2023 Black History Institute June 19-23 Sponsored through a Grant from West Virginia Humanities Council Application Deadline May 31, 2023 Marshall University 2023 Black History Institute Application Name(Required) First Last Home Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) School InformationSchool Name(Required) School Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code School Phone Number(Required)Principal's Name(Required) First Last Principal's Phone Number(Required)Principal's Email(Required) Applicant's EducationBachelor's Degree(Required) Institution where Bachelor's Degree was earned(Required) Graduate Degree Institution where Graduate Degree was earned(Required) Courses Taught(Required)Have you attended any other Lyceum programs? Yes No Lyceum Programs AttendedEducator's Statement(Required)Statement of how this program will be used to advance the teacher’s career and her/his students.NameThis field is for validation purposes and should be left unchanged.