Form

To apply for the Professional Development for Advanced Coursework in STEM, please complete the three sections below.

Application
Application
How did you hear about the STEM PD Program?*
Kindle Fire™ Referral Friend

Did another NYSTEM attendee refer you to this program? Enter their name and you will both be automatically entered into a drawing to win a Kindle Fire™ for each of you.
Friend's Full Name
First Name Last Name
Principal or Administrator Referral

Provide accurate contact information so we can work with your principal or administrator to assist you to attend training during the school year.
Please enter the name of the principal or administrator that referred you to this application:*
Please enter the email address of the principal or administrator that referred you to this application:*
Please enter the name of your superintendent:
Applicant Information
First Name*
Last Name*
Teacher ID Number Creation
Your self-created teacher ID is used to identify you throughout the program. It is made of the last 4 digits of your home phone number (or cell phone if you do not have a home phone), your birth month, and your birthdate.

EXAMPLE: 5555-MM-DD

EXAMPLE: John Smith, born March 15th, at 212-555-5555

Teacher ID: 5555-03-15
LAST 4 digits of HOME phone number (use cell number if you do not have a home phone)*
Birth Month (e.g. if you were born in March select 03)*
Birthdate (e.g 15th)*
Teacher Contact Information
Work Email*
Personal Email
You will receive your application confirmation at this address *
Enter an e-mail you access even during vacation and summer months
Work Phone
- Area Code Phone Number
Home Phone*
- Area Code Phone Number
Cell Phone Number*
- Area Code Phone Number
Do you give us permission to send text message reminders/updates to your cell phone? (Mobile phone text messaging charges may apply. Please consult your mobile phone service plan.)*

Yes No
School District Name*
County of School District*
Region (choose)*
School Name*

School Address*

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

Education/Background
Select Your Highest Level Of Education*
If other please explain:
Grade Level(s) You Teach (check all that apply)*

7th 8th 9th 10th 11th 12th
Teaching Experience
How many years of teaching experience do you have?*

Please indicate the STEM subjects that are taught in your school and whether or not you teach them.

Please check all boxes that apply

	This subject is offered as Advanced Placement in my school	I teach this subject as Advanced Placement in my school	I teach this subject but NOT as Advanced Placement in my school
Mathematics Courses
Science Courses
Technology
Engineering
Library Science
Other

If "Other," Please Specify
Please continue on to the Workshop Site Selection portion of the application

Workshop Site Selection
Workshop Site Selection
The five-day Institutes in Strategies for Vertical Teams will focus on aligned curriculum through vertical teaming in mathematics or science. All the workshops are FREE, and participation will enhance your knowledge, skills, and ability to prepare your students for the Common Core Standards and for college and careers.

Professional development workshops are offered at locations throughout New York City and Long Island (you will be able to change your site for future sessions). There will also be two separate sets of dates when you can choose to attend the sessions.

Below, please select the dates that you would like to attend the PD and whether you would like to take the PD in either NYC or Long Island.

Information will be e-mailed to you about the site location as it becomes available.
Please select a date*
Please select a site
Please select your session:*
Select the session that most closely aligns with the subjects you teach. If you teach a subject other than math or science, we recommend selecting "Vertical Teaming in Science."
Please click on Professional Development Evaluation to continue the application process. This will bring you to a page describing an evaluation of the NYSTEM professional development. The evaluation is intended to ensure that the quality of the PD is meeting your needs as an educator.

Professional Development Evaluation
Professional Development for Advanced Coursework in STEM Evaluation Consent Form
  What is the purpose of this research?

This study will use teacher feedback and student data over several years to evaluate the efficacy of the STEM (Science, Technology, Engineering, and Mathematics) professional development (PD) for secondary school teachers in New York State. Teacher feedback and student data will be invaluable in helping the College Board improve the teacher PD it implements for secondary school teachers in New York State and across the country.

What does the research involve?

·         Online surveys.   Teachers who participate in the STEM PD will be asked to participate in several online surveys over the course of the PD implementation. The surveys are expected to take fewer than 15-20 minutes each. The surveys will ask questions about the teacher’s activities in his/her classroom, teaching philosophy, experiences with PD, and how the STEM PD can be improved. Teacher feedback will be used to improve PD in New York and across the country.

·         Occasional classroom observations and/or telephone interview for a select group of teachers. A select group of teachers will be asked to participate in occasional classroom observations and/or a telephone interview with College Board researchers. These will be scheduled at the teachers’ convenience.

·         Advanced Placement (AP) test scores. For teachers who participate in STEM PD and teach AP courses, the College Board will compare students’ AP test scores from year(s) before, during, and after the PD implementation. Linking student test scores to teachers who have received PD will allow the College Board to examine whether PD impacts are seen at the student level. Students’ standardized test scores and PSAT/NMSQT scores may be used as indicators of students’ baseline performance.

How will the information be used?

Teacher and student data will be used only by the College Board for the express purposes of this study. Data will not and cannot be used in any way to evaluate a teacher’s performance.

All data are confidential and will be stored on secure College Board servers. All findings will be presented in the aggregate without identifying any teacher, student, or school.

If you have any questions about this research, please contact Vytas Laitusis, Research Scientist at the College Board ( vlaitusis@collegeboard.org ).
I agree to participate in the study*

Yes No
Thank you. Please continue below.

Submit Application
____________________________________________________________________________________________________________
By completing this application the participant agrees to the terms outlined below:

The NYSED STEM Teacher instructs secondary STEM subjects, and will agree to participate in the multi-year training (through summer of 2014) including:

-Register and participate in a total of 70 hours of Professional Development during the course of the NYSTEM program, with the support of the principal and district leadership.

-Implement the strategies learned throughout the training in their classroom, and engage colleagues in strategies learned throughout the training.

-Complete an online workshop evaluation form for each PD activity to receive a certificate and CEUs.

-After receiving training in year one, promote and participate in school-based AP Vertical Teams.

-Apply STEM strategies when teaching and share best practices with school staff.
Questions/comments/problems?
Should be Empty:

Application

Kindle Fire™ Referral Friend

Principal or Administrator Referral

Applicant Information

Teacher ID Number Creation

Teacher Contact Information

Education/Background

Teaching Experience

Workshop Site Selection

Professional Development for Advanced Coursework in STEM Evaluation Consent Form

Thank you. Please continue below.