FloridaLearns STEM Scholars

Size: px
Start display at page:

Download "FloridaLearns STEM Scholars"

Transcription

1 Participating School Districts FloridaLearns STEM Scholars STEM Talent Development Workplace Experience Guide Panhandle Area Educational Consortium Patrick L. McDaniel, Executive Director Calhoun Franklin Gadsden Gulf Holmes Jackson Jefferson Liberty Madison Taylor Wakulla Walton Washington Heartland Educational Consortium Tom Conner, Executive Director DeSoto Glades Hardee Hendry Highlands Okeechobee North East Florida Educational Consortium James Surrency, Ph.D., Executive Director Columbia Flagler Gilchrest Lafayette Levy P. K. Yonge Putnam Union Florida s Rural STEM Education Initiative

2 Table of Contents General Information Introduction... 3 About FloridaLearns STEM Scholars... 4 STEM Talent Development Initiative Partnership Agreement Declaration of INTERdependence... 9 Becoming a Project Partner as a STEM Talent Developer Invitation from Heartland Educational Consortium STEM Talent Developer Information STEM Talent Developer Experience Agreement STEM Talent Developer Workplace Host Conduct Standards STEM Talent Developer Experience Verification STEM Talent Developer Experience Evaluation STEM Talent Development Experience Student Information and Forms Student Workplace Instructions Student Participation Criteria and Guidelines Student Workplace Request and Agreement Student Review Verification Form Student Reporting Form Sample Thank You Letter STEM Talent Development Policies and Procedures ~ 2 ~

3 Introduction Thank you for taking time to review the FloridaLearns STEM Scholars STEM Talent Development and Workplace Experience Guide. The information contained in the guide is designed to provide Students, Parents/Guardians/Caregivers, and STEM Talent Developers with helpful information as well as policies and procedures. Summary: Selected FloridaLearns STEM Scholars participants will have the opportunity to have a STEM workplace experience in order to gain exposure to a STEM related career of interest and to increase knowledge of STEM careers. Consortia personnel will collaborate with project partners such as Workforce boards, businesses, and industries in order to seek to place students in workplaces aligned to their specific interests. Students must be juniors and/or seniors to be eligible to participate and an application will be required. All experiences depend on availability of appropriate sites in the local area, and the length of the experience will vary. The guide contains multiple forms that are required to participate in this important aspect of the FloridaLearns STEM Scholars Project. Some forms are designed specifically for students and Parent/Guardian/Caregivers, while others are relevant only to STEM Talent Developers. The forms are in separate sections of this guide to make them easy to find. Please complete the appropriate forms that apply to you. Completed student forms should be returned by the student to the STEM Mentor Teacher at the student s high school. STEM Talent Developers should return forms to the attention of the contact from their regional educational consortium named below. Panhandle Area Educational Consortium Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Liberty, Madison, Taylor, Wakulla, Walton, Washington Brenda Crouch, Project Manager 753 West Boulevard, Chipley, FL crouchb@paec.org Fax (850) Heartland Educational Consortium DeSoto, Glades, Hardee, Hendry, Highlands, Okeechobee John Varady, Project Coordinator 1096 US Highway 27 North, Lake Placid, FL john.varady@heartlanded.org Fax (863) North East Florida Educational Consortium Columbia, Flagler, Gilchrest, Lafayette, Levy, P. K. Yonge, Putnam, Union Sandy Lewis, Project Coordinator 341 Reid Street, Palatka, FL lewisk@nefec.org Fax (386) ~ 3 ~

4 About FloridaLearns STEM Scholars The FloridaLearns STEM Scholars initiative is a multi faceted, three year project funded in 2011 by the Florida Department of Education to the Panhandle Area Educational Consortium (PAEC) and its partners, Heartland Educational Consortium (HEC) and the North East Florida Educational Consortium (NEFEC). The purpose of the $4.5 million award to Florida s three regional educational service organizations, located in the state s three Rural Areas of Critical Economic Concern (RACEC), is to create and implement a model STEM high school system for gifted and talented students in 27 of Florida s small and rural school districts. Florida s three regional educational consortia embarked on this joint venture to ensure that the state s most underserved students, the gifted and talented students in grades 9 12 who reside in PAEC, HEC, and NEFEC school districts, receive individualized services that engage them in an appropriate, rigorous STEM curriculum. Small and rural school district high school students participating in FLSS are those identified by their school districts as gifted and/or talented. The participating districts in Northwest Florida include Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Liberty, Madison, Taylor, Wakulla, Walton, and Washington Counties. The Heartland participating school districts include DeSoto, Glades, Hardee, Hendry, Highlands and Okeechobee. Participating districts in Northeast Florida are Columbia, Flagler, Gilchrist, Lafayette, Levy, P. K. Yonge, Putnam, and Union. Through the FloridaLearns STEM Scholars Project, students will have opportunities to develop the STEM skill sets needed across a range of businesses, industries, and emerging segments of the innovation economy to become an integral part of the highly skilled and educated STEM proficient workforce for Florida s economic future. The initiative will enable these gifted and talented students to make informed career choices and create a framework to increase the likelihood of their success in post secondary STEM curricula or the workplace. Working with regional STEM stakeholders as partners, the three consortia are leading an educational transformation to provide increased access to STEM related courses and rigorous and challenging learning experiences for these gifted and talented students. FloridaLearns STEM Scholars (FLSS), also known as Florida s Rural STEM Education Initiative, involves economic development, workforce development, target industry associations, K 12 education, STEM related higher education faculty, military, business, industry, philanthropic organizations and other public stakeholders. Using the research and strategies found in the recently released Florida STEM Strategic Plan, the program represents current best practices for establishing a highly successful collaborative effort. Together, these STEM stakeholders join STEMflorida, Inc. s unified, statewide initiative to promote STEM talent development for the advancement of the state s knowledge based economy. ~4~

