2004-2005 INSERVICE TRAINING PROGRAMS
TITLE II TEACHER QUALITY PROGRAM

REGISTRATION FORM


Program Title : HANDS-ON MATHEMATICS PRIMARY


Any teacher who teaches math in the K-2 program


For Teachers in Grades
: K-2 or ESE Program who teach math


Number of Participants from a School: 2

Location: Teacher Education Center

Dates: Oct 27, Nov 30, Jan 12,
Jan 21 and Apr 15


Master Plan Points : 30


Time: 8:15am - 3:15pm


Participant 's Name: ______________________________________


Employee # ___________________________

Substitute Teacher Account Structure: Program 3596

Location 9017



PLEASE NOTE:
1. Teachers will be limited to one Title II Teacher Quality Program inservice course offered on a released time basis per year.
2. Teachers who have participated in this inservice course in a previous year are not eligible to participate in the same inservice course this year.
3. Math and science inservice participants must currently be teaching math and science at the appropriate grade level.
4. The teacher identified on this form will receive confirmation of his/her registration from the Title II Teacher Quality Program if selected.

Please note: In order to ensure the quality of training delivered, all programs are limited to the first thirty (30) eligible participants registered.

Teachers successfully completing these inservice training programs will receive instructional materials provided by the Title II Teacher Quality Program. Additionally, successful participants will receive Master Plan Points as indicated above. Teacher Trainers will be available for follow-up on an individual basis. Participation in these programs is voluntary and subject to the school-site principal's approval.

School Name:__________________________________________________________________________________________


Work Location No:________


ACCESS No:______


Principal's Signature
: ______________________________________________________


Date: ______________________

PLEASE RETURN THIS FORM BY WEDNESDAY, OCTOBER 13, 2004 TO: Dr. Debi Mink, Supervisor, Teacher Training Programs, AT LOCATION 9715, OR BY FAX TO 305-883-1443