General Information |
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Home |
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Last Name |
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First Name |
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Street Address |
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City |
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State |
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Zip Code |
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Area Code & Phone Number |
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Personal E-mail |
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School |
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School Name |
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School Grade Levels |
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District Name |
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District Grade Levels |
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SAU# |
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School Street Address |
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City |
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State |
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Zip Code |
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Area Code & Phone Number |
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School E-mail |
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Preferred E-mail |
School Home |
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Type of Position
--Check all that apply |
Administrator Library-Media Specialist
Teacher Staff Development Coordinator
Curriculum Director Technology Coordinator
Other
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Subject Area(s) |
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Grade Level(s) Taught |
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Computer and Network Information: To find most of this information,
--On a PC: Go to My Computer-->View System Information-->General Tab
--On a Mac: Go to the Apple Menu-->About this Mac |
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Home |
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Computer Processor Speed |
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Operating System |
Windows XP Windows Vista
Mac OS 9.x Mac OS 10.x
Linux Other |
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If a Mac, is it Intel based? |
Yes No |
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If an Intel-based Mac, does it have Windows? |
No Windows XP
Windows Vista Other |
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Memory |
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Internet Connection |
None Dial Up
DSL High speed wireless
Cable Other |
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School-Teacher Access |
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Where can you access computers--check all that apply |
Your classroom Office
Staff Lounge Library-Media Center
Computer Lab Other |
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Answer the following questions based on the computer you use the most at school |
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Computer Processor Speed |
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Operating System |
Windows XP Windows Vista
Mac OS 9.x Mac OS 10.x
Linux Other |
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If a Mac, is it Intel based? |
Yes No |
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If an Intel-based Mac, does it have Windows? |
No Windows XP
Windows Vista Other |
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Memory |
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School Network Access |
None Wireless Ethernet |
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Internet Access |
None Wireless DSL Cable
T1 or better Other |
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Do you have access to an LCD projector? |
None
Mounted/Permanently in Classroom
Available on Cart for use in Classroom
In another location (computer lab, media center, etc.) |
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School-Student Access |
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Where can students access computers to complete work for your class?--Check all that apply and describe in terms of computer type, OS, Memory, etc. If Mac, indicate if Intel based and if it has Windows. |
None
Your Classroom
Computer/Curriculum Lab(s)
Library-Media Center
Mobile Laptop Cart
Individually Assigned Laptops
Other |
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Is there a server that students can access (read)? |
Yes No |
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Do students have individual logons that they use to access the network? |
Yes Partial--Assigned by class No |
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Is there a location on server that students can write to or save files? Check all that apply. |
No write access to server
Students can access a "private" or individual area
Students can access a common or shared area |
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Are there any other technology-related issues of which we should be aware? |
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Experience |
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Teaching |
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Describe one of your best experiences teaching in your classroom or conducting a staff development session. It does not have to involve technology. Describe what the students/participants were doing, what you were doing, and how the students/participants were assessed. Explain why you consider this one of your best experiences. |
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How do you currently integrate curriculum, instruction, and technology in the classroom (or while conducting staff development) |
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Technology |
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List and describe two of your favorite educational web resources (websites, wikis, blogs, etc). Provide the URL and explain why you believe it’s valuable.
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Describe your current use of internet technologies (listservs, blogs, wikis, chat, collaborative technologies such as Google sites, Google docs, videosharing sites, etc)
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Geospatial Technologies: For each of the following, indicate if you have used it personally and/or with students. If you have used, describe briefly in the text box provided. |
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Online Mapping & Visualization (such as Google Earth, NH Data Mapper, This Dynamic Planet, Google Maps) |
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GPS |
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GIS (include software used) |
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Remote Sensing (aerial & satellite images) |
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Staff Development: Describe your past experience leading or conducting staff development |
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Goals & Team |
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Why do you want to participate in Incorporating GIS in the Curriculum? |
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With what grade levels, courses, or content areas are you hoping to implement geospatial activities? |
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Do you have any particular lessons, projects, or content areas in mind for integrating geospatial activities? If so, please describe. |
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If you are applying to be a team member, please list the name of the team coordinator for your team |
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If you are the team coordinator, please list the names of all the applicants for your team.
Also be sure to complete the separate questionnaire for team coordinators.
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If you experience technical difficulties with hardware or networking, what types of support are available to assist you? |
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Do you know of any other programs (clubs, service learning groups, co-curricular programs, etc.) in your school or community that might be interested in implementing a GIS project?
Yes No |
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If yes, please describe and indicate the appropriate contact person. |
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If there was a community group interested in a project that tied to your curriculum, would you be interested in working with them?
Yes No |
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Are there any other additional factors we should consider in determining if your team should be selected to participate in this program? |
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How did you hear about this program? Identify all that apply.
NH Council for the Social Studies Workshop
NH Science Teachers Association Workshop
Christa McAuliffe Conference
NHSci-Ed Listserv
GeoGranite Listserv
NHEdGIS website
UNH Cooperative Extension
Referred by Colleague
Other |
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I agree to implement at least 3 GIS based lessons with my students during the Spring 2009 semester. |
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I agree that at least one of the lessons will either be self-created or modified (improved) from a model lesson. (Modification can be as simple as re-writing some of the instructions; adding an additional exercise, extension, or grading rubric; or using a substitute data set (NH data instead of MT data for example) |
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I have the time to commit to work on this course. |
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I am willing to share my experiences and the knowledge gained from this program with my colleagues both in my district and throughout the state. |
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I will participate in the Designing Engaged Learning Projects with GIS 3-credit graduate course through Plymouth State College on June 28-July 3 and August 15, 2009 (Required for Team Coordinators, optional for others)
Yes No Maybe |
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