botanyapp

MIAMI-DADE COUNTY PUBLIC SCHOOLS
TITLE II TEACHER QUALITY PROFESSIONAL DEVELOPMENT PROGRAM

TROPICAL BOTANY
FAIRCHILD TROPICAL BOTANIC GARDEN

Application Information

Name:

Employee #

School:

Work Location #

School Phone:

Home Phone:

Current Teaching Assignment:

Area(s) of Certification:

Home Address:

City:

State:

Zip code:

E-mail Address:

VALIDATION
This is to verify that I am a full-time classroom teacher (not interim teacher status) teaching science in the Miami-Dade County Public Schools K-12 program. I understand that I will receive a confirmation letter if I am selected. I understand that a random selection process will be used to identity participants. I understand that, if selected, I must attend on ALL dates scheduled. I understand that I must successfully complete all requirements, including earning a passing grade on the final exam, of the Tropical Botany course in order to receive Master Plan Points and stipend, and that no partial credit or stipends will be awarded,

Appplicant's Signature _________________________________

Date

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Applications should be sent to Mail code #9715, Attn: Dr. Debi Mink
OR
U.S. Mail: 1080 LaBaron Drive, Miami Springs, FL 33166

Deadline for applications is TUESDAY, MAY 21, 2004 by 4:30pm

MIAMI-DADE COUNTY PUBLIC SCHOOLS TITLE II TEACHER QUALITY PROFESSIONAL DEVELOPMENT PROGRAM

TROPICAL BOTANY FAIRCHILD TROPICAL BOTANIC GARDEN

Application Information
Name:		Employee #
School:		Work Location #
School Phone:		Home Phone:
Current Teaching Assignment:
Area(s) of Certification:
Home Address:
City:	State:	Zip code:
E-mail Address:

VALIDATION This is to verify that I am a full-time classroom teacher (not interim teacher status) teaching science in the Miami-Dade County Public Schools K-12 program. I understand that I will receive a confirmation letter if I am selected. I understand that a random selection process will be used to identity participants. I understand that, if selected, I must attend on ALL dates scheduled. I understand that I must successfully complete all requirements, including earning a passing grade on the final exam, of the Tropical Botany course in order to receive Master Plan Points and stipend, and that no partial credit or stipends will be awarded,
Appplicant's Signature _________________________________		Date

--------
Applications should be sent to Mail code #9715, Attn: Dr. Debi Mink OR U.S. Mail: 1080 LaBaron Drive, Miami Springs, FL 33166

Deadline for applications is TUESDAY, MAY 21, 2004 by 4:30pm