5 STEM Talent Development Initiative The future of Florida s economy is at stake. Without a highly skilled and educated Science, Technology, Engineering and Math (STEM) proficient workforce, the state will be unable to develop a strong, diversified economy, is the clear message being urgently declared throughout Florida today. Knowing all too well the impact of their critical economic challenges and related talent development needs, some 27 Florida small and rural school districts from three rural regions of the state joined together last year to create the FloridaLearns STEM Scholars Initiative as one way to respond to this urgent and important call for action. The FloridaLearns STEM Scholar Initiative is a joint venture of Florida s three rural regional educational consortia through a Florida Department of Education, Race to the Top funded project to the Panhandle Area Educational Consortium and its partners. It addresses the need for some of Florida s most underserved students, the gifted and talented students from the 27 small and rural school districts within the partnership, to have increased access to STEM related courses and rigorous and challenging authentic learning experiences. Goals of the initiative align with key goals of Florida s Chamber Foundation; those of ensuring our state can successfully recruit, train, and retain STEM talent for Florida s economic future. Students who are participating in the project hail from three regions of the state: Northwest, served by the Panhandle Area Educational Consortium (PAEC), Northeast, served by the North East Florida Educational Consortium (NEFEC), and the rural South Central Heartland counties in Florida served by the Heartland Educational Consortium (HEC). It is imperative that we afford rural Florida s most capable students glimpses into the STEM workplace and authentic STEM workplace experiences to help our state address this critical talent development need, states Brenda Crouch, the FloridaLearns STEM Scholars Project Manager at the Panhandle Area Educational Consortium. We need help from Florida s STEM stakeholders business, industry, educational institutions, government agencies, economic development, chambers of commerce, trade associations, foundations, workforce development, and other STEM related groups to help us enroll partners to provide these STEM workplace opportunities in our rural counties of the state, she explained. To achieve this mission, FloridaLearns STEM Scholars is launching a STEM Talent Development Campaign in conjunction with the opening of School Year The purpose is to recruit STEM professionals and workplace sites in the local communities of its STEM Scholars. From September through December, local chambers of commerce, economic developers, civic clubs, agencies of Florida s Rural Economic Development Initiative (REDI), regional workforce boards, faith based groups and other rural based organizations, will be approached by representatives from one of the three FloridaLearns STEM Scholars Regional Advisory Committees, comprised of regional STEM stakeholder leaders, or project staff to help the initiative recruit potential STEM Talent Developers throughout the campaign outreach in Florida s three rural regions. Joining together, the three regional educational consortia executive directors, Pat McDaniel, PAEC, Dr. Jim Surrency, NEFEC and Tom Conner, HEC, ask for your help in preparing regional high school students who are participating in the initiative to become STEM talent ready to enter ~ 5 ~

6 STEM Talent Development Initiative Florida s STEM career pipeline. Students throughout Florida s rural school districts have skills and abilities that must not go untapped. We strongly encourage business and community leaders across the state to become an integral part of Florida s economic development future by joining us as a STEM Talent Developer in the Northwest, Northeast, or Heartland regions of our state, they add. How can you as a STEM stakeholder become a partner in helping shape Florida s economic future through support of its students in the state s small and rural counties? By contacting project personnel at STEM@heartlanded.org you will receive the STEM Talent Development packet with specific information about enrollment and commitment opportunities. Your role as a STEM Talent Developer may involve you providing any or all of these opportunities for a gifted or academically talented high school junior: shadowing experience; college or career coaching; internship experience; workplace tour; and/or student advocacy. You may also help by providing an opportunity for project staff or regional advisory group members to share their STEM Talent Developer recruitment message, a five minute project developed DVD with brochures, at an appropriate local meeting where potential STEM Talent Developers are in attendance, such as a monthly chamber of commerce or civic meeting. For more information about this initiative, please visit the FloridaLearns STEM Scholars website at or contact Brenda Crouch at crouchb@paec.org. The small amount of time you invest now has potential for significant impact in both the life of a student today and Florida s economy tomorrow. STEM stakeholder partnerships in this mission are critical to our success, she concluded. ~ 6 ~

7 STEM Talent Development Partnership Agreement FloridaLearns STEM Scholars is a Race to the Top funded project designed to help address Florida s STEM talent development needs by: 1. Expanding or establishing AP and/or dual enrollment STEM course offerings for gifted and talented students in their school of enrollment by employing a combination of courses delivered by interactive video conferencing with college professors as instructors, virtual courses offered by Florida Virtual School (FLVS), colleges or universities, and/or faceto face with school based master teachers. 2. Partnering with local colleges, universities, workforce development agencies, career and technical training facilities, military installations, museums, foundations, and STEM related businesses to maximize unique and innovative learning experiences for STEM gifted and talented students. 3. Bringing regional participants together on a regular basis to foster collaborative relationships among them, promote and enhance development of goal setting and ethical leadership skills, heighten recruitment and STEM career awareness, and involve the students in challenging academic activities via face to face and current technologies. 4. Engaging students in doing STEM by providing summer opportunities which may include any of: a. Regional workshops led by university or college faculty from STEM content areas and/or STEM experts from the field; b. Field immersion research experiences with STEM experts alongside STEM teachers; c. A university capstone experience; d. Scholarship assistance for scholars interested in attending an extended university offered STEM research experience; e. Workplace experiences in STEM related businesses and/or industries. 5. Joining with STEM Scholars partners to host regional and/or local seminars where parent and student awareness of educational requirements, benefits, and opportunities in STEM careers is enhanced via on site and/or virtual links with business, industry and agencies 6. Implementing targeted counseling services to: a. Ensure individualized learning plans are in place for participating students; b. Provide course selection, STEM career choice and scholarship advisement; c. Support the social and emotional needs of participating students; and, d. Assist students and their families with transition planning. 7. Providing needs driven professional development for local school administrators, guidance counselors and teachers by developing or utilizing existing resources. (Name of Partner) agrees to promote and support the FloridaLearns STEM Scholars Project by providing support in any combination of the means listed below: 1. Advising project personnel. 2. Providing resources such as print information, food for students, personnel, or meeting space. 3. Providing a student research or workplace experience. 4. Providing support for project activities at the state or local level. 5. Collaborating with project personnel to plan project activities to maximize student experiences. 6. Providing information for project personnel, community members, students, and/or parents. Signature of Individual, Business, or Industry Representative Date ~ 7 ~

