Content Fa 2008 Application

ROCKY MOUNTAIN MIDDLE SCHOOL MATH AND SCIENCE PARTNERSHIP

Fall 2008 CONTENT COURSE APPLICATION

INSTRUCTIONS: Complete this application form to apply to take a Fall 2008 Content course with the Rocky Mountain Middle School Math and Science Partnership. This form is ONLY an application to be considered for acceptance to take a Fall 2008 content course. Submission of the application form does not sign you up for the classes. We review all applications and place applicants into courses based on our selection criteria and the course preferences of the applicant. We will notify you after we review all applications to tell you if you were or were not placed into a class.

The tuition for the Fall 2008 online courses are $775.

All fields with a * are required fields. The form will not be submitted until you complete all required fields.

This form DOES NOT register you for college credit. You register for college credit through the University of Colorado at Denver registration system after you have been notified by us that you were placed into a class.

Note: We will offer three Fall 2008 content courses. All of the courses are online!!

If you have any questions, please contact the Project Coordinator at rmmsmsp.coordinator@cudenver.edu or 303-556-6509.

Have you ever been employed by the University of Colorado (Denver, Boulder or Health Sciences/Anschutz, Colorado Springs Campus)? If so please notify Zula Ganbold as this may change the means in which we pay you your stipend.zula.ganbold@ucdenver.edu 303-556-2735 (ph)

Contact Information
First Name	*
Last Name	*
Home Address 1	*
Home Address 2
City	*
Zip-Code	*
Home Phone (10-digit without dashes)	*
Work Phone (10-digit without dashes)	*
Other Phone
E-mail Address	*
Confirm E-mail Address	*
Other E-mail Address

School and District Information
We have partnerships with 7 school district (Adams 14, Brighton 27J, Elizabeth, Englewood, Gilpin, Jeffco, Mapleton). We need to know which district you work for so that we can evaluate your eligibility to participate.
School District: In which school district are you working during the 2007-2008 school year? Select "non-partner" if you don't teach in a partner district.	*
Name of Non-Partner District (if applicable). If you selected "non-partner" district above, please list the name of the non-partner district you are working in.
Current School: In what school are you working during the 2007-2008 school year?	*

Experience
Grade levels taught during 2008-2009 school year (select all that apply, do not include after-school work)	*	K 1 2 3 4 5 6 7 8 9 10 11 12 Other (please describe below, e.g., librarian, instructional coach, etc.)
If you selected "other" above about your grade levels, please explain (e.g., you are an instructional coach, librarian, or ELL specialist, etc.).
Subjects Taught: What subjects are you teaching during the 2008-2009 school year?	*
If you answered "other" above about what subjects you currently teach, please explain.
Which of the following best describes your current situation?	*
If you answered "other" above about your situation, please describe.
How many years have you been teaching math (including 2008-09)?
How many years have you been teaching science (including 2008-09)?
Select the highest degree you have earned.
What subject(s) did you receive your degree(s) in?
Colorado Teaching License/Endorsements you currently hold (Check all that apply.)		Science Education Mathematics Education Elementary Education Other (please explain below) None of the above
If you selected "other" for License/Endorsements, please explain.
Briefly describe your math and/or science background, and any certificates, additional coursework, special workshops, or training that you have participated in during your professional career.

Content Course Offerings for Fall 2008 (All courses are online from September 2 - December 13)
Algebraic Patterns and Functions 1 MATH 5000-OL1
Human Systems and Heredity (Biology I) BIOL 5001-OL1

Select Courses
IMPORTANT PLEASE READ
1. Participants may only take one (1) Spring content course because the course schedules overlap.
2. Select your preferred course in the first choice field below.
3. There is no guarantee that we will be able to fit you into a course. Because we may not be able to fit you into your first choice, we ask that you also select a second and third choice in the fields below.
4. Check course descriptions at http://rmmsmsp.cudenver.edu/. None of the courses requires a pre-requisite.

First Choice	*
Second Choice (If you are not interested in an alternate for your first choice, please select "I don't have a second choice.")	*
Third Choice (If you are not interested in an alternate for your first and second choice, please select " I don't have a third choice.")	*
Other Comments
NOTE: If after hitting the submit button, you do not immediately see a confirmation page, then you may have left a required field blank. Please scroll to the top of the application page to receive instructions on completing blank fields or making required corrections.