Education Initiatives Application

Teachers who intend on applying should have the following characteristics:

Open to new pedagogical practices and willing to implement knowledge learned through WCF Initiatives.
Commitment to the scheduling requirements of the program.
Willingness to self-evaluate teaching effectiveness.
Willingness to support reporting requirements via in class surveys and other research activities.
Enthusiastic support of school principal and other host-site administrators.

School Information
School:
School Address :
City:
County:
State:
Zip Code:
Number of students enrolled in 2007/2008 at your school:

Number of teachers in 2007/2008 at your school:

Elementary: Does your school have a dedicated science lab teacher:

Elementary: Does your school have a dedicated science lab room where students go during “specials” :

Middle/High: Number of teachers in Science Department:

Middle/High: Number of teachers in Math Department:

FCAT School Grade:
Title One Status:
Percent of students on Free and Reduced Lunch:

Grade level currently teaching:

Number of years teaching:
Areas of Certification:
Leadership positions held within last 2 yrs:

Please list three professional references. One must include your current principal.
Principal’s Reference
	Name:
	Address:
	City:
	State:
	Zip Code:
	Phone Number:
	Email Address:
Reference 2
	Name:
	Address:
	City:
	State:
	Zip Code:
	Phone Number:
	Email Address:
Reference 3
	Name:
	Address:
	City:
	State:
	Zip Code:
	Phone Number:
	Email Address:

Please choose the programs you are interested in applying for
WCF Education Initiatives, Please select all the ones you wish to apply for:
		Leaders in Science Academy
		Club/Enrichment Sponsorship
		SECME
		FIRST Robotics/Legos Teacher Boot Camp
		Math and Science Labs
		Orlando Science Center Partnership
		Engineering Roadshow

What enrichment programs does your school currently offer students? These are programs in which teacher(s) are already trained
		FAMAT
		SECME
		GatorTRAXX
		FIRST Robotics
		FIRST Legos
		Science Olympiad
		Math Counts
		Robotics Other
		Legos Other

Please provide a response for the following questions:
	If selected for any of WCF Education Initiatives, how will your school and your principal support the implementation process of the initiatives at the school? Please describe the plan of action needed to ensure successful implementation within the school. In addition, include the manner in which additional funding will be secured (additional funding may be needed with some initiatives, i.e. supplies to successfully run a SECME, FIRST or Science Olympiad program). In what manner will the implemented initiatives be sustained at your school? This portion should be completed under the direction of the principal.

	Please describe a specific activity (lesson, lecture, lab activity, etc.) that you have conducted in your classroom. Be specific on what you do as a teacher and what the students are doing in their learning.

	How is science taught in your classroom? How do you view your role as a teacher of science?

Application Signature:
	I certify that all information entered in this application is true and complete. I understand and agree to the teaching characteristics listed on the first page and certify that I posses these traits. I certify that implementation of WCF Education Plan Initiatives will be completed as stated above. I understand that since this is an electronic application typing my name and dating below serves as my signature. I understand, as does my principal, that providing my principal as a reference denotes their understanding and acceptance to the truth and completeness of this application in its entirety.
	Name:
	Date