8 STEM Talent Development Partnership Agreement The FloridaLearns STEM Scholars initiative is a multi faceted, three year project funded in 2011 by the Florida Department of Education to the Panhandle Area Educational Consortium (PAEC) and its partners, the Heartland Educational Consortium (HEC) and the North East Florida Educational Consortium (NEFEC). The purpose of the $4.5 million award to Florida s three regional educational service organizations, located in the state s three Rural Areas of Critical Economic Concern (RACEC), is to create and implement a model STEM high school system for gifted and talented students in 27 of Florida s small and rural school districts. Florida s three regional educational consortia embarked on this joint venture to ensure the state s most underserved students, the gifted and talented students in grades 9 12, who reside in PAEC, HEC, and NEFEC school districts, receive individualized services that engage them in an appropriate, rigorous STEM curriculum. Small and rural school district high school students participating in FLSS are those identified by their school districts as gifted and talented. The participating districts in Northwest Florida include Walton, Holmes, Washington, Jackson, Gadsden, Calhoun, Liberty, Gulf, Franklin, Wakulla, Taylor, Jefferson, and Madison counties. The Heartland participating school districts include DeSoto, Glades, Hardee, Hendry, Highlands and Okeechobee. Participating districts in Northeast Florida are Columbia, Flagler, Gilchrist, Lafayette, Levy, P. K. Yonge, Putnam, and Union. Through the FloridaLearns STEM Scholars Project, students will have opportunities to develop the STEM skill sets needed across a range of businesses, industries and emerging segments of the innovation economy to become an integral part of the highly skilled and educated STEM proficient workforce for Florida s economic future. The initiative will enable these gifted and talented students to make informed career choices and create a framework to increase the likelihood of their success in post secondary STEM curricula or the workplace. Working with regional STEM stakeholders as partners, the three consortia are leading an educational transformation to provide increased access to STEM related courses and rigorous and challenging learning experiences for these gifted and talented students. FloridaLearns STEM Scholars (FLSS), also known as Florida s Rural STEM Initiative, involves economic development, workforce development, target industry associations, K 12 education, STEM related higher education faculty, military, business, industry, philanthropic organizations and other public stakeholders. Using the research and strategies found in the recently released Florida STEM Strategic Plan, the program represents current best practices for establishing a highly successful collaborative effort. Together, these STEM stakeholders join STEMflorida, Inc. s unified, statewide initiative to promote STEM talent development for the advancement of the state s knowledge based economy. ~ 8 ~

9 Florida s increasingly knowledge-based economy is driven by innovation the foundation of which lies in a dynamic and well-educated workforce equipped with science, technology, engineering and math (STEM) skills. Florida, like much of the rest of the United States, is failing to develop an adequate supply of workers with the STEM skill sets needed across a range of industries and emerging segments of the innovation economy. For Florida to not only recover and sustain its economy, but to also be a competitor in world markets, it is imperative that connectivity between and integration of business, education and other stakeholders be increased. It is necessary that all stakeholders work cooperatively and collaboratively in a business-led initiative to develop a systemic approach that will result in greater efficiency and effectiveness in STEM talent development. These efforts will align prek-20 STEM education programs, activities and research to workforce expectations, create an organizational environment such that all STEM initiatives in Florida successfully connect, align and cooperate to achieve the common goal of improving student achievement in the STEM Declaration of INTERdependence Addressing STEM Talent in Florida areas, and establish a sound management foundation necessary to ensure sustainability of a Florida STEM Council, which will be created through stakeholder efforts. The purpose of this Declaration of Interdependence is to confirm the support for and planned participation in a unified, statewide effort to promote STEM talent development among the targeted industry sector employers, education and training institutions, economic development organizations and other relevant entities. We pledge our efforts to ensure Florida is equipped with the workforce development systems required to generate the needed quantity and quality of workers with the STEM skills to advance the state s knowledge-based economy. While some responsibilities are rightly shared by all stakeholders, such as identifying and overcoming obstacles to effective STEM talent development including securing sustainable funding, addressing regulatory barriers, recruiting adequate numbers of STEM students, leveraging available resources and the like, we recognize that individual stakeholder groups also have independent responsibilities. The following key principles will guide our activities. We believe the role of business/industry in addressing STEM talent development includes: Identifying, quantifying and communicating the short term and long term specific workforce skills, competencies, certifications and degrees needed. Working with education in the planning, development, oversight and refining of STEM education programs. Serving on education advisory councils. Assisting in student/trainee recruitment and placement. Providing STEM education enrichment opportunities including student internships, teacher externships, apprenticeships and fellowships. Providing financial incentives such as scholarships, tuition reimbursement, and work/study programs in STEM education programs to encourage enrollment. Seeking out and participating in activities which encourage and inform students about STEM careers. We believe the role of education in addressing STEM talent development includes: Developing and implementing STEM training and degree programs to specifically meet the workforce talent demands as expressed by business/industry. Promoting STEM education/training programs to generate the number of graduates successfully trained in the areas required by industry. Promoting STEM student internship and providing student research opportunities. Providing STEM faculty with teacher externship opportunities, providing them with firsthand awareness of career applications of STEM academics. Achieving measureable outcomes that have been mutually identified with business/industry. We believe the role of economic development, workforce development, target industry associations, and other public stakeholders in addressing STEM talent development includes: Facilitating ongoing discussion among industry and other stakeholders to ensure long-term STEM talent development success. Expanding high-value, STEM-related positions in Florida, providing meaningful employment opportunities for students pursuing STEM disciplines. Identifying and educating stakeholders in the relevant stem industry certifications and ensuring certifications earned by students at the local level correspond to the economy s needs. Creating STEM occupational awareness with job seekers. Supporting student scholarships to STEM programs with creative approaches. Monitoring industry, education and economic environments, ensuring a forward thinking, strategic and proactive focus. Name Organization Please return to: Heartland Educational Consortium, 1096 US Hwy 27 N, Lake Placid, FL or to STEM@heartlanded.org ~ 9 ~

10 Becoming a Project Partner as a STEM Talent Developer Invitation from Heartland Educational Consortium Executive Director STEM Talent Developer Information/Questions & Answers STEM Talent Developer Experience Agreement STEM Talent Developer Workplace Host Conduct Standards STEM Talent Developer Experience Verification STEM Talent Developer Experience Evaluation STEM Talent Development is a critical component on the FloridaLearns STEM Scholars Initiative. As a project partner and STEM Talent Developer, you play a key role in connecting curriculum to real world experience and provide important insight into workplace environments. Please make a copy and fill out the STEM Talent Developer Experience Agreement on page 13. The information provided will be passed to the appropriate school district and will be used to match the appropriate student/s to your workplace. The forms on page 15 and 16 should also be copied, completed, and returned following the work place experience. This information will help us keep track of progress and make important adjustments to ensure a positive experience for both student and employer in the future. All forms may be returned by fax to or scanned and e mailed to STEM@heartlanded.org. Forms may also be found at our website and returned electronically. ~ 10 ~

