Contact Information (we need to be able to reach you during summer):
contact email: *
Your answer
phone number (no parentheses or hyphens): *
Your answer
Background information (for purposes of reporting to funding agencies):
Your school:
Your answer
How many years have you been a K-12 teacher?
Choose
1
2
3
4
5
6
7
8
9
10
11-15
16-20
21-25
26-30
31 or more
What was your college major?
Your answer
Is your credential Clear or Preliminary?
Clear selection
Do you have a Supplemental or Subject Authorization for Mathematics?
Clear selection
What kind of teaching credential(s) do you have (choose all that apply)?
What is your gender?
Clear selection
What is your ethnicity? (Please select all that apply.)
What grade level(s) are you teaching this year? (List them.)
Your answer
Which of the following leadership roles do you have (or have had in the past)?
In one or two sentences, how can the California Math Project at CSUDH help you be a leader or an advocate for students at your school or in your district?
Your answer
What do you hope to gain by attending the summer Math Teacher Circle? Please answer in a couple of sentences.
Your answer
Thank you. Full consideration will be given to all applications received by May 17.
If you have any questions, please call or email Sheila Wood, 310-243-2203, or swood@csudh.edu.