Home

About
Calendar
Communicating
The Exchange
The Institute

About
Registration
Day 1
Identifying and Evaluating
Day 2
Using Technology Tools
Day 3
Enhancing Classroom Curriculum
Day 4
Achieving Regional Impact

 

 

Website supported by

Institute Facilitation Team Application

Institute

Which institute are you applying for:
Personal Information
Each member of your three person Facilitation Team must complete this application.

Organization:
Division:
Name:
Position:
Home Address:
Home City, State, Zip:
Work Address Line 1:
Work Address Line 2:
Work City, State, Zip:
Home Phone:
Work Phone:
FAX:
E-mail:
Team Members
Please list the two other members of your team.

Team Member 2
Team Member 3
Internet Access

Do you have regular, dependable access to the Internet? Yes No
Where do you have access to the Internet? Classroom
Office
Home
Other
Technology Skill
For each item, please select the radio button that best represents your current level of technical expertise

None Beginner Intermediate Advanced
Internet navigating and searching
Evaluating internet resources for content
Presentation software
Email
Online discussion/bulletin boards (reading/posting messages)
Webpage creation (e.g., FrontPage, HTML, etc.)

None A Little Some A Lot
Making electronic portfolios
Using online courseware
Participating in videoconferences
Staff Development Experience
The following questions are about your experience with faculty professional development.
PLEASE NOTE that at least one member of the team must have experience in providing technology related in-service training in order for your application to be considered.

How many professional development workshops have you conducted in the past academic year?
Who have the audiences been for the workshops you have conducted? K12 teachers
K12 library/media specialists
K12 administrators
University faculty: education
University faculty: arts and sciences
University administrators
Other
How many of these workshops have included technology skill instruction?
How many of these workshops have included instruction on the use of technology in teaching?
List the topics covered by the workshops you conducted:
Please add any additional comments regarding your experience in professional development that will help us when considering your application:
Technology Use in Current Position
The following questions are about the ways you use technology in your current position

Please indicate how often you use technology for productivity (class management, syllabi production, etc)?
How often do you use technology in instruction during the school year?
How often do you use technology to interact with colleagues?
How often do you require that your students use technology?
Partnerships

Are you currently engaged in any K-12 - university partnership initiatives? Yes No
If yes, describe:
How many of the students you teach are preparing to become teachers?
Does your institution have partnerships with any Professional Development Schools? Yes No
AGREEMENTS / EXPECTATIONS / COMMITMENTS

Submission of this registration indicates our full understanding of our commitment.

  • We agree that our team will conduct a minimum of two training institutes that replicate the START Institute in our home state by the end of July 2002 and that we will provide summary reports as required by Project START.
  • We will attend and participate in START Institute activities and in pre- and post-Institute activities both online and at the Institute.
  • We understand that our acceptance as participants provides the necessary releases to use our photos or likenesses in any publication or documentation of the Institute.

Confirmation of your Facilitation Team's acceptance to attend the START Institute will be sent via email and hard copy to each member of the team.

Print a copy of this application for your own records. Then click on the submit button below.

   Home    |    About   |   Calendar   | Resources | Communicating | The Exchange | The Institute
Miami Museum of Science US Department of Education University of Miami