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2004-2005 INSERVICE TRAINING PROGRAMS
TITLE II TEACHER QUALITY PROGRAM
REGISTRATION FORM

Program Title : HANDS-ON SCIENCE FOR MIDDLE GRADES

Any teacher who teaches science in the 6-8 program

For Teachers who teach science in Grades: 6-8 or a middle school ESE Program

Number of Participants from a School: 2

Location: Teacher Education Center

Dates: Jan 12, Jan 19, March 30,
Apr 13 and May 5

Master Plan Points : 30

Time: 8:15am - 3:15pm

Participant 's Name: ______________________________________

Employee # __________Work Location #_______________

E-mail_______________

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 FRIDAY, DECEMBER 10, 2004 TO: Dr. Debi Mink, Supervisor, Teacher Training Programs, AT LOCATION 9715, OR BY FAX TO 305-883-1443

2004-2005 INSERVICE TRAINING PROGRAMS TITLE II TEACHER QUALITY PROGRAM REGISTRATION FORM

Program Title : HANDS-ON SCIENCE FOR MIDDLE GRADES		Any teacher who teaches science in the 6-8 program
For Teachers who teach science in Grades: 6-8 or a middle school ESE Program	Number of Participants from a School: 2

Location: Teacher Education Center	Dates: Jan 12, Jan 19, March 30, Apr 13 and May 5
Master Plan Points : 30	Time: 8:15am - 3:15pm

Participant 's Name: ______________________________________	Employee # __________Work Location #_______________
	E-mail_______________


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 FRIDAY, DECEMBER 10, 2004 TO: Dr. Debi Mink, Supervisor, Teacher Training Programs, AT LOCATION 9715, OR BY FAX TO 305-883-1443