Please return completed applications via email to kimberly.rocco@umb.edu
or via mail to COSMIC, UMass
Boston, 100 Morrissey Blvd, W-4-181, Boston, MA 02125, no later than February 8, 2012, or until all slots are filled. Applicants can to receive application status by March 1, 2012.
Personal Information
First Name:
Home Address:
City:
Phone Number:
Preferred E-mail Address:
Alternate E-mail Address (if applicable):
Last Name:
State:
Alternate Phone Number:
Zip:
Education Information
Name of Undergraduate College (where you received your degree):
Minor: Major:
Name of Graduate University:
Major:
Name of Graduate University:
Degree Earned:
Major:
Name of Teacher Practitioner Program:
Degree Earned:
Licensure Area:
2 nd Licensure Area:
Year Obtained:
Year Obtained:
Current Type of License(s) Held and Year Obtained: ___________________________________________

School and Background Information
School:
School Address:
City:
Number of Years Teaching (including this year):
State:
Number of Years Teaching Physics (including this year):
Number of Years Teaching Engineering (including this year):
Number of Years Teaching Technology (including this year):
Number of Years Teaching at Current School:
Subjects and Grade Levels Currently Taught:
Curriculum Taught:
Will you be teaching at this school next year?
Zip:
Have you had any experience teaching the Active Physics curriculum or other project-based curriculum? Please describe.

Please answer both of the following questions to help us with the selection process. We are looking for teachers who are a good fit with the objectives of the project, including understanding classroom dynamics, implementation of piloted curriculum and who will also grow from the experience.
1.
Classroom Instruction: Select a Physics, Engineering, or Technology topic or concept. Provide a brief description of this topic, how you teach this in your classroom, how you connect it with other units, and why the topic may be difficult for students to learn. (300-350 words)
2.
Impact of Reflection on Curriculum Development: Provide a detailed example of how you have adapted a curriculum topic over the course of a few years. Contras the lesson as it was first taught and how it evolved. Explain what changes you made and your rational for making those changes. (300-350 words)

Being selected to participate in this Summer Workshop is an outstanding honor and commitment. It honors your dedication to the advancement of your profession, your school, your students, and your personal professional development. The list below outline the responsibilities of the participants in the
Examination of Science and Teaching Technology Teachers’ Concept-Based Engineering Professional
Development Grant.
Primary Responsibilities of Participants:
Activity
Complete and return Application to COSMIC
Participate in a two-week summer workshop at
University of Massachusetts Boston with
Professors Arthur Eisenkraft and Kristen Wendell
Date
M/D/2012
7/9/2012 –
7/20/2012
M-F 8am – 3pm
Curriculum infusion documentation (reflective log) and video-taping.
This will involve teaching the Active Physics chapter ELECTRICITY FOR EVERYONE or the equivalent with the engineering infusion to your students. The chapter requires approximately 6 weeks of instruction and includes content on series and parallel circuits, electrical power and energy and some heat topics. You can see the full chapter outline at its-about-time.com
On-going
During the 2012-
2013 school year
One on One Meeting with Arthur Eisenkraft or
Kirsten Wendell during the teaching of the chapter.
To be determined
Participate in a follow up two-week summer workshop at University of Massachusetts Boston with Professors Arthur Eisenkraft and Kristen
Wendell
Complete post project surveys and analysis
Summer 2013
Summer 2013 and Fall 2013
TOTAL
Compensation
$1,000
$500
$1,000
$500
$3,000


Be reflective, committed, and supportive in order to grow

Participate in evaluation and research, such as surveys and interviews, during and after your time as a participant



