USC U.S.-China Institute / NCTA
E AST A SIA AND N EW M EDIA IN M Y C LASSROOM
Fall 2008 LAUSD / Millikan Middle School (SF Valley) Seminar
APPLICATION FORM
Deadline: Friday, September 19, 2008
This program is part of the National Consortium for Teaching about Asia outreach effort funded by the Freeman
Foundation. Selection for the seminar will be based on our assessment of how ready and likely applicants are to
make effective use of the seminar and associated materials provided to engage their students in studying East Asia.
In addition to the completed seminar application form, please also provide:
1. A short résumé (curriculum vita) of 1-2 pages that provides contact information and lists
your educational background and teaching experience
2. A letter from your school principal confirming your teaching assignment
3. A check for $50, made payable to "University of Southern California," to hold your
registration slot. Your deposit will be returned following enrollment.
Send completed applications, along with supporting materials, to Miranda Ko at the USC U.S.-China Institute:
By mail
K-12 East Asia Seminar
USC U.S.-China Institute
3535 S. Figueroa St., FIG 202
Los Angeles, CA 90089-1262
PERSONAL INFORMATION
By fax
(213) 821-2382
By e-mail
asiak12@usc.edu
- Please type information below each heading
Name (last, first)
School
School address
School phone number (include area code)
Name and phone number of principal (include area code)
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Social security number (required to process participation stipend)
LAUSD employee ID number (required to process salary points)
Home address
Home telephone number (include area code)
E-mail address
ASIA IN THE CLASSROOM
- Please type response below each question
1. When and why did you become interested in Asia? What about Asia interests you most?
2. What subjects are you currently teaching?
3. Which of your courses currently have an Asian component? Briefly describe how you incorporate
Asian stories, experiences, or examples into this (these) course(s).
(It is not required that you currently teach about Asia, only that you be interested in doing so.)
4. What do you need in order to increase Asia's presence in your courses?
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5. If you regularly use audio visual resources in your teaching, what are some Asia-related titles that
you include?
NEW MEDIA IN THE CLASSROOM
- Please place an X next to each response that applies
(NOTE: It is not required that you currently use computers or the internet to gather or share information. It is
required that you be willing and able to participate in the seminar’s online components. No web experience is
required or assumed.)
I use computers to help me
My students use computers to
prepare handouts and exams
prepare written assignments
manage grading
locate resources for assignments
locate teaching resources
present material to students
present the results of their research
communicate with me and others on courserelated topics
communicate with students and colleagues
other:
maintain my course website
other:
INTENT TO PARTICIPATE
- Please read, then sign and date below
If I am selected for the Fall 2008 USC1/NCTA “East Asia and New Media in My Classroom” LAUSD / Millikan
Middle School (SF Valley) seminar, I intend to:

prepare for and participate in all sessions

complete the curriculum requirement (develop a East Asia-centered unit to use with my own students)

take action to integrate East Asia more fully into my curriculum and engage students in the study of it

take action to encourage and enable my colleagues to learn more about how East Asia might be a part of
their courses (via informal sessions, departmental or school workshops, or district training programs)
Signature: ______________________________________ | Date: _______________________________
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