11 Become a STEM Talent Developer Dear Potential STEM Talent Developer: As Executive Director of the Heartland Educational Consortium, a partner in the FloridaLearns STEM Scholars Initiative, and on behalf of the small and rural school districts in our region, I invite you to positively impact the future of a gifted and talented high school junior or senior. I am contacting you to ask for your help in preparing our high school students to become STEM ready. By offering a STEM Talent Development experience to a STEM Scholar who is a high school junior or senior, you can help demonstrate the value of a career in a STEM area. Examples of these experiences include job shadowing, workplace tours, college or career coaching, serving as a student advocate, or hosting an internship. The program s ultimate goal is simple: contribute to the development of a highly skilled and educated STEM workforce to meet the demands of our future economy. We believe the students from your local school district, who are currently participating in the project, have the potential to impact our communities, our state, and our nation as we compete globally in the fields of Science, Technology, Engineering, and Math (STEM). Calhoun County Schools Columbia County Schools DeSoto County Schools Flagler County Schools Franklin County Schools Gadsden County Schools Glades County Schools Gilchrist County Schools Gulf County Schools Hardee County Schools Hendry County Schools Highlands County Schools Holmes County Schools Jackson County Schools Jefferson County Schools Lafayette County Schools Levy County Schools Liberty County Schools Madison County Schools Okeechobee County Schools P.K. Yonge Research School Putnam County Schools Taylor County Schools Union County Schools Wakulla County Schools Walton County Schools Washington County Schools If you are willing to serve as a STEM Talent Developer in our region, please complete the attached STEM Talent Developer Experience Agreement and FAX to the attention of STEM at The entire STEM Talent Development Workplace Experience Guide is also available on the FloridaLearns STEM Scholars website at If you have any questions, please don t hesitate to contact the FloridaLearns STEM Scholars consortium staff: John Varady at x209, Lisa Shin at x216, or us at STEM@heartlanded.org We look forward to working together with you, your school district, and the gifted and talented students who will benefit from your commitment in the upcoming school year. The time you invest now has potential for significant impact in both the life of a student today and also Florida s economy tomorrow. Your partnership in this mission is critical to our success and very much appreciated. Sincerely, Tom Conner, Executive Director Heartland Educational Consortium ~ 11 ~

12 STEM Talent Developer Information Questions & Answers Questions & Answers: Q: What does agreeing to become a STEM Talent Developer entail? A: There are multiple options for STEM Talent Developers, involving anything from offering a few hours of career coaching, to one day shadowing experiences, to multi week internship opportunities. Q: How many students are involved in this part of the program? A: For this school year , Heartland Educational Consortium is serving a total of approximately 300 students in the FloridaLearns STEM Scholars Program from our six participating districts. Of these 300 ninth, tenth, and eleventh grade students, approximately 90 eleventh grade students will be eligible to participate in the STEM Talent Development and Workplace Experience portion. Q: What are my responsibilities as a STEM Talent Developer? A: The procedures for the STEM Talent Development portion of our program are: Task 1. Prospective partners complete and return the STEM Talent Developer Experience Agreement 2. Project participants, who are high school juniors, will be provided a list of businesses/agencies that commit to serving as STEM Talent Developers in their area. 3. To apply for a STEM Talent Development experience, the student will complete and parents will sign a STEM Talent Development Application and return it to the designated consortium contact. 4. Consortium personnel will contact the STEM Talent Developer by e mail to let them know to expect a contact from the STEM Scholar. 5. The student (or parent) will contact the business/agency directly to negotiate the details of the workplace experience. 6. Upon completion of the experience, the STEM Talent Developer will complete and fax the STEM Talent Developer Verification Form to STEM at Responsible Party Talent Developer Student Student Consortium Student/Talent Developer Talent Developer Q: Who do I contact if I have questions? A: Please contact the FloridaLearns STEM Scholars Project Staff: you may call either John Varady at ext. 209, Lisa Shin at ext. 216, or us at STEM@heartlanded.org ~ 12 ~

13 STEM Talent Developer Experience Agreement Name of Business or Agency: Business Address: City/State/Zip: Name of Primary Contact: Phone Number: Title: FAX: Business E mail Address for Primary Contact: Place a check on the lines below to indicate the types of STEM Talent Development Experience the business/agency is willing to provide. 1. STEM Career Shadowing 2. College or Career Coaching 3. Internship (length of time and conditions negotiated between business/agency and student) 4. Tour for student or group of students 5. Student Advocate 6. Other (please describe) AGREEMENT OF THE PARTIES TALENT DEVELOPMENT PROVIDER S AGREEMENT: Please check the appropriate boxes I agree to allow STEM Scholars, who are currently in grades 11 or 12, to be placed with me for the purpose of talent development. Conditions of Placement: 1. I agree to comply with all regulations defined by the Occupational Safety & Health Administration, the Fair Labor Standards Act, as well as any other pertinent federal, state, and local employment laws. 2. I agree to adhere to all regulations relating to anti discrimination and equal opportunity. 3. I agree to inform the student of particular safety requirements of this workplace. 4. I agree to notify the school of any accident involving a school student, any actions undertaken and damages to property involving the student during this placement. 5. I agree that the student will work under my supervision or the supervision of my nominee. 6. The arrangement may be terminated at any time by any party to this agreement. 7. No monetary compensation or other benefits (including worker s compensation and health insurance coverage through the school or sponsoring business) will be provided to the student. 8. The hours worked will not exceed the normal hours worked in my industry or allowed by law. 9. The student will not perform any work which is unreasonably dangerous or prohibited by law. 10. I agree to notify the school of any unexplained absences by the student. I have reviewed the FloridaLearns STEM Scholars Policies and Procedures. Signature of Business/Agency Official Printed Name Date Please fax this completed form to , or scan and to STEM@heartlanded.org ~ 13 ~

14 STEM Talent Developer Workplace Host Conduct Standards The following standards are presented to help employers understand the practices expected of them as sponsors of a student work place experience. While these standards seem to be selfevident, it is important to list them. Sponsors should instruct their employees or volunteers to: Not have any inappropriate contact with any student met through their STEM Talent Development experience, including those students 18 years of age or older. Not engage in any workplace experience with any student without the prior consent of the student s school principal or designee. Some examples of inappropriate conduct include, but are not limited to: Violations of state laws regarding child abuse, and or providing alcohol or controlled substances to minors. Use of profanity, vulgar, or inappropriate language in the classroom or workplace. Physical contact which is inappropriate in any mentor pupil professional relationship and with special consideration of the age and sex of the student. Any comments or actions that might be considered to constitute sexual harassment in the workplace. ~ 14 ~

15 STEM Talent Developer Workplace Experience Verification Name of STEM Scholar: School District: Name of Business or Agency: Phone Number: Professional E mail Address for Primary Contact: (Printed Neatly) Signature of STEM Workplace Experience Provider: Date: Place check(s) below to indicate the kind of STEM Talent Development experience(s) the business/agency provided for the student named above and the amount of time it involved. STEM Talent Development Experience Date(s) Total Hours STEM Career Shadowing College or Career Coaching Internship Tour for Student or Group of Students Student Advocacy Other (please describe) On behalf of all who are involved with the FloridaLearns STEM Scholars project, we can t thank you enough for demonstrating your commitment to Florida s future economy by helping ensure there are capable students who are ready and willing to enter Florida s STEM talent pipeline. Please fax the completed form to the attention of Janice Del Sesto at ~ 15 ~

