TAS - Teacher Assignment Form

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Please write the name(s) of the participant(s) to confirm assignment for the Teachers as Scholars and/or Administrators as Scholars 2023-24 seminars listed below.

Only the district/partner school's contact representative should complete this form by Monday, October 2, 2023.

Please note the University is no longer requiring the primary COVID-19 vaccine series. Please view the Visitor Policy for the most up-to-date information. After completing this form, our office will contact the school representative to verify acceptance and send out instructions on how to complete the online registration form.

If you have any questions or concerns, feel free to contact Adela Ramirez at the Program in Teacher Preparation office by email [email protected] or phone (609) 258-3336.

School District Information

Name of School/District

Select the name of your school/district. If not listed, select "other".

Other

Please write the name of your school/district if not represented in the options above.

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Contact Representative

Full Name

Phone

Seminar 1: American Politics in the 1990s: Bill Clinton and the Third Way

Date: Nov. 1 & 13, 2023
Facilitator: Stanley N. Katz, Ph.D.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$350 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $350.

AAS Seminar

Date: TBD
Facilitator: Jennifer L. Jennings, Ph.D.
Member schools/districts are allotted (2) seats to participate in the Administrators as Scholars seminar.

Do you have participants interested in this seminar?

Yes

Name of Administrator 1

Title

First Name

Last Name

Please write the names of the administrators to confirm assignment for the Administrators as Scholar 2021-'22 seminar listed above.

Name of Administrator 2

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Administrator 1

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Name of Alternate Administrator 2

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$75 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $75.

Seminar 2: Buddhist Literacy for Secular Mindfulness Practitioners

Date: Nov. 3 & 29, 2023
Facilitator: Matthew C. Weiner, Ph.D.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you hav alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$350 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $350.

Seminar 3: Deaf Gain, not Hearing Loss: Exploring What Deaf Culture Can Teach Us about Equity in Education

Date: Dec. 1 & 8, 2023
Facilitator: Noah Buchholz, M.Div., Th.M.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$350 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $350.

Seminar 4: Therapy in America: When Education is the Treatment. Mental Health in the Classroom in Post-Pandemic America

Date: Dec. 11, 2023
Facilitator: Mark Glat, Ph.D., Psy.D.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$350 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $350.

Seminar 5: Global warming: What’s so Special about this Time?

Date: Jan. 5, 2024
Facilitator: Daniel M. Sigman, Ph.D.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$350 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $175

Seminar 6: Language and Autism

Date: Feb. 1, 2024
Facilitator: Adele Goldberg, Ph.D.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$175 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $350.

Seminar 7: Lessons from the Enslaved: Discussing Slavery and Freedom in the Classroom

Date: Apr. 12 & 19, 2024
Facilitator: Isadora Moura Mota, Ph.D.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$350 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $175.

Seminar 8: Justice in the Classroom: Teaching about Crime, Safety, Fairness, and Criminal Justice Reform in America

Date: Apr. 24, 2024
Facilitator: Udi Ofer, J.D.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$175 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $350.

Seminar 9: Using Robotics as a Pathway to Interdisciplinary STEM Education

Date: Apr. 30, 2024
Facilitator: Anirudha Majumdar, Ph.D.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$175 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $175.

Seminar 10: Language Models: What They Are and How You Can Use Them

Date: May 3, 2024
Facilitator: Karthik Narasimhan, Ph.D.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$175 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $175.

Seminar 11: Middle Ages for (Secondary) Educators

Date: May. 10, 2024
Facilitator: Helmut Reimitz, Ph.D., Jack Tannous, Ph.D., &
Laura Morreale, Ph.D.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$175 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $175.

Seminar 12: Theater Fusion: Blending Creativity and Education

Date: May 7 & 14, 2024
Facilitator: Brooke Boertzel, M.A.
Member districts/schools are allowed one participant per seminar.

Do you have participants interested in this seminar?

Yes

Name of Participant

Title

First Name

Last Name

Do you have alternate participants for this seminar?

Yes

Alternate participants will not be charged an additional fee. They will replace the primary participant and be contacted if the primary participant is unable to attend.

Name of Alternate Participant

Title

First Name

Last Name

Please list the name of the alternate participant. In the event the administrator will no longer be able to participate, the alternate will take their seat.

Are you registering additional participants for this seminar?

Yes

$175 will be charged for each additional participant.

List the names the additional participants

List the names of the additional participants. Each additional participant will be a fee of $175.