Summer Institutes: Level 1 Teacher Application

This application can be submitted electronically or printed out and faxed or mailed to

Edna Gentry
UAH
TH N317
Huntsville, AL 35899

Or faxed to:
Edna Gentry 256-824-5093

School Name:

School Address:

School City, State, Zip:

Teacher's Name:

Home Address:

City/State/Zip:

Phone (home):
Phone (school):

Education:

Year  University                      Degree          Major

Areas of Certification (list subjects, not codes):

Total number of years at current school:

Grade (or subject) currently teaching:

Do you have time during school hours for planning?

If so, how often?

Into which class(es) do you propose to implement this curriculum during the 2001-2002 school year?

Describe ways in which you currently use technology in your classroom.

What ideas do you have for the implementation of this program?

Technology Experience:

Multimedia:

Spreadsheets:

E-mail:

WWW/Internet Resources:

Have you ever used a hands-on science approach? If so, in what way?

Describe how you could be a role model or provide inspiration for disadvantaged students or for students who are not traditionally attracted to science or math. (250 words or less)

By submitting this application you agree to the following:

I understand that, if selected, I will be expected to implement the ASPIRE materials during the 2001-2002 school year. I also understand that I have the opportunity to display completed projects at the EXPO held in the spring. I agree to attend the 2001 Summer Institute, and the fall and spring follow-up workshops. I have no plans to leave the school through which I am making this application.

To submit the information you provided, press this button:
To start over, press this button: