Application Form: OSU 2008-09
First Name
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Last Name
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E-mail
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Address
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City
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State
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School
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Subject(s) Taught
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Grade(s) Taught
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Principal's Name
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School Address, City, State, Zip
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I am my Teacher Team's Content-Area Specialist in:
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math
science
language arts
library media/technology
social studies
Briefly explain what you hope to gain from this professional development experience and why you are applying:
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Please choose Yes ("I agree") or No ("I do not agree") for each of the following expectations of participants in the Improving Teacher Quality: Sustainability Engineering" professional development for 2008-09.
1. I understand that I will function as a content-area specialist on a multi-disciplinary team of teachers both at the summer workshop and during the following school year.
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Yes
No
2. I understand that my team of teachers will participate in multi-disciplinary, problem-based learning, engineering-focused lessons. We will also create an original lesson.
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Yes
No
3. I understand that during the second week of the summer workshop, my team will co-teach a lesson to a group of students that we help recruit.
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Yes
No
4. I understand that the first week of the summer workshop will be held on OSU's campus in Stillwater July 14-18, and I will be provided housing if my school is more than 60 miles from Stillwater.
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Yes
No
5. I understand that the 2nd week will be held jointly (videoconference) on OSU's campus in Stillwater and at Keys High School, July 21-25.
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Yes
No
6. I understand my commitment to the grant includes participating in follow-up days during the school year, completing a Teacher Work Sample, and inviting grant evaluators to observe my classroom.
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Yes
No
7. I understand that I will be required to complete pre- and post-test instruments for the purpose of grant evaluation.
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Yes
No
8. I verify that I am capable of and willing to communicate proficiently via e-mail and post documents and information to a team website.
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Yes
No
9. I understand that I will be paid a stipend of $1500 upon the completion of the summer workshop and $500 upon the electronic submission of my Teacher Work Sample.
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Yes
No
10. I understand that the my team will receive a set of resources on permanent check-out to be used for the continuation of multi-disciplinary, problem-based learning, engineering-focused instruction.
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Yes
No
I agree to allow the grant administrators to use my photo or video image in reporting or promotional materials.
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Yes
No
By typing your name in this box, you are verifying the accuracy of information provided.
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You will be notified of your acceptance or non-acceptance for this professional development workshop as soon as possible by e-mail.
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