RM Summer 2009

ROCKY MOUNTAIN MIDDLE SCHOOL MATH AND SCIENCE PARTNERSHIP

Summer 2009 CONTENT COURSE APPLICATION

PLEASE READ INSTRUCTIONS BEFORE PROCEEDING!

*Tuition is $800 for the onine classes and $400 for the face to face classes.

*Stipends will be given to partner school district participants please see http://rmmsmsp.cudenver.edu/Stipend.html or contact Zula Ganbold at 303-556-2735 with questions.

*There are no corresponding SFUs for these courses.

INSTRUCTIONS: Complete this application form to apply to take a Summer 2009 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 Summer 2009 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 by April 27, 2009 after we review all applications to tell you if you were or were not placed into a class.

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 Denver registration system at https://hydra.cusys.edu/pinnacle/cgi-bin/sisget.cgi/dn/awssgnsn/ after you have been notified by us that you were placed into a class.

Note: We will offer ten Summer 2009 content courses and participants are allowed to take two classes.

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 2008-2009 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.
Have you taken courses through RM-MSMSP in the past?	*	Yes No
If yes, please give their titles.
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 Summer 2009
Note: Please check the prerequisites for the summer 2009 classes before signing up for them: Math classes Science Classes
MATH 5006 Math of Change July 6 - 17 at 8:30 p.m.-3:30 p.m. MATH 5007 Discrete Math June 8 - 26 at 1p.m.-5p.m. MATH 5008 History of Math June 8 - 26 at 8a.m.-12p.m. (section1) ~~MATH 5008 History of Math June 8 - 26 at 1p.m.-5p.m. (section 2)~~ ~~MATH 5004 Probability and Statistics (online) June 8-August , Tuesday, 5-6:30p.m.~~ MATH 5011 The Math and Science of Musical Instruments July 6 - 17 at 8:30 p.m.-3:30 p.m.
~~CHEM 5071 Atoms & Properties of Matter (Chemistry 1) June 8 - 26 at 1p.m.-5p.m.~~ PHYS 5102: Light, Color & Geometrical Optics (online) June 8-August 1, 5:00 p.m.-6:30 p.m. BIOL 5002 Ecology, Bio diversity & adaptation (Bio 2) July 6 - 17 at 8:30 a.m.- 3:30p.m. BIOL 5003: The Science of Life: Integrated Perspectives June 8 - 26 at 8a.m.-12p.m. GEOL 5003 National Park Service Earth Science July 6 - 17 at 8:30 a.m.- 3:30p.m.

Select Courses

How many courses would you like to take	*	One Two
Course one
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.")	*
Course two
First Choice	*
Second 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.