16 STEM Talent Developer Workplace Experience Evaluation FloridaLearns STEM Scholars Project personnel need your feedback on the success of the STEM Talent Development Experience for Students. Please complete this evaluation form and fax to or you may scan and send to Student Name Business Name and Talent Developer Name School District/School Please circle your response for each item listed below. If you feel you are unable to make an accurate judgment based on the experience, please circle NA. Poor Fair Good Very Good Excellent 1. The student s punctuality NA The student s cooperativeness NA The student s enthusiasm NA The student s respectfulness NA The student s inquisitiveness NA The student s interest in the career field NA The student s aptitude for work in this field NA The student s ability to explain or discuss the work experience NA The student s appropriateness of dress and manners NA The student s ability to relate other experiences NA Your experience with the FloridaLearns STEM Scholars Talent Development Initiative NA Your business willingness to continue participation NA Your opinion of the FloridaLearns STEM Scholars Project s benefit to gifted and talented high school students from rural school districts NA Please fax the completed form to the attention of Janice Del Sesto at ~ 16 ~

17 STEM Talent Development Experience Student Information and Forms Student Workplace Instructions Student Participation Criteria and Guidelines Student Workplace Request and Agreement Student Review Verification Form Student Reporting Form Sample Thank You Letter The STEM Talent Workplace Experience is designed to help students better understand the nature and demands of different STEM related careers as well as offer important opportunities to connect and network with potential employers. Student participants in the program and their parents must read and sign the Workplace Request and Agreement form on pages It must also be signed by the student s principal and be notarized. Students are also required to read the entire STEM Talent Development and Workplace Experience Guide. On page 23, please sign the form indicating that you have done so. Following the STEM Talent Development and Workplace experience, students must submit a Student Reporting Form. The form is located on page 24. It is important to write a Thank You letter to your host. A sample letter can be found on page 25. All forms can be returned by fax to These forms may also be completed, scanned, and returned by to STEM@heartlanded.org. For your convenience, forms which may be printed are located on our website. ~ 17 ~

18 STEM Talent Development Experience Student Workplace Instructions Instructions 1. Please review the list of workplaces/agencies in your community that have agreed to become STEM Talent Developers. As workplaces/agencies are added, we will update the list and send it to your STEM Mentor Teacher. The type of STEM Talent Development experience each workplace/agency is willing to provide is listed. 2. If you are interested in one of these experiences: a. Complete the STEM Talent Development Workplace Experience Request and Agreement and Student Review Verification forms. b. Make certain your parents/guardians/caregivers sign and have the Request and Agreement form notarized. c. Ask your principal to review and sign the Request and Agreement form. d. Return the forms to your STEM Mentor Teacher. This individual will ensure the form is returned to project personnel at HEC. 3. FloridaLearns STEM Scholars project personnel will then contact the business or agency to let them know you will be contacting them to arrange the experience and will also notify you by e mail as well as notify your STEM Mentor Teacher. The STEM Mentor teacher will print the verification e mail from project personnel and ensure the student receives a copy of the message. 4. Once you receive the notification the business has been contacted, you will be responsible for contacting the business to discuss details and to set up the experience. 5. At the end of the experience, please ask the workplace/agency representative with whom you ve been in contact to sign your copy of the STEM Talent Development Experience Student Reporting Form. 6. Give the completed form to the STEM Mentor Teacher or STEM Counselor to place into your STEM Scholars portfolio which is housed at your school. 7. Send a thank you letter to the contact at the business/agency that hosted your Talent Development Experience. A sample is included in this guide. 8. The business/agency will also have a form that should be completed and faxed to the consortium when you complete the experience. Please remind them to complete this form. ~ 18 ~

19 STEM Talent Development Experience Student Workplace Instructions Questions and Answers Q: Why do my parents/guardians/caregivers need to notarize the form? A: It is very important for your parents/guardians/caregivers to know about and approve of this workplace experience and that is our only means of verifying their knowledge and approval. Q: Why is it necessary for project personnel to contact the business or agency? A: We are promising the businesses/agencies that the students who will contact them are not younger than an 11 th grader and are the gifted and talented students participating in the FloridaLearns STEM Scholars project. This is our means of verifying that for them. Q: Why do I need to complete a workplace experience report although the workplace provider is also expected to fax a form? A: We recognize the business/agency personnel are very busy and if for some reason they fail to fax their form, you will have a record of the experience. It is also important for you to have a record in your portfolio to remind you (and those who will write recommendation letters for you) of what you ve accomplished. You will need this information when you completing college and scholarship applications. Q: What should I do if I submit the request form to my STEM Mentor Teacher or STEM Counselor and I haven t heard from project personnel? (please allow two weeks) A: Please contact us by e mail at STEM@heartlanded.org. We will happily follow up on your behalf and be back in touch with you! Q: Is there a limit on the amount of STEM Talent Development experiences I can take part in and who at my school will determine whether the absences are excused or not? A: There isn t a limit. Remember, shadowing, career coaching, etc. may take place after school or in the summer. For experiences that will take you out of school, your principal is the final authority in terms of approval. It is important to ensure any absences for STEM Talent Development experiences are approved and will be excused by your principal in advance of the experience. As you make arrangements for the experience you must also consider you class work and test schedules. It is unacceptable to plan the experiences on days for which major tests in your classes are scheduled or at the time of any statewide testing in which you will be involved. Q: What should I do if I have specific questions about the STEM Talent Development process? A: You may ask your STEM Counselor, STEM Mentor Teacher, or contact project personnel by e mail at STEM@heartlanded.org. We want you to be well informed! ~ 19 ~

