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New Mexico

Educational Professional Participation Form

Please complete if you are interested in being considered for participation in the specific session listed below.

We require a minimum of 5 years experience with a minimum of 3 years in the content area.

Registration deadline for the workshop is May 16, 2007

Breakfast and lunch will be provided each day. Pearson will reimburse participants for dinner if staying overnight and mileage for traveling to and from the review workshops.

To receive a stipend, participants must attend all scheduled sessions for the grade band/content area in which they have applied.

Contact: Diana Jaramillo, Education Administrator, diana.jaramillo@state.nm.us 505-827-6570 with any questions

All Fields Marked with * Are Required
Registrant Information
First Name*
Last Name*
Middle Name
Ethnicity:*
Home Address*
City*
State*
Zip*
Home Phone*
Work Phone
Fax #
Email*
(Note:This must be an email you monitor during the summer)
District*
School*
Hotel provided for participants
outside of the 50-mile radius
of workshop location. Please indicate if
you need a room.
Years of Experience as an Educator: *
License(s) held:
Do you have Bilingual Endorsements?*
Degrees:
Currently At:*
High School
Elementary School
Middle School
Central Office
University
Other School Type:
Current Position/Teaching Assignment:
Current Grade Level?*
Content area expertise: (Check all that apply)
Reading/Writing – English
Reading/Writing – Spanish
Math – English
Math – Spanish
Science – English
Science – Spanish
Social Studies – English
I am interested in participating in the following (Please check the workshop):
June 9-13, 2008
Location - Marriott Pyramid North, 5151 San Francisco Road N.E.
1 and 2 Day Sessions Starting On June 9th
June 9th - Item Review - English - Math - Grades 3-4 - 1 Day
June 9th - Item Review - English - Math - Grades 5-6 - 1 Day
June 9th - Item Review - English - Math - Grades 7-8 - 1 Day
June 9th - Item Review - English - Science - Grades 3-4 - 1 Day
June 9th - Item Review - English - Science - Grades 5-6 - 1 Day
June 9th & 10th - Item Review - English - Reading/Writing - Grades 3-6 - 2 Days
June 9th & 10th - Item Review - English - Reading/Writing - Grades 7-8 & 11 - 2 Days
June 9th - Item Review - Spanish - Reading/Writing - Grades 3-4 - 1 Day
June 9th - Item Review - Spanish - Reading/Writing - Grades 5-6 - 1 Day
1 Day Sessions On June 10th
June 10th - Item Review - English - Math - Grades 11 - 1 Day
June 10th - Item Review - English - Science - Grade 7 & 8 - 1 Day
June 10th - Item Review - English - Science - Grade 11 - 1 Day
June 10th - Item Review - English - Social Studies - Grade 11 - 1 Day
June 10th - Item Review - Spanish - Reading/Writing - Grade 7 & 8 - 1 Day
1 Day Sessions On June 11th
June 11th - Item Review - Spanish - Science - Grade 3 & 4 - 1 Day
June 11th - Instructional Impact Panel - 1 Day
1 Day Sessions On June 12th
June 12th - Item Review - Spanish - Math - Grades 3 & 4 - 1 Day
June 12th - Item Review - Spanish - Math - Grades 5 & 6 - 1 Day
June 12th - Item Review - Spanish - Science - Grades 5 & 6 - 1 Day
1 Day Sessions On June 13th
June 13th - Item Review - Spanish - Math - Grades 7 & 8 - 1 Day
June 13th - Item Review - Spanish - Math - Grades 11 - 1 Day
June 13th - Item Review - Spanish - Science - Grades 7 & 8 - 1 Day
June 23-24, 2008
Sessions
June 23rd - 24th - Alignment Study - English- NMELPA - Grades K-2 - 2 Day
July 14-18, 2008
Location - Marriott Pyramid North, 5151 San Francisco Road N.E.
Sessions For July 14th 15th 16th & 17th
July 14th-17th - Data Review - English & Spanish - Math - Grades 3-5 - 4 Days
July 14th-17th - Data Review - English & Spanish - Math - Grades 6-8 - 4 Days
July 14th-17th - Data Review - English & Spanish - Science - Grades 3-5 - 4 Days
July 14th-17th - Data Review - English & Spanish - Science - Grades 6-8 - 4 Days
July 14th-15th - Data Review - English - Reading/Writing - Grades 3-5 - 2 Days
July 14th-15th - Data Review - English - Reading/Writing - Grades 6-8 - 2 Days
July 16th - Data Review - English - Reading/Writing - Grades 11 - 1 Day
July 15th - Data Review - English - Social Studies - Grades 11 - 1 Day
July 14th - Data Review - Spanish - Reading/Writing - Grades 3-5 - 1 Day
July 15th - Data Review - Spanish - Reading/Writing - Grades 6 & 7 - 1 Day
July 16th - Data Review - Spanish - Reading/Writing - Grades 8 & 11 - 1 Day
July 14th-16th - Standard Setting - English - Science - Grades 11 - 3 Day
Sessions For July 18th
July 18th - Data Review - English & Spanish - Math - Grades 11 - 1 Day
July 18th - Data Review - English & Spanish - Science - Grades 11 - 1 Day
July 21-23, 2008
Sessions
July 21st - 23rd - Data Review - Spanish- Science - Grade 11 - 2 Days
August 4-8, 2008
Location - Marriott Pyramid North, 5151 San Francisco Road N.E.
Sessions
August 4th - 8th - Standard Setting - Spanish - Writing - Grades 3-5 - 5 Days
August 4th - 8th - Standard Setting - Spanish - Writing - Grades 6-8 - 5 Days
August 4th - 8th - Standard Setting - English - Writing - Grades 3-5 - 5 Days
August 4th - 8th - Standard Setting - English - Writing - Grades 6-8 - 5 Days
August 4th - 8th - Standard Setting - English - Writing - Grades 11 - 5 Days




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