2018 GRIPS Registration Form & Scholarship Application

Please check below to acknowledge your course selection: *

I'm enrolling in GUIDING RESEARCH AND INNOVATION PROJECTS BY STUDENTS (GRIPS)

For course details, please visit:

Teaching Science Through the Inquiry Process (TSIP)
Project-based Classroom Science (PCS)
Guiding Research and Innovation Projects by Students (GRIPS)

Please enter discount code if you have one:

Code

What is the start date of the course you are signing up for? *

Full Name *

First Name Last Name

Home/Summer Email *

Home Phone *

Area Code Phone Number

Cell Phone

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

School Name *

School District *

School Email

School Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Check one: *

Public School Charter School Private School

Is your school in a "high needs" district? *

Yes No

Percentage of minority students: *

I will enroll for graduate credit *

Yes (1 credit) No

I want to earn the STEM Certificate in Science & Engineering Practices from Framingham State University (requires completion of all three CMI courses for credit): *

Yes No

I would like to apply for a CMI course scholarship. If yes, please proceed to the next question; otherwise skip to "Subject(s) you teach." *

Yes No

Scholarship applicants: Please describe briefly why you are interested in CMI courses and how you see it changing your teaching practice and impact on students (300 words max.) PLEASE NOTE: Priority will be given to participants who enroll with a team (2 or more) of teachers from the same school district, and/or who work in high-needs & underperforming schools.

Subject(s) you teach *

# of years teaching *

Are you teaching on a waiver? *

Yes No

Are you teaching out-of-field? *

Yes No

Are you teaching without an appropriate license? *

Yes No

Are you a teacher of English language learners? *

Yes No

Are you a teacher of students with disabilities? *

Yes No

Are you applying as part of a team? *

Yes No

Grade level(s) teaching (check all that apply *

Please list the names of any team members from your school district who will be attending this course with you. Teams of teachers from the same school district receive priority for enrollment and scholarships.

CMI courses are funded in part by foundation grants, and full tuition scholarships are offered to qualified educators. SPACES ARE LIMITED.

Thank you for your interest in ORGANIZING A SCIENCE & ENGINEERING FAIR!

If you have any questions, please refer to the relevant section website at www.scifair.com and/or email cmi@scifair.com.