Seeds of Science / Roots of Reading
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Seeds of Science/Roots of Reading
Professional Development Application


Print and complete this application form and mail or fax us the application and payment. You may also register online using our secure form.

We encourage teams from the same community to take advantage of discounted team rates. Team members must each fill out an application and return them together. Cost for this two day session is $290, $265 per person for groups of two or more. (Save more if you are attending the GEMS Associates Workshop this same week; contact Terry Cort as indicated at the bottom of this page for specifics.)

Name (as it will appear on your name tag)

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Colleague's Name(if applicable)

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Institution/Work Address

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City

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State

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Zip

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Work Phone

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e-mail address

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Your Position

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Grade level involvement

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Home address

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City

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State

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Zip

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Home Phone

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Your application will be evaluated in part based on your responses to the questions below:

Have you used Seeds of Science/Roots of Reading with students? If so, which units?

 

 

 

Do you own any of the Seeds of Science/Roots of Reading titles? Please list units you have.  Were you a field test teacher?

 

 


Please tell us what other science and reading curricula you currently use, how many hours weekly you use each, and where you heard about this program?




 

Mail completed application and payment to:

University of California, Berkeley
Seeds of Science/Roots of Reading Professional Development
Lawrence Hall of Science # 5200
Berkeley, CA 94720-5200

Fax (510) 643-0309

Make checks payable to "Regents of the University of California." For more information, contact Workshop Administrator Terry Cort at (510) 643-0672 or tcort@berkeley.edu

Credit card payments:

Cardholder Name:_____________________________________

Card Number:_________________________________

Expiration Date:________________________________

Card Type (Visa, Discover, or MasterCard):___________________________________

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