e4usa Administrator Application
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Full Name: *
Email address (If you receive an error in inputting your email address, please leave this field blank and send an email with your preferred email contact address to apply@e4usa.org): *
High School Name: *
State: *
Country:
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Please list any engineering courses below that your school currently offers. If your school does not currently offer any engineering courses, please write [no engineering courses offered]: *
How many sections of the e4usa course would you anticipate your school being able to offer? *
Please estimate the anticipated total number of students who would enroll in the e4usa course: *
How will students be selected for enrollment in the e4usa course? *
Required
What prerequisites and/or corequisites for the e4usa course would be required at your school? Select all that apply (Note: e4usa requires only Algebra I): *
Required
How would this e4usa course be approved in your school? *
Would e4usa need to be approved as a new course, or would it replace the curriculum for an existing course? *
Please describe efforts that your school has undertaken to include larger numbers of underrepresented racial/ethnic minorities, women, economically disadvantaged students, and other underrepresented groups in existing STEM programs/courses: *
We encourage students from all backgrounds to join e4usa. Please provide an approximate percentage of students by gender.
Girls *
Boys *
We encourage students from all backgrounds to join e4usa. Please provide an approximate percentage of students by race/ethnicity.
American Indian or Alaskan Native: *
Asian: *
Black or African American: *
Hispanic or Latinx: *
Native Hawaiian or Other Pacific Islander: *
White: *
Two or More Races: *
Please provide approximately percentage of students on scholarship:
Please provide approximately percentage of students receiving free or reduced meals: *
Percentage of students with Individualized Education Plans or Sec 504 Plans: *
In 200 words or less, describe below the reasons that you would like to have your school be considered as an e4usa partner site: *
Please provide the name and contact information for a teacher in your school who could teach this course: *
Which subject(s) has this teacher taught? Select all that apply (Note: We welcome STEM and non-STEM educators to apply to e4usa): *
Required
This program will also require each e4usa teacher to be engaged in different types of data collections (e.g., student survey, student focus groups, teacher focus groups). For more details, please contact our team at apply@e4usa.org. Please describe below the process of obtaining research approval in your school/school district: *
Please provide the name and contact information for a person in charge of research approval in your school: *
As an administrator, you will be expected to assist your school in the Institutional Review Board (IRB) process in any capacity that you are able to support this process. By clicking "I acknowledge" below, you acknowledge that you have read and understood your responsibilities as an administrator. If accepted, you also acknowledge that your school will receive conditional acceptance to the program pending completion of the IRB approval process. *
e4usa is partnering with For Inspiration and Recognition of Science and Technology (FIRST) to deliver exciting robotics lessons as students also learn about engineering. Please indicate below if you would like for your school to be considered as an e4usa+FIRST site. Preference will be given to schools that do not already have a robotics program.
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Please note that teachers will be asked to engage in approximately two synchronous and other asynchronous sessions for online professional development during Spring 2022. Additionally, this program will require each e4usa teacher to commit to attending a Summer 2022 workshop, which will provide approximately 40 hours of online or face-to-face (pending health and travel restrictions due to COVID-19) professional development for this course.  Over the course of the 2022-23 academic year, e4usa teachers will be asked to attend two meetings per month with mentor teachers and six to eight hours of professional development. In addition, teachers may be asked to meet periodically for research purposes (e.g., focus groups).
We would love to hear about how you first learned about our program. Please take a moment and share how you learned about e4usa. Please check as many boxes as appropriate.
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