Applications received after this deadline will be considered if spaces remain.
Dates: Monday June 13 – Thursday June 30, 2016 (Monday through Friday except for last week)
Time: 8:30 AM – 3:00 PM daily Location: University of Cincinnati (main campus)
Sponsors: Improving Teacher Quality Program (Ohio Board of Regents) and University of Cincinnati
Cost:
FULL NAME ____________________________________ PREFERRED E-MAIL ______________________
There is a $75 fee which will be returned to the participant upon completion of the program. DO NOT SEND this fee now. It will be requested once accepted into program.
SCHOOL NAME PHONE
SCHOOL ADDRESS ______________________________________________________________________
NUMBER AND STREET CITY, STATE, AND ZIP CODE
HOME ADDRESS ________________________________________________________________________
NUMBER AND STREET CITY, STATE, AND ZIP CODE
HOME OR CELL PHONE
BA/BS Major ____________________ Year ______ MA/MS Major ____________________ Year ______
TEACHING EXPERIENCE (List your last position first.)
School and location from to Subjects taught
Please list the titles, levels, and number of sections for science courses you anticipate teaching next year:
Course Level Sections
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Are you willing to attend a three-week summer course and participate in two Saturday follow-up sessions scheduled during the following school year? _________
Will you be registering for 4 graduate education credits (tuition paid by the grant)? ______________
Course activities will include inquiry investigations, work in small groups, class discussions, collaboration, assignments, and some assessments.
In the space below (half page or less) describe why you would like to participate in this course:
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(If you apply by e-mail, please scan this page and include in your email)
COMMITMENT FROM YOUR PRINCIPAL (or other appropriate administrator)
Are you willing to support this teacher in implementing inquiry instruction in his/her classroom? _______
___________________________ ___________________________ __________
Administrator’s signature Title Date
___________________________ ___________________________ _______________
Administrator’s printed name School Name Phone
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For full consideration, application must be received by Friday, March 11, 2016. Applications received after this deadline will be considered if spaces remain. Please return all application materials via email or US mail to:
Dr. Kathy Koenig
Department of Physics
University of Cincinnati
400 Geology/Physics Bldg.
PO Box 210011
Cincinnati, OH 45221-0011
OR kathy.koenig@uc.edu
QUESTIONS: Contact Kathy Koenig (e-mail preferred or call (513) 556-0507)