[Name]
[Address]
[Phone]
[Email]

To whom it may concern, 

May name is [Academy applicant’s name], and I am writing to officially apply for Learning Forward’s Academy. 

I am a [position title] with [school/organization]. We are a [rural or urban] [description of the sponsoring school/organization]. 
•	Student population/number of students we reach: [#]   
•	Number of schools in our district/we work with: [#]

My role and responsibilities include [description of the applicant’s role in the organization].

I am applying to the Academy because [reasons for applying to participate in the Academy].

The particular problem of practice that I would like to work on is [identify the problem the applicant wants to solve].

I am committed to fulfilling the Academy’s expectations for completing the work, collaborating with other Academy participants, and travelling to attend face-to-face meetings. 

Sincerely, 

[Signature]

[Name]
[Title]