WABS Family Engagement Program: Natural Leaders and Family STEM Night

Thank you for your interest in becoming a 2017-2018 STEM Facilitator!

Family STEM Nights offer families a chance to engage in guided STEM projects, with parents and children working together as a team.  Each session connects professionals in the STEM fields with parents to support children as they practice STEM-related content and develop critical thinking skills.

Goals:
➢     Expand education opportunities for parents/families so they can be more STEM aware and support their students learning in the Next Generation Science Standards
➢     Strengthen the skills of the Natural Leaders STEM Facilitators

For more information about Family STEM Night please visit http://www.wabsalliance.org

Lisa Chen
Associate Director of Instructional Leadership
Washington Alliance for Better Schools
Shoreline Conference Center
18560 - 1st Ave NE | Shoreline, WA 98155


Contact Information: Please complete all the fields below

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* 1. Contact Information: Please complete all the fields below

School (s)

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* 3. School (s)

Number of years you have been a Natural Leader

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* 4. Number of years you have been a Natural Leader

Were you a Natural Leader Trainer last year?

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* 5. Were you a Natural Leader Trainer last year?

Were you a Natural Leader STEM Facilitator last year?

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* 6. Were you a Natural Leader STEM Facilitator last year?

Why do you want to be a Natural Leader STEM Facilitator?

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* 7. Why do you want to be a Natural Leader STEM Facilitator?

List some events you have helped sponsor as a Natural Leader:

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* 8. List some events you have helped sponsor as a Natural Leader:

What was your role in those events?

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* 9. What was your role in those events?

Anything else you want to tell us about your work as a Natural Leader?

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* 10. Anything else you want to tell us about your work as a Natural Leader?

What skills would you like to learn by becoming a Natural Leader STEM Facilitator?

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* 11. What skills would you like to learn by becoming a Natural Leader STEM Facilitator?

Have you attended the “New Natural Leader Training” before?

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* 12. Have you attended the “New Natural Leader Training” before?

If yes, how many times have you attended the "New Natural Leader Training"?

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* 13. If yes, how many times have you attended the "New Natural Leader Training"?

Have you taught the “New Natural Leader Training” before?

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* 14. Have you taught the “New Natural Leader Training” before?

Have you attended the “Family STEM Night Curiosity Machine Training” before?

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* 15. Have you attended the “Family STEM Night Curiosity Machine Training” before?

Have you facilitated the “Family STEM Night Course” before?

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* 16. Have you facilitated the “Family STEM Night Course” before?

If yes, how many times have you facilitated the "Family STEM Night Course"?

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* 17. If yes, how many times have you facilitated the "Family STEM Night Course"?

Have you graduated or do you attend the Parent Mentor Certificate Program at Edmonds Community College?

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* 18. Have you graduated or do you attend the Parent Mentor Certificate Program at Edmonds Community College?

Are you attending the Parent Leadership Training Institute (PLTI) at Everett Community College?

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* 19. Are you attending the Parent Leadership Training Institute (PLTI) at Everett Community College?

How do you learn best?

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* 20. How do you learn best?

What other language (s) do you speak?

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* 21. What other language (s) do you speak?

Will you be able to attend the 2017 Natural Leaders Welcome Session on Monday, September 25th from 10am-12pm?


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* 22. Will you be able to attend the 2017 Natural Leaders Welcome Session on Monday, September 25th from 10am-12pm?


Will you be able to attend the Introduction to Family STEM Night training on Tuesday, Nov 7th from 9:30am to 2:30 pm?

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* 23. Will you be able to attend the Introduction to Family STEM Night training on Tuesday, Nov 7th from 9:30am to 2:30 pm?

Will you be able to attend all the Family STEM Night professional development trainings? Trainings are from 9:30am to 12:30pm on the following Tuesdays:
> November 14th
> November 21st 
> November 28th

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* 24. Will you be able to attend all the Family STEM Night professional development trainings? Trainings are from 9:30am to 12:30pm on the following Tuesdays:
> November 14th
> November 21st 
> November 28th

Will you be able to attend the Check-in Session on Tuesday, March 6th, 2018 from 9:30am to 12:30 pm?

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* 25. Will you be able to attend the Check-in Session on Tuesday, March 6th, 2018 from 9:30am to 12:30 pm?

The trainings are during the mornings when older children are in school. Childcare will not be provided.  However, we would love to help you find a solution if you need childcare. Please let us know!

Do you need childcare for younger children? 


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* 26. The trainings are during the mornings when older children are in school. Childcare will not be provided.  However, we would love to help you find a solution if you need childcare. Please let us know!

Do you need childcare for younger children? 


If yes, how many children and what ages?

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* 27. If yes, how many children and what ages?

Please review the Natural Leader STEM Facilitators Roles and Responsibilities and complete all the fields below.

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* 28. Please review the Natural Leader STEM Facilitators Roles and Responsibilities and complete all the fields below.

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