July 22 - July 30, 2015
Bemidji State University
1500 Birchmont Dr. NE
Bemidji, Mn 56601
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SPONSORING DEPARTMENT AND INSTITUTION: Department of Mathematics and Computer Science, Bemidji State University. This program was made possible by an improving Teacher Quality Grant Program administered through the Minnesota Higher Education Services Office. |
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Name: _______________________________________________________
Home Address: _______________________________________________
Home City, State, Zip___________________________________________
School: ______________________________________________________
School Address: _______________________________________________
School City, State, Zip___________________________________________
Home Phone: __________________ School Phone: __________________
Email: Home: ____________________School______________________
I am a teacher _____ paraprofessional _____ .
Complete:
1. Please consider my application in conjunction with the following individuals who will also be applying to attend the institute:
_________________________ who is a teacher ____ paraprofessional ____ .
_________________________ who is a teacher ____ paraprofessional ____ .
_________________________ who is a teacher ____ paraprofessional ____ .
_________________________ who is a teacher ____ paraprofessional ____ .
2. Considering the program's objectives, I feel that I should be accepted into the institute for the following reasons: Write your reasons on the back of this page.