Cultivate Scholarship

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Name *

First

Last

Email *

Cell Phone Number *

Which session are you attending? *

• I’m attending the full 3-hour session at Huntsville Botanical Garden.
• I’m attending the full 3-hour session at an offsite location (school, PD day, conference, etc.)
• I’m attending the 1.5-hour session at an offsite location (school, PD day, conference, etc.)

School District *

• Huntsville City Schools
• Madison City Schools
• Madison County Schools
• Private School
• Homeschool
• Other (please specify in the box below)

If you selected "Other," please specify your school district in the space provided below.

Grade Level (select all that apply) *

• Daycare/PreK
• Kindergarten
• First grade
• Second grade
• Third grade
• Fourth grade
• Fifth grade
• Sixth Grade

School Name *

Do you teach at a Title 1 school? *

• Yes
• No

Please choose which category below best describes your role. *

• Classroom Teacher
• STEM Teacher
• Science Teacher
• Gifted Teacher
• Homeschool Teacher
• Administrator
• Other

I am confident in my ability to use a variety of environmental science teaching methods to meet the needs of all students. (1: not confident at all; 10: extremely confident) *

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I am confident adapting the learning environment for environmental science instruction so that special needs students can participate. (1: not confident at all; 10: extremely confident) *

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I am confident in my ability and training to effectively design and execute environmental science lessons for diverse learners. (1: not confident at all; 10: extremely confident) *

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I am confident in my ability to design a classroom environment using displays that reflect a variety of cultures for environmental science. (1: not confident at all; 10: extremely confident) *

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I am confident in integrating literacy into environmental science instruction. (1: not confident at all; 10: extremely confident) *

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I am confident in my ability to teach environmental science to students from a different cultural background than my own. (1: not confident at all; 10: extremely confident) *

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I am confident in my ability to incorporate new environmental science material for students from different backgrounds. (1: not confident at all; 10: extremely confident) *

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I am confident in my ability to integrate environmental science into other subject areas through problem solving techniques. (1: not confident at all; 10: extremely confident) *

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I am confident in my ability to teach STEM based content. (1: not confident at all; 10: extremely confident) *

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What do you hope to gain from attending the STEM Teacher Professional Development Program? What are your expectations and goals for this program? *

When you click "Submit" below, instructions for your next steps in registering for the next Cultivate session will pop up on a new webpage and also be emailed to you. Be sure to note this information. *

• I understand this form does NOT register me for the class. An automated message will be sent when I click "Submit" that will give me instructions for my next steps.

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