20 STEM Talent Development Experience Student Participation Criteria and Guidelines One of the most challenging aspects of the FloridaLearns STEM Scholars Project may be ensuring the impressions you create, as you interact with our STEM Talent Development Partners, are extremely positive. These partnerships were developed to give STEM Scholars the chance for real world interactions with STEMrelated employers. Whether your experience involves job shadowing, job coaching, a tour, or internship experience, you are expected to adhere to workplace etiquette and guidelines to ensure the experience is beneficial for you and the STEM talent developer. Punctuality: Tardiness is a sign of disinterest in the work and disrespect for those who are taking time to provide the experience. Promptness signals eagerness, responsibility, and respect. It is a good idea to always be at least five minutes early. Attendance: Our STEM Talent Development partners are busy and have agreed to share a certain amount of time to help you with your education and career. If an appointment is cancelled, it should be for a good reason such as illness or a family emergency. Call immediately and speak directly with the person who will be responsible for the visit such as a supervisor, explain the situation, and apologize for inconvenience that may be caused. Do not simply leave a message with the receptionist. Confidentiality: Some of the workplace experiences may expose you to confidential aspects of a business. Make it your rule to never discuss information pertaining to the business aspects of the workplace with others. Attire: Adhere to the dress code of the company or business being visited. In almost every case, shorts, tee shirts, tank tops, open toed shoes, torn jeans, or other casual attire may be inappropriate. A good rule of thumb is to be clean, neat, and model the attire after that of the supervisor and other employees in the workplace. If you are in doubt about the appropriate dress, ask when you contact the business/agency to set up the workplace experience. Remember, you will be representing your school, the FloridaLearns STEM Scholars Program, and the business/agency that is providing the experience. Conduct: At all times, students should behave in a professional, mature, and responsible manner. Inappropriate language or comments and using a cell phone for texting or talking to friends or family should be avoided at all times. Pay attention and listen to learn. First Impression: A firm handshake and eye contact will go a long way to creating a good impression. As those in the workplace are introduced, be friendly and smile. The first impression is often the one upon which someone s opinion of you is based. Follow Up: After you have completed participation with the STEM Talent Development Partner, it is very important to write a thank you letter to the mentor or host. This not only shows politeness and appreciation for the time you ve been given; it is an excellent skill to develop for future use. Adapted from: Building a Foundation for School to Work, from the Communities in Schools Job Care Network. ~ 20 ~

21 STEM Talent Development Experience Student Workplace Request and Agreement Please complete this form, have it notarized, and return it to your STEM Mentor Teacher. A copy of this form will be sent to each business for which an experience is requested. Student Name Grade Age Mailing Address Address Home Phone District Emergency Contact Name School Emergency Contact Phone STEM High School Courses (Completed or Currently Enrolled) Name of Business Business Requests Type of Workplace Experience AGREEMENT OF THE PARTIES I. STUDENT S AGREEMENT: 1) I will attend my placement for the full talent development period. I will ensure that both the school and the person or organization providing the placement will be notified if I am unable to attend the workplace. My dress and behavior will be in keeping with the accepted standards of my work experience provider and understand that this may include participation in random drug and alcohol testing as per any workplace health and safety requirements in particular industries. I will promptly tell my supervisor of any personal injury or damage to property which may involve me. I will comply with all work rules, policies and procedures and will at all times act in accordance with the instructions of my supervisor. I agree to conduct myself in a professional manner and acknowledge that I am responsible for my own actions during the course of the development program and understand that any party to this agreement may terminate my participation at any time. 2) I understand that my participation in the talent development experience program is completely voluntarily and is an opportunity offered for the benefit of a learning experience and not employment; therefore, I understand that participation does not provide monetary compensation or benefits such as worker s compensation and health insurance coverage through the school or sponsoring business. I further understand that it is my responsibility to provide all transportation needed to fulfill participation in the program and that program activities could involve certain risks such as those related to travel, the operation of machinery, or other risks, and I accept those risks and assume full responsibility for any associated injury, property losses or accidents. In consideration of the opportunity afforded me and with full knowledge and appreciation of the risks involved, I hereby agree to indemnify, release and hold harmless Heartland Educational Consortium, my school district, my school, and the Talent Development Experience Provider, as well as their officers, members, agents, faculty, employees, and insurers, from all forms and manner of risks inherent to the work experience position and from ~ 21 ~

22 STEM Talent Development Experience Student Workplace Request and Agreement all claims and demands of any nature arising from my participation in the talent development program and related travel, except that this release shall not include a release of any claim occasioned by negligence or intentional torts of a party to this agreement. I HAVE READ THE ABOVE AND UNDERSTAND THAT IT CONTAINS A RELEASE Student Name (Printed) Student Signature Date II. PARENT/GUARDIAN/ CAREGIVER S CONSENT (Applicable to students under 18 years of age): 1) I am the Parent/Guardian/Caregiver of the above named student and consent to my child participating in the work experience stated above. I understand that my child s participation in the talent development program is completely voluntarily and is an opportunity offered for the benefit of a learning experience and not employment; therefore, I understand that my child s participation does not provide monetary compensation or benefits such as workers compensation and health insurance coverage through the school or sponsoring business. I further understand that it is my responsibility to provide all transportation needed to fulfill participation in the program and that program activities could involve certain risks such as those related to travel, the operation of machinery, or other risks, and I accept those risks and assume full responsibility for any associated injury, property losses, or accidents. In consideration of the opportunity afforded my child, with full knowledge and appreciation of the risks involved, I hereby agree to indemnify, release and hold harmless Heartland Educational Consortium, my child s school district, school, and the Talent Development Experience Provider, as well as their officers, members, agents, faculty, employees, and insurers, from all form and manner of risks inherent to the work experience position and from all claims and demands of any nature arising from my child s participation in the work experience program and related travel, except that this release shall not include a release of any claim occasioned by negligence or intentional torts of a party to this Agreement. I HAVE READ THE ABOVE AND UNDERSTAND THAT IT CONTAINS A RELEASE Parent/Guardian Name (Printed) Parent/Guardian Signature Date III. NOTARY AFFIRMATION OF PARENT/GUARDIAN/CAREGIVER SIGNATURE Signed and sworn (or affirmed) before me on by (Date) (Name of person making statement) (Signature of Notary Public) State of Florida County of (Commission # / Expiration Date or Stamp) Notary Seal IV. PRINCIPAL S AGREEMENT: 1) I have reviewed the student s request and agreement and enter into this arrangement for the named student to be placed for the purpose of a STEM Talent Development experience with the above named work experience provider/s under the terms stated herein. Principal s Name (Printed) Principal s Signature Date District School Name ~ 22 ~

STEM Talent Development Workplace Experience Guide

STEM Talent Development Workplace Experience Guide Participating School Districts Panhandle Area Educational Consortium Patrick L. McDaniel, Executive Director Calhoun Franklin Gadsden Gulf Holmes Jackson Jefferson Liberty Madison Taylor Wakulla Walton

More information

RURAL COMMUNITY ASSETS FUND

RURAL COMMUNITY ASSETS FUND RURAL COMMUNITY ASSETS FUND TECHNICAL ASSISTANCE CALL Tuesday, CONNECTING Please join my meeting from your computer, tablet or smartphone. https://global.gotomeeting.com/join/322940837 You can also dial

More information

STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION REQUEST FOR INFORMATION RFI /15 PROVISION OF NON-EMERGENCY TRANSPORTATION SERVICES

STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION REQUEST FOR INFORMATION RFI /15 PROVISION OF NON-EMERGENCY TRANSPORTATION SERVICES STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION REQUEST FOR INFORMATION RFI 003-14/15 PROVISION OF NON-EMERGENCY TRANSPORTATION SERVICES A. BACKGROUND/PURPOSE 1. Background In accordance with section

