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* 1. Please provide us your contact information.

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* 2. How many students attend your school?

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* 3. What grades are served by your school? (Please check all that apply)

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* 4. How many students participate in STEM programs?

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* 5. How are your students selected for your STEM program?

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* 6. How long has your STEM program been in existence?

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* 7. Describe the type of STEM school you operate (entire school integrates STEM, after school enrichment, pull out during the day for certain students/subjects). Please explain...

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* 8. Describe three outstanding aspects of your STEM program.

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* 9. Do you have STEM partnerships with local businesses, corporations, and other community groups? Describe how you work collaboratively?

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* 10. Do you have STEM partnerships with higher education institutions? Name the colleges/universities that have contributed to your STEM program and describe how you have worked together and how you have benefited.

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* 11. What are the three major ways students use technology during instructional hours?

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* 12. During instructional hours, how are mobile devices, including cell phones, used by students during instruction and as a tool during assignments?

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* 13. Have teachers been required to attend STEM training? If so, what are three topics that have been offered to all STEM teachers?

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* 14. Have teachers participated independently in professional learning experiences that prepare them to teach in the STEM program? If so, please give an example of one workshop or course.

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* 15. Have you received recognition or an award for your STEM program - either to you as a the school leader or to the program/school? (If so, please list these awards, who made the award, and the date of the school year).

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* 16. Do you have student performance data that supports the success of STEM? Describe briefly.

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* 17. Do you have data that supports the success of your program in creating interest in STEM studies, STEM careers, or participation in STEM majors in college after students leave your school? Briefly describe.

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* 18. How ready are you for STEM certification?

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* 19. What makes you believe you are ready to be STEM certified?

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