SCALING—UP Project CRITICAL Application (2021

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SCALING—UP Project CRITICAL Application (2021—2022)

Teacher's Full Name *

Teacher's School *

Teacher Cell Phone Number *

Teacher Email Address *

Classes for 2021-22 schoolyear *

Social Studies

ELA

Science (Earth Science, Living Environment)

All subjects

Other

Required

I have read the Information Sheet: Scaling—Up Project CRITICAL. http://flippedtips.com/plegal/javits/infoyear5.htm *

YES

Will you integrate technology into teaching (Instruction provided at workshops) by developing/teaching 2 WebQuests and a PowerPoint during the year? *

YES

Will you attend live zoom workshops on 8/30,8/31, 9/1, 9/2 (9:00 am— noon)? *

YES

Are you able to attend all workshops during school year held 4—7 pm: 2 in Sep; 2 in Oct; 2 in Nov; then 1 a month: Jan—May of 2022 (NOTE: if conflicts during school year, PD will be recorded, but must be able to attend live summer PD in Aug 30—Sep 2 (stipends: $53.98/hour) during 2020—21 school year? ______ *

YES

My principal is aware of my participation in the project and has approved. *

YES

If you have any questions please contact Dr. Jim Carroll at jcarroll@syr.edu

Referred by: (teacher name) *

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