More information

Mapped Facts and Figures Florida s Ocean and Coastal Economies

Mapped Facts and Figures Florida s Ocean and Coastal Economies Mapped Facts and Figures Florida s Ocean and Coastal Economies Professor Judith Kildow, Principal Investigator California State University Monterey Bay September 2006 INFORMATION INCLUDED Florida and Regions

More information

Choosing a Managed Care Plan for Medicaid Long-Term Care

Choosing a Managed Care Plan for Medicaid Long-Term Care A Guide for Florida Advocates Choosing a Managed Care Plan for Medicaid Long-Term Care How Is Florida Medicaid Changing its Long-Term Care Services? From August 2013 through March 2014, the Florida Medicaid

More information

Statewide Medicaid Managed Care Re-Procurement Update

Statewide Medicaid Managed Care Re-Procurement Update Statewide Medicaid Managed Care Re-Procurement Update Beth Kidder Deputy Secretary for Medicaid Presented to: House Health & Human Services Committee October 10, 2017 1 Statewide Medicaid Managed Care

More information

GIFTED AND TALENTED RESEARCH PROGRAM INTERN/MENTOR APPLICATION PACKET

GIFTED AND TALENTED RESEARCH PROGRAM INTERN/MENTOR APPLICATION PACKET GIFTED AND TALENTED RESEARCH PROGRAM INTERN/MENTOR APPLICATION PACKET River Hill High School Ms Mary Jane Sasser msasser@hcpss.org 410.313.7120 Applications will be accepted starting January 3. Deadline

More information

If you are currently a High School Senior. you will complete a general volunteer application, not this one.

If you are currently a High School Senior. you will complete a general volunteer application, not this one. 2018 North Cypress Medical Center Junior Volunteer Packet Must be a Current High School Sophomore or Junior If you are currently a High School Senior you will complete a general volunteer application,

More information

Statewide Medicaid Managed Care Long-term Care Program. Judy Jacobs Agency for Health Care Administration Area 7 Field Office Manager April 9, 2013

Statewide Medicaid Managed Care Long-term Care Program. Judy Jacobs Agency for Health Care Administration Area 7 Field Office Manager April 9, 2013 Statewide Medicaid Managed Care Long-term Care Program Judy Jacobs Agency for Health Care Administration Area 7 Field Office Manager April 9, 2013 Overview Part 1: What is Managed Care? Part 2: Legislation

More information

RFA Page 1 of 6

RFA Page 1 of 6 Request for Applications for Homeless Housing Assistance Loan Demonstration Funding In Counties with Populations Less than 250,000 227 N. Bronough Street, Seltzer Conference Room, Sixth Floor, Tallahassee,

More information

Molina Healthcare of Florida Community Connector Program. Jeffrey T King, RN, MBA VP Healthcare Services

Molina Healthcare of Florida Community Connector Program. Jeffrey T King, RN, MBA VP Healthcare Services Molina Healthcare of Florida Community Connector Program Jeffrey T King, RN, MBA VP Healthcare Services Our Mission To provide quality health care to people receiving government assistance Escambia Santa

More information

Post Award Forum for Florida s 1115 Managed Medical Assistance Waiver. Presented at the September 2014 Medical Care Advisory Committee Meeting

Post Award Forum for Florida s 1115 Managed Medical Assistance Waiver. Presented at the September 2014 Medical Care Advisory Committee Meeting Post Award Forum for Florida s 1115 Managed Medical Assistance Waiver Presented at the September 2014 Medical Care Advisory Committee Meeting Statewide Medicaid Managed Care (SMMC) Program The SMMC program

More information

Florida s High School Cohort Graduation Rate

Florida s High School Cohort Graduation Rate Florida s Graduation Rate Florida s High School Cohort 2016-17 Graduation Rate January 2018 Florida s high school graduation rate increased by 1.6 percentage points over the last year and has increased

More information

MASON-DIXON FLORIDA POLL

MASON-DIXON FLORIDA POLL MASON-DIXON FLORIDA POLL OCTOBER 2017 HURRICANE IRMA FOR RELEASE: 6 am. Wednesday, October 25, 2017 Copyright 2017 Tracking public opinion in Florida since 1984 1 SCOTT RECEIVES HIGH MARKS FOR IRMA, BUT

More information

Florida Managed Medical Assistance Program:

Florida Managed Medical Assistance Program: Florida Managed Medical Assistance Program: Program Overview Agency for Health Care Administration Division of Medicaid Table of Contents Why Are Changes Being Made to Florida s Medicaid Program?... 3

More information

Alpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp Counselor In Training Handbook

Alpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp Counselor In Training Handbook Alpharetta Recreation and Parks Department 2018 Wills Park Summer Day Camp City of Alpharetta Recreation and Parks Alpharetta Community Center 175 Roswell Street Alpharetta, GA 30009 (678) 297-6100 accprograms@alpharetta.ga.us

More information

The Talent Equation: Finding, Developing and Keeping Talent with CareerSource Solutions

The Talent Equation: Finding, Developing and Keeping Talent with CareerSource Solutions The Talent Equation: Finding, Developing and Keeping Talent with CareerSource Solutions CareerSource Florida: Who We Are CareerSource Florida is Florida s statewide Workforce Investment Board charged with

More information

Matlacha/Pine Island Fire Control District 5700 Pine Island Road Bokeelia, FL APPLICATION FOR EMPLOYMENT

Matlacha/Pine Island Fire Control District 5700 Pine Island Road Bokeelia, FL APPLICATION FOR EMPLOYMENT Position(s) Applied For Matlacha/Pine Island Fire Control District 5700 Pine Island Road Bokeelia, FL 33922 APPLICATION FOR EMPLOYMENT Date of Application PERSONAL INFORMATION Last Name First Name Middle

More information

NAHB Professional Women in Building Local Council Program Scholarship Distribution Toolkit

NAHB Professional Women in Building Local Council Program Scholarship Distribution Toolkit NAHB Professional Women in Building Local Council Program Scholarship Distribution Toolkit INDEX OF NAHB PROFESSIONAL WOMEN IN BUILDING COUNCIL SCHOLARSHIP PACKET 1. Introduction 2. Overview of Scholarship

More information

HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM

HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM 2017-2018 School Year Volunteer Application Becoming part of the NUMC volunteer team is a process and has many steps. Please review all the information carefully with

More information

2016 Multi-Jurisdictional Law Enforcement Explorer Academy

2016 Multi-Jurisdictional Law Enforcement Explorer Academy 2016 Multi-Jurisdictional Law Enforcement Explorer Academy All questions must be answered. If something does not apply please indicate N/A. Note: If there are any un-answered questions on this application

