2019-2020 Region 5 Expanded Learning STEAM Institute Registration Form for (Non-ASES) Fee-Based Registration Application

Welcome to Our Journey to Excellence

Thank you for your interest in participating in this year's 2019-2020 Region 5 Expanded Learning STEAM Institute Communities of Practice (COP).

Deepen your skills, knowledge and confidence to facilitate meaningful STEAM learning opportunities with core content and Project-Based Learning (PBL) expert!

Discover an integrated approach to Science, Technology, Engineering, Arts and Math with essential foundational English Language Arts (ELA) content & English Language Development (ELD) strategies. adaptable to TK-12th grade settings.

Design a cohesive Expanded Learning program that includes: the CA Quality Standards for Expanded Learning, Growth Mindset, the 5E Model and the 6C's!

The fee for Non-ASES staff will be $150.00 per participant for all 2019-2020 6 Community of Practice sessions.

We look forward to your engagement in the STEAM COPs this year!

Application Deadline Friday, October 11, 2019 by 5:00pm

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* 1. Agency Information: A School District or Community Based Organization (CBO) that runs Before, After, Intersession and Summer Expanded Learning Program(s).

Program Name:

School District/CBO Name:

Primary Contact Name:

Primary Contact Role (Grant Manager, Program Director, etc):

Primary Contact Email:

Primary Contact Phone:

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* 2. STEAM Team Applicant Information

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* 3. Please note an important requirement of all participants in the STEAM: Power of Discovery Initiative during the 2019-20 school year:

1. All staff named in this application understand that full participation in all sessions is required. Communities of Practice will occur from 8:30 AM - 12:00 PM in Gilroy on the following dates: November 5th, December 17th, January 28th, February 4th, March 10th, and May 5th. I also understand that as a leader of my expanded program, I must attend, be responsive to our assigned STEAM Mentor and support staff during this process of continuous improvement. I also understand that my program may be asked to participate as a Lead Facilitator of Learning with the Region 5 STEAM partners.

2. Please acknowledge below with a "yes!"

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* 4. Thanks in advance for your commitment! We look forward to working with you and staff next year to strengthen the infusion of STEAM learning opportunities into our after school and summer programs. If you have any questions at this time, please indicate them below.