Name_______________________________________                                                  Home Address _______________________________
City_________________State_________Zip________
Home Phone (____)___________________________
School______________________________________
Address_____________________________________
City_________________State_________Zip________
Phone (____)_________________________________
E-mail Address_______________________________
Present Position_______________________________                                                        Grade(s) Taught ______________________________                                                Subjects Taught ______________________________
Ethnicity (optional)____________________________
Special Needs (optional)________________________
____________________________________________
 
 
 

Please answer the following questions on a separate sheet of paper to be included with the application.

1. Describe your background and teaching experiences.  Include leadership activities, curriculum development, collaborations, in-service activities,  professional organizations, trips, seminars, conference attendance and/or presentations, experiences that have enhanced your teaching, topics that you would like to develop for your classroom, etc.

2. Explain what you hope to gain from the SISI program.

3. Submit a resume.

4. Submit a letter of recommendation/support from your school principal or administrator.  The letter should express support for your professional development and classroom implementation of standards-based inquiry activities. Your adminstrator must also agree to provide release time for you to attend the Hoosier Association of Science Teachers, Inc. (HASTI) conference in February 2005.