Summer 2021 Breakthrough Interest Form

Thank you for your interest in working at Breakthrough! Please complete the information below and we'll be in touch with you when the Summer 2021 application launches.

Anticipated Application Launch Dates:

Teaching Fellow - October 2020

Instructional Coach - November 2020

Name

First Name

Last Name

Confirm Email

Interests

I am interested in (check all that apply):

The 2021 teaching fellow application (for undergraduates and high school students)The 2021 instructional coach application (for professional educators)

School Information

What is your current academic status?

High School

Please include the full official name, and do not include the word "The" at the beginning.

Graduation Year

If you are unsure about your graduation year, enter the year you anticipate graduating.

High School GPA

Please convert GPA to a 4.0 scale.

Undergraduate College

Other College

Graduation Year

If you are unsure about your graduation year, enter the year you anticipate graduating.

Undergraduate GPA

Please convert GPA to a 4.0 scale. If you are a freshman who does not yet have a cumulative GPA or are at a school that does not compute GPA, please enter 0.0.

Course of Study

College Major Category

Second College Major Category (if applicable)

College Minor Category (if applicable)

Specify Name of Major(s) and/or Minor(s)

Previous Breakthrough Experience

Please list any Breakthrough experience you have had.

I was a student.I was a summer teacher.I was a school-year teacher and/or volunteered in another capacity.I have no Breakthrough experience.

Breakthrough Student Information

Site at which you studied

Last summer at breakthrough (YYYY)

Other site

Breakthrough Teaching Information

Site at which you last taught

Year you last taught (YYYY)

Other site

What was your title and what responsibilities did you have?

Other Breakthrough Information

What site was this at, was your title and what responsibilities did you have?

Contact Information