smilent

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

Program Title : SMILE (Science and Mathematics Integrated with Literary Experiences

Any teacher who teaches math or science in the K-5 program

For Teachers in Grades: K-5 or ESE Program who
teach math or science

Number of Participants from a School: 2

Location: Teacher Education Center

Dates: Oct 12, Oct 26, Nov 1,
Nov 16, Nov 30 & Apr 12

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 TUESDAY, October 5, 2004 TO: Dr. Debi Mink, Supervisor, Teacher Training, AT LOCATION 9715, OR BY FAX TO 305-883-1443.

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

Program Title : SMILE (Science and Mathematics Integrated with Literary Experiences	Any teacher who teaches math or science in the K-5 program
For Teachers in Grades: K-5 or ESE Program who teach math or science	Number of Participants from a School: 2

Location: Teacher Education Center	Dates: Oct 12, Oct 26, Nov 1, Nov 16, Nov 30 & Apr 12
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 TUESDAY, October 5, 2004 TO: Dr. Debi Mink, Supervisor, Teacher Training, AT LOCATION 9715, OR BY FAX TO 305-883-1443.