SciJourn Professional Development Application for Educators 2010-2012

Please complete and return this form by clicking on the “Submit Application” button below. If you need assistance, please contact the SciJourn team via e-mail (scijourn@umsl.edu) or by calling 314-516-7311.

If you wish to download a copy of the application you may do so by clicking here.

Last Name

First Name

Middle Initial

Employer

School

School Address

City

State

Zip Code

Current level(s) taught

What subject(s) are you now teaching?

Years as an Educator

Other grade levels you have taught

Undergraduate degree and school(s)

Advanced degree(s) and school(s)

Certification(s)

Are you seeking an advanced degree at UM-St. Louis?

If yes, what degree are you seeking

Residential address

City

State

Zip Code

Phone Number

E-mail Address

How did you learn about this opportunity

In this round of applications we are accepting teachers for two cadres this year.

Cadre I will participate in the summer professional development in June 2010 and continue
working with SciJourn through the 2011-2012 school year.
Cadre II will participate in all of the pre-testing during the 2010-2011 school year, receive the
teacher professional development in June of 2011 and proceed with full implementation
during the 2011-2012 school year.

Please click button if you have a preference

Cadre ICadre IINo Preference

Please explain here if your participation is dependent on acceptance to one particular cadre

Please provide a statement of interest in the SciJourn Professional Development course for educators

The Summer 2010 Professional Development course for Cadre I educators includes a two-week
intensive training from June 14 – June 25, Monday through Friday, 8:00 am to 2:00 pm (Topic:
Science Literacy through Science Journalism) and 2-4 evening sessions and 2-4 professional
development sessions during the school year (a substitute will be paid for). Additionally, UMSL
faculty/researchers will conduct classroom visits for on-site support and follow-up, as well as to
gather research data from your class.

Both Cadres will participate in the SciJourn program for two school years (2010-2011 and 2011-
2012).

Teachers accepted into the program will receive further details on the research procedures and
permissions, and we will work with your school and/or district personnel to obtain the required
research clearances (the research project already has Institutional Review Board approval from
UMSL.

Cadre I participants will receive a stipend in the amount of $1200 for the 2-week training in 2010
and the subsequent professional development scheduled throughout the school year. If you would
like to earn graduate credit for the 2-week course, you can enroll in Education 6408: Science
Literacy through Science Journalism I, a 2-credit hour Graduate Seminar, and you will receive
the stipend by July 1 in order to pay the tuition and fees. Cadre I teachers will receive an additional
stipend of $400 for participation during the 2011-2012 school year.

Cadre II participants will receive a stipend in the amount of $400 for participation in the control
group for school year 2010. Cadre II teachers will receive an additional stipend of $1200 for the 2-
week training in 2011 and will have the option to enroll in Education 6408: Science Literacy
through Science Journalism I, a 2-credit hour Graduate Seminar, and you will receive the stipend
by July 1 in order to pay the tuition and fees.

The minimum requirement for admission is that you are currently teaching in a high school.

My signature (e-mail above) indicates that, to the best of my knowledge, the information given above is true and accurate. I understand that misrepresentation of facts on this application will be cause for cancellation of the application.