More information

Junior Volunteer Program

Junior Volunteer Program 5126 Hospital Drive Covington, GA 30014 Tel: 770.788.6553 Andrea.Lane@piedmont.org Junior Volunteer Program Information Packet Piedmont Newton Hospital Volunteer Services Summer 2016 June 13 July 22 1

More information

FDOT District Two Freight Movement Forums. Office of Agricultural Law Enforcement

FDOT District Two Freight Movement Forums. Office of Agricultural Law Enforcement FDOT District Two Freight Movement Forums Office of Agricultural Law Enforcement The Office of Agricultural Law Enforcement is dedicated to protecting Florida s agriculture and its consumers through professional

More information

2015 OHIO SCHOLARSHIP ELIGIBILITY AND GUIDELINES Submission Deadline: Friday, May 30, 2014

2015 OHIO SCHOLARSHIP ELIGIBILITY AND GUIDELINES Submission Deadline: Friday, May 30, 2014 2015 OHIO SCHOLARSHIP ELIGIBILITY AND GUIDELINES Submission Deadline: Friday, May 30, 2014 The Children's Defense Fund's Beat the Odds Scholarship Program honors, celebrates, and rewards outstanding high

More information

Lambert High School DECA Officer Interest Packet & Application

Lambert High School DECA Officer Interest Packet & Application Lambert High School DECA Officer Interest Packet & Application 2016 1 Table of Contents A Letter From DECA Advisors.3 Officer Positions and General Responsibilities. 4-5 Application.....6-9 Officer Candidate

More information

Ray Haugh Vocational Scholarship Application Due Thursday, April 12, 2018

Ray Haugh Vocational Scholarship Application Due Thursday, April 12, 2018 13700 La Mirada Boulevard, La Mirada, California 90638 (562) 943-0131 Ray Haugh Vocational Scholarship Application Due Thursday, April 12, 2018 The La Mirada Community Foundation is seeking scholarship

More information

CPRS Application. Certified Peer Recovery Specialist. VCB CPRS Application Revised February

CPRS Application. Certified Peer Recovery Specialist. VCB CPRS Application Revised February CPRS Application Certified Peer Recovery Specialist VCB CPRS Application Revised February 2017 - www.vacertboard.org - info@vacertboard.org 1 DIRECTIONS/CHECKLIST Documentation of high school diploma/ged

More information

Out-of-Home Treatment Services for Children in Managed Care

Out-of-Home Treatment Services for Children in Managed Care Out-of-Home Treatment Services for Children in Managed Care Residential Mental Health Treatment in Florida (Ch. 39 & 394 F.S.) December 8, 2015 1 Presenters Heather Allman, LCSW Agency for Health Care

More information

FLORIDA - REGION DEPARTMENT OF COUNSELING AND PSYCHOLOGY CP 6659 INTERNSHIP (CLINICAL MENTAL HEALTH)

FLORIDA - REGION DEPARTMENT OF COUNSELING AND PSYCHOLOGY CP 6659 INTERNSHIP (CLINICAL MENTAL HEALTH) FLORIDA - REGION DEPARTMENT OF COUNSELING AND PSYCHOLOGY CP 6659 INTERNSHIP (CLINICAL MENTAL HEALTH) STUDENT: (last) (first) (mi) TROY EMAIL: STUDENT ID NUMBER: COURSE SECTION NUMBER (i.e. FPPA) SEMESTER

More information

LATE AND INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

LATE AND INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. Dear Community Leader: The Children s Defense Fund- New York Office invites you to participate in the New York Beat the Odds Scholarship Program by nominating a student. Founded by Marian Wright Edelman,

More information

STEPS FOR COMPLETING THE SERVICE LEARNING PACKET PLEASE READ ALL of the information contained in this document carefully.

STEPS FOR COMPLETING THE SERVICE LEARNING PACKET PLEASE READ ALL of the information contained in this document carefully. STEPS FOR COMPLETING THE SERVICE LEARNING PACKET PLEASE READ ALL of the information contained in this document carefully. Fully and accurately complete the three requirements outlined for the CAVE Service

More information

Susan Busler & Judi Peters Polk County 4-H Youth Development

Susan Busler & Judi Peters Polk County 4-H Youth Development E XTENSION SERVICE P OLK COUNTY March 24, 2017 To: Prospective 4-H Volunteers Re: New Volunteer Orientation Welcome to the wonderful world of 4-H! We re so pleased that you are joining - or are thinking

More information

Polk County Sheriff s Office

Polk County Sheriff s Office Polk County Sheriff s Office Explorer Post 900 Application Grady Judd, Sheriff Polk County Sheriff s Office 1891 Jim Keene Blvd Winter Haven, FL 33880 (863) 298-6200 www.polksheriff.org Pride In Service

More information

Children s Hospital Los Angeles Application for Summer Junior Volunteer Program 2018 (15-17 years of age)

Children s Hospital Los Angeles Application for Summer Junior Volunteer Program 2018 (15-17 years of age) Children s Hospital Los Angeles Application for Summer Junior Volunteer Program 2018 (15-17 years of age) Dear Volunteer Applicant: Thank you for your interest in becoming a Junior Volunteer at Children

More information

Regional Philanthropy Director Job Announcement

Regional Philanthropy Director Job Announcement Regional Philanthropy Director Job Announcement Scion Executive Search (www.scionexecutivesearch.com) has been retained to conduct a search for a new Regional Philanthropy Director for Mercy Housing Northwest

More information

Court Referral Program YDAD REGISTRATION

Court Referral Program YDAD REGISTRATION Court Referral Program YDAD REGISTRATION Case Number# : Name: (First) (Middle Name) (Last Name) Address: City: State: Zip: Home Phone: ( ) Cell: ( ) Work Phone: ( ) Fax #: ( ) Email Address: @. Social

More information

Douglas County Chamber Youth Leadership Douglas Program

Douglas County Chamber Youth Leadership Douglas Program Douglas County Chamber Youth Leadership Douglas Program Youth Leadership Douglas is a leadership training program grounded in community awareness, community service and in developing your personal potential

More information

Florida Job Growth Grant Fund Workforce Training Grant Proposal Entity Information Name of Entity: The University of West Florida Federal Employer Identification Number: Contact Information Primary Contact

More information

Written applications for admission are accepted year round and qualified applicants will be placed in appropriate class.

Written applications for admission are accepted year round and qualified applicants will be placed in appropriate class. 835 Ferry Street Martinez CA 94553 925-293-4792 Loaves and Fishes of