<p> Fossil Finders Professional Development 2009 Summer Application August 9-14</p><p>Personal Information: Name: Home Address: City/State: Zip: Home Phone: School Phone: Email Address: Last 5 digits of SS #:</p><p>Professional Information: List teaching certification and other credentials:</p><p>Current School Address: ______</p><p>Contact Information Name Telephone email of school principal</p><p>Teaching Background: Begin with most recent School Name Subjects Taught Dates Grade Levels</p><p>Total years of teaching experience ______</p><p>Educational Background: (Lack of science coursework/experience will not affect your acceptance into the program): University Degree Subject Area Year degree was received List each university-level science course you have taken by title. Astronomy Chemistry Geology Physics</p><p>Biology Environmental Sci. Philosophy of Sci. Other</p><p>Please describe previous professional development related to science and or research experience related to science (ex. Lab or field work)</p><p>Demographic Information: (Please fill in chart) Enrollment at your school site*: Percentage of students receiving Free or Reduced Lunch (FRL)*: Percentage of students with Limited English Proficiency*: Racial/Ethnic origins of your students* American Indian or Alaska Native ______Asian or Native Hawaiian/ Black or African American______Other Pacific Islander ______Hispanic or Latino ______White ______</p><p>Number of students you teach per day: Total number of English language learning students in your classes: *This information can be found on the New York State School Report Card for your school</p><p>Please circle/highlight (in yellow) or briefly respond to the following questions (250 words or less per question): 1. Do you feel comfortable or uncomfortable teaching science? Please explain why. </p><p>2. Describe a science lesson or unit you have taught in the last year. Briefly explain the goals of the lesson or unit and the roles of the students and teacher. </p><p>3. Have you participated in teacher professional development programs in which you were asked to implement new teaching strategies? Yes No If yes, reflect on both the success and challenges you faced implementing the program. </p><p>4. What do you hope to gain from this two year professional development experience? 5. Will your administration and curriculum allow for the teaching of a two to three week science inquiry unit during the year? Yes No Unsure</p><p>6. Will your students have access to the internet at school? Yes No Unsure</p><p>7. Does your school have Information Technology (IT) support staff? Yes No Unsure</p><p>8. Will your IT support staff assist you in accessing the Fossil Finders website if it is filtered? Yes No Unsure</p><p>9. Are you willing to participate in an on-line discussion/support blog and keep a journal during the implementation of the Fossil Finders unit? Yes No Unsure</p><p>10. Would you be able to send in a short video (~10 minutes) showing you teaching a science lesson of your choice by June 2008? Yes No Unsure</p><p>11. Are you willing to participate in the evaluation of Fossil Finders? Yes No Unsure</p><p>12. What is your favorite summer-time activity?</p>