2019-20 STEM Partner Teacher Application

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A STEM Partner is a STEM employee or retiree from a local business who will volunteer in your classroom approximately 4 hours per month to provide assistance to you during STEM lessons. The STEM Partner can communicate the positive role STEM plays in real life, make connections between classroom work and real-world applications, translate inquiry practices to how real scientists "do science", and be an in-class resource for you as you work through different curriculum topics.

Your responsibility as a teacher hosting a STEM Partner includes:
- willingness to have the STEM Partner in your classroom on a regular basis
- commitment to plan for good utilization of the volunteer's time in your STEM class
- flexibility in scheduling the STEM class for a day or time that works for both of you

Please complete the information below to request a STEM Partner. For questions or comments, please email stempartners@techpointyouth.org

Teacher First Name: *

Teacher Last Name: *

Teacher Email Address: *

Please Confirm Teacher Email Address: *

Teacher Phone Number: *

School District: *

School Name: *

School Street Address: *

Principal Name: *

Principal Email: *

Which curriculum is this request for? *

Indiana Science Initiave (ISI)

Project Lead The Way (PLTW)

Other:

For teachers selecting PLTW: Which PLTW modules do you intend to implement in your classroom while the STEM Partner is present?

What grades will you teach this curriculum to in 2019-2020? (Select all that apply) *

Kindergarten

1st

2nd

3rd

4th

5th

6th

7th

8th

Required

How many STEM Partners are you requesting and for which grades? *

Which day(s) that you would prefer to host a STEM Partner? *

Monday

Tuesday

Wednesday

Thursday

Friday

Not Sure Yet

Required

What time(s) of day would you prefer to host a STEM Partner? *

Morning (approximately 7-11 am)

Noon (approximately 11- 1 pm)

Afternoon (approximately 1 - 4 pm)

Not Sure Yet

Required

Are there specific times during the day that you would prefer to host a volunteer (if you answered "not sure yet" above, answer "n/a" below)? *

e.g. 9am-11am OR 1pm-3pm

Why do you want to be a host teacher in the STEM Partner Program?

Please provide a short bio of yourself to help us better pair you with a STEM Partner! (example: what are your hobbies, what do you like about STEM, where you went to school)

Please check the boxes below to indicate your understanding and acceptance of the following terms and conditions: *

I understand that by completing this application, I am committing to host a STEM Partner in my classroom for approximately four hours a month for the duration of the 2019-20 school year.

I understand that completion of this application does not guarantee that a STEM Partner will be placed in my classroom.

I agree to notify stempartners@techpointyouth.org as soon as possible if I am unable to continue participating in the STEM Partners Program, for any reason.

I understand that I may be contacted at various times throughout the year via email by potential STEM Partner(s) and I will make my best effort to respond to communication from my STEM Partner(s) in a timely manner.

I have informed my school principal that I am applying to host a STEM Partner.

Required

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