ࡱ> #` jgbjbj\.\. .>D>DND ////0R>1<7<7<7<78;<PPPPPPP$>ThVQ*D88*D*DQ<7<7Q4EEE*D <7<7PE*DPEEVM@uN<721 p!?w/4DvM NLQRMxdWDddWuNdWuN0= ?E@@1===QQE ===R*D*D*D*D,,D,J LOUISIANAS ROLE IN TRADITIONAL AMERICAN HISTORY (TAH) PROGRAM Teaching American History Program Application for 2007 Summer institute Note: This application may be completed electronically and printed. Please submit by fax or regular mail to: Ann Trappey, Louisiana in Traditional American History (TAH) Project Tangipahoa Parish School System 59656 Puleston Road Amite, LA 70422 Fax (985) 748-2445 Check the following content area(s) of Social Studies that you will teach in the 2007-2008 school year:  FORMCHECKBOX  U.S. History (through 1763)  FORMCHECKBOX  Elementary School (4-5)  FORMCHECKBOX  Middle School (6-8)  FORMCHECKBOX  High School (9-12)  FORMCHECKBOX  U. S. History (1763-1877)  FORMCHECKBOX  Louisiana History  FORMCHECKBOX  World Geography  FORMCHECKBOX  Civics  FORMCHECKBOX  Free Enterprise  FORMCHECKBOX  U. S. History (1877 present)  FORMCHECKBOX  World History Name:  FORMTEXT       Grade Teaching 2006-07:  FORMTEXT       Grade Teaching 2007-08:  FORMTEXT       Contact Information: please check the preferred mailing address.  FORMCHECKBOX Home:  FORMTEXT        FORMTEXT       Street address City, state, zip Phone:  FORMTEXT    - FORMTEXT    - FORMTEXT      Cell:  FORMTEXT    - FORMTEXT    - FORMTEXT       FORMCHECKBOX School Name:  FORMTEXT        FORMTEXT        FORMTEXT       School mailing address City, state, zip Phone:  FORMTEXT    - FORMTEXT    - FORMTEXT      Fax:  FORMTEXT    - FORMTEXT    - FORMTEXT      Email addresses: please type or print legibly; email will be our primary means of communication with you. Preferred:  FORMTEXT       Alternate:  FORMTEXT       Are you seeking graduate credit in history?  FORMCHECKBOX  yes  FORMCHECKBOX  no Seeking Continuing Learning Units?  FORMCHECKBOX  yes  FORMCHECKBOX  no *TAH grant funds tuition costs for graduate credit in History through Southeastern Louisiana University. If you are not currently enrolled as an SLU graduate student you can apply by contacting Dr. Gerald Guidroz in the Continuing Education Department at SLU,  HYPERLINK "mailto:gguidroz@selu.edu" gguidroz@selu.edu or 1-800-256-2771. Please answer the following questions. 1. Does your teaching certification include an endorsement in history?  FORMCHECKBOX  yes  FORMCHECKBOX  no 2. Louisiana Teaching Certificate Number:  FORMTEXT       Total years teaching: FORMTEXT     3. What motivates you to seek admission to this TAHG program?  FORMTEXT       4. Each teacher participating in a summer institute will develop one new history curricular unit, designed for his/her teaching assignment, based on an original source document. The unit must include typical lesson plan elements such as Standards, Goals/Objectives, Methods, Assessment, and Technology Applications. The unit must be of appropriate quality for sharing with other summer institute participants and other teachers in his/her school and system. THE FINE PRINT READ BEFORE SIGNING!!! The TAHG Summer Institute Program includes two separate two-week seminars. Each seminar is limited to 30 participants. Review of applications will begin May 1, 2007. Participants are required to meet these program standards: Prompt and regular attendance; Provide necessary project evaluation information; Create one, quality history curricular unit; Meet academic/continuing education requirements prescribed by SLU; and Participate in project sponsored field trips.. For project and institute evaluation purposes, external program evaluators will require participants to: Design one history-related curricular unit; The reason for this requirement: Development of the history-related unit is intended to provide each participant with at least one practical idea they can apply to their teaching situation; I grant permission to the Teaching American History Grant: 1) to use photographs or video containing my image, properly identified by name; 2) to quote passages from my summer institute products with my identity disguised (e.g., Teacher #15, Summer Program or middle school teacher); 3) to include my work contact information on publications work address, email address, and/or phone number; and 4) make units of instruction available for public information purposes. I understand that if I am selected to become a participant in the Teaching American History 2007 Summer Institute Program that I will be expected to attend all activities and/or discussions during the course and complete all assignments for the program. I understand that if I will be enrolled in three hours of graduate coursework at SLU, I will receive a grade at the end of the program and a $600.00 stipend. I understand that application, tuition, and parking fees will be provided to me free of charge In addition, I understand that I will be expected to complete and submit one history-related curricular unit in order to receive graduate and Continuing Learning Units and to receive a stipend. All participants will be expected to pay for their own transportation, food and/or lodging during the program. I agree: Approved: Applicant s Signature Principal/Administrator (signature) Superintendent (signature)  FORMTEXT        FORMTEXT        FORMTEXT       Print name (Applicant) Print name (Principal/Administrator) Print Name (Superintendent)  FORMTEXT        FORMTEXT        FORMTEXT       Date Date Date To complete your application, please answer all questions on page 3. Summer Program Planning Survey 1. What types of technology are currently available in your classroom?  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Computers: 0 1 2-4 5 or more Computer Projection System Hi-Speed Internet 2. 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What is your level of expertise in each of the following technology/teaching areas? NoviceApproaching BasicProficientMasteryAdvancedWord Processing FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Presentation Software FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Spreadsheets FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Use of the Internet FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Use of Email FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Use of Blackboard FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Teaching with Primary Sources FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  Teaching with Historical Documents FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Cooperative Learning FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  4. 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