USC U.S. – China Institute (USCI) / NCTA E AST A SIA IN M Y C LASSROOM Spring 2009 UTLA Seminar Application Form D EADLINE : F RIDAY , F EBRUARY 13, 2009 or until seminar is full (Enrollment is limited at 20, with priority given to those teaching World History and Language Arts) 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 this completed seminar application form, please also provide the following SUPPORTING MATERIALS: 1. 2. 3. A short résumé (curriculum vita) of 1-2 pages that provides contact information and lists your educational background and teaching experience. A short letter or statement from your school principal on school letterhead confirming your teaching assignment. A refundable deposit check for $50, made payable to "University of Southern California," to hold your registration slot. The check will be returned to you following seminar enrollment. Send completed applications, along with supporting materials, to 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 REGISTRATION INFORMATION By fax (213) 821-2382 By e-mail asiak12@usc.edu - Please provide information below each heading Name (last, first) School district School name School address School phone number (include area code) Name and phone number of principal (include area code) USC U.S. – CHINA INSTITUTE 1 LAUSD employee ID number (if applicable; required to process LAUSD 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? USC U.S. – CHINA INSTITUTE 2 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 Spring 2009 USC1/NCTA “East Asia in My Classroom” UTLA seminar, I intend to: prepare for and participate in all sessions complete the curriculum requirements (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: _______________________________ USC U.S. – CHINA INSTITUTE 3