MSS i3 - Facilitator Application Form

What weeks are you available to participate? (Check all that apply.) *

CA (SJCOE) June 4-8, 2018 CA (SJCOE) June 11-15, 2018 CA (Turlock) July 23-27, 2018 WI (Milwaukee) June 25-29, 2018 WI (Milwaukee) July 30-August 3, 2018

Are you interested in facilitating more than one week? *

Yes No

Are there any MSS i3 participants with whom you would prefer to facilitate? *

Which MSS i3 summer courses have you facilitated in the past? (Check all that apply.) *

Dynamic Earth (Summer 2016) Planet Earth (Summer 2017) None

Have you facilitated any other science professional learning opportunities for teachers? *

Yes No

Briefly explain why you would like to facilitate the Dynamic Earth course this summer. *

If you have facilitated other science professional learning opportunities for teachers, please describe the course and your facilitation responsibilities. *

Before clicking the submit button below, please review your information carefully. Once you click the submit button, you will be transferred to a confirmation screen stating that your application submission was successful.

If you have questions about the application process, please contact the site coordinators for your region.

Lissa Gilmore, CA Site Coordinator (lgilmore@sjcoe.net or 209.468.9170)
Kathy Huncosky, WI Site Coordinator (khuncos@wested.org or 510.302.4258).

MSS i3 Summer PD Facilitator Application