you inlcude the name of the workshop/course so we can check it against our records). You must include your name in your file title or it will NOT be accepted (ex. Michelle Carney Art and Writing.docx). You must click the UPLOAD button for each file for it to be submitted.

Workshops

Courses

Arts Coaching

Independent Study

Other

My files are too big to upload. I will mail or email them to the Kennedy Center by the appropriate deadline.

Once your Certificate of Study application has been received and approved, you will receive an invitation for you and a guest to attend the event on May 10.

The Kennedy Center may use excerpts from your application packet to publicize and promote Professional Learning Opportunities for Teachers and other Education Department Programs. By entering your initials below, you are indicating:

Your consent for the Kennedy Center to use excerpts and quotes for these purposes.
That you have fulfilled all requirements (and included all information on this application) for the Certificate of Study.

Initials
Date (mm/dd/yy)