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Model Schools Program Course Description Form
Fall/Winter (Oct. 9 – Feb. 1) 2001-'02

Name:_________________________________ School District:_____________________________________

Home Address:_______________________________________________              Fax #: __________________

Home City: ____________________________                  Zip: _________________

E-mail:___________________________              Home Phone:______________      Work Phone:____________

SS#:_____________________________ TRS #: _________________________________________________

Course Scheduling: Full length (15 hours) courses typically run for five sessions of three hours each (or six sessions of 2 1/2 hours each). Courses of three to twelve hours in length may be scheduled differently. Some examples appear below. In all cases, it's your call (even for Saturday classes). If you want to teach more than one course, PLEASE duplicate this form. (Downloading it from the NERIC Training web site http://neric.org/mspcdform.htm and emailing it back is even better.)

Examples of class sessions:

For each course you'd like to offer, please complete the lines below and write a BRIEF (3 - 5 sentences) description of the course as you would like it to appear in a brochure. Remember that all courses of ten hours or more require the participants to develop a technology enhanced lesson plan or project that follows the NYS Learning Experience format.

Course title: _______________________________________________________________________

Course date(s): _____________________________________________________________________

Course time: _______________________                                  Max. class size: _____________________

Course location: ______________________________________              Room: ___________________

Grade levels: ________________________ Curriculum area(s): ______________________________

Hardware (platform, drives, CD-ROM, etc.): ________________________________________________

Software titles: ______________________________________________________________________

Description (3 - 5 sentences for brochure): _________________________________________________

___________________________________________________________________________________

____________________________________________________________________________________

Please mail, fax, or email this form by September 12,  2001 to: Kim Greiner, Model Schools Program Coordinator, Northeastern Regional Information Center, 1031 Watervliet-Shaker Rd., Albany, NY 12205.

FAX: 456-9287 PHONE: 456-9233 E-MAIL: kgreiner@gw.neric.org