Holistic Science Teaching: Registration Form Holistic Science Teaching: An International Teachers' Workshop & FellowshipPART A: Student Teacher's Background InformationName of Student Teacher *Date of Birth: *Email Address: *Contact Information Name of Current Institution (School or College): *Teaching Experience - I: *General Science (Matric/FSc Stream)General Science (O/A Levels Stream)General Science (Madrassa Stream)MYP (International Baccalaureate Stream)OtherTeaching Experience II Which grades do you teach?Grades 1-5Grades 6-8Grades 9-12Teaching Experience - III: *Please describe your overall teaching experience? What subjects, classes/grades, and for how long have you been teaching in this position or generally? etc.PART B: Supervisor's InformationSupervisor's Name: Supervisor's Position: Supervisor's Contact No: *Supervisor's Email: *Do you have supervisor's endorsement / permission to apply the learning from this workshop in your classroom? YesNoPART C: ESSAY QUESTIONCOMPULSORY: In 500 words or less, Please tell us about your experience of teaching science in the Middle School (Grade 6-8). What are your struggles and weaknesses? How have you tried over to overcome these? (No more than 500 words or 3 minute video) *This Question is CRITICAL TO YOUR SELECTION and may be answered in ENGLISH or URDU Text. Please paste Urdu Text in the space below to answer it in Urdu Language. ALTERNATIVELY. This Question may be answered through a short video (no more than 3 minutes) recorded by your mobile phone and posted on youtube. Kindly share the link of that video below.COMPULSORY: In 500 words or less, How does Lesson Planning currently happen at your school? Is it centralised or left to the teacher? Do you use a specific lesson planning format? What resources do you use? To what extent do you follow that format? *This Question is CRITICAL TO YOUR SELECTION and may be answered in ENGLISH or URDU Text. Please paste Urdu Text in the space below to answer it in Urdu Language.COMPULSORY: Please write/list 3 most challenging, perplexing, and insightful questions that you get from your students in your science classroom? *This Question is CRITICAL TO YOUR SELECTION and may be answered in ENGLISH or URDU Text. Please paste Urdu Text in the space below to answer it in Urdu Language.OPTIONAL: Please upload a lesson plan that you will work through during the course of the Workshop (and after) to refine and deliver in the classroom. NOTE: If the system does not recognise the file extension of the upload, please email the lesson plan to info@pif.org.pk DeclarationsWould you be requesting for financial support for travel and boarding/lodging costs? *We have limited support to fund travel to and from participants' place of residence to Lahore. We may also be able to fund up to 4 days of boarding at a local hotel on a twin sharing basis. If you decide to stay extra-days and/or have solo room (subject to availability), you will to bear those costs yourself.No (My school will fund my travel + residence at Lahore in the Workshop Hotel)Yes (I will need boarding support at the hotel but no travel)Yes (I need both travel and boarding support)How did you hear about the Holistic Teaching of Science Workshop *FacebookThrough your school (administration)GoogleOur Website (pif.org.pk)InstagramFrom another (teacher) colleagueDirect Email from organisers via email (or nomination by another teacher)Email from a partner organisation (LUMS, PIF, KSS, etc.)PLEASE CHECK ALL the right statements. *I understand that this fellowship requires attending a 4-day workshop and a 4-6 month long-process of implementing the Holistic Science Pedagogy in the classroom and sharing results which may include weekly/monthly online meetings.I am OK to share data on my teaching practice in the classroom, and will work with project team to secure necessary permissions from school administration and/or parents, if needed.I am OK with the project team observing my classroom 2-3 times during the course of the next term and making observations about how well the Holistic Science Pedagogy is being implemented in the classroom.I have permission from my principal / supervisor to participate in this Fellowship/workshop and to deploy the pedagogy I have learnt in my classroomI am fully conversant with English and understand that the primary language of the workshop is English.I understand English well enough to operate but may need some additional support in Urdu to fully understand the content of the workshop. Would you recommend (atleast two of) your very bright Science Teachers (colleagues) to the Workshop?Teacher Name 1 *Teacher Email 1: *Teacher Name 2 *Teacher Email 2: *Teacher Name 3 Teacher Email 3: VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Google+ (Opens in new window) Related