CRR IMPACTS Summer Institute 2024 Interest & Application

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This form is where interested teachers can apply to participate in the CRR IMPACTS Summer Institute.
The K-5 and Middle Grades institutes will take place during the same week, so please note your specific grade-band.
The institute runs Monday-Friday, 8AM to 4PM.
Compensation for full-year participation and implementation is $250 per teacher.
Questions can be sent to mhosten@math.arizona.edu (K-5) or rodrigog@math.arizona.edu (MS)

Email *

FIRST name *

LAST name *

Mobile phone number: *

Which Summer Institute Group are you planning to attend? *

IMPACTS K-5 Summer Institute June 10-14, 2024 (Grades K-5)

IMPACTS MS Summer Institute June 10-14, 2024 (Grades 6-9)

Grades you teach (choose all that apply) **Special education please select special education format AND grade levels. *

Special Education pull out

Special education push in (inclusion)

Grade K

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Required

Please select the fully accurate statement *

I live in Tucson or near Tucson and will attend in person

I live outside of the Tucson area and would like hotel accommodations so that I can attend in person.

I live outside of the Tucson area and would like to attend virtually. I understand that I must use a desktop/laptop since tablets and phones will not suffice.

I need to discuss this with the facilitators because I have unusual circumstances.

School Name (please include elementary, middle, K-8, etc.) *

COUNTY of your school *

CITY of your school *

TYPE of school *

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