Mapping a New World Application

by on October 30, 2019 with No Comments
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Untitled form
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Send
 
 
 
 
 
 
 
 
 
Sign in
Untitled form
Questions
Responses
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Section 1 of 4
Form title
 
 
 
 
 
 
Form description
Email address*
Valid email address
This form is collecting email addresses.Change settings
Section 2 of 4
Section title (optional)
 
 
 
 
 
 
Description (optional)
 
 
Name Prefix
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
1.
Miss
2.
Mrs.
3.
Ms.
4.
Mr.
5.
Mx.
6.
Dr.
7.
Option 7
1.
Other…
8.
Add option
or
add "Other"
…
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
First Name
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Last Name
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Home Address
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Home City
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
State
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Zip Code
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Home Phone/Cell phone
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
School/Institution Name
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Department
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
School/Institution Address
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
City
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
State
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Zip Code
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
School/Work Phone Number
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
School/Institution Type (select all that apply)
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Public
Private
Parochial
Home School
Charter
Elementary
Middle
High
Museum
Other…
Other…
Add option
or
add "Other"
…
Select at least
Select at most
Select exactly
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Number of Students you teach
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Number of Years of Experience
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Subjects Taught
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Grades Taught
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Teaching Type (select all that apply)
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Full time
Part time
Substitute
Paraprofessional
Administrator
School services (e.g. librarian)
Museum educator
Other…
Add option
or
add "Other"
…
Select at least
Select at most
Select exactly
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Are you eligible based on this statement? "Participants must be United States citizens, residents of U.S. jurisdictions, or foreign nationals who have been residing in the United States or its territories for at least the three years immediately preceding the application deadline."
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Yes
No
Other…
Add option
or
add "Other"
…
Select at least
Select at most
Select exactly
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Number of Previous NEH Workshops
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
If you have attended previous NEH workshops, please list them here along with the year you participated.
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
How did you find out about this workshop? Select all that apply.
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
NEH Website
Email
Posted Flyer
Mailed Flyer
Social Media
Other…
Other…
Add option
or
add "Other"
…
Select at least
Select at most
Select exactly
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
First Choice Date
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
July 6-10
July 20-24
Other…
Add option
or
add "Other"
…
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
Section 3 of 4
Section title (optional)
 
 
 
 
 
 
Description (optional)
 
 
Tell us about your professional background and about your current school/position.
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
Why are you interested in the subject and location of this workshop?
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes
 
 
 
Dropdown
 
 
 
File upload
 
 
 
Linear scale
 
 
 
Multiple choice grid
 
 
 
Checkbox grid
 
 
 
Date
 
 
 
Time
Description
Loading image…
 
 
 
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
 
 
 
 
 
 
Answer key
(0 points)
 
 
 
 
 
 
 
 
 
 
 
 
Loading...
Loading…
 
 
What are your special perspectives, skills, or experiences that would contribute to the workshop?
*
Question
*
 
 
 
Question Type
 
 
 
Short answer
 
 
 
Paragraph
 
 
 
Multiple choice
 
 
 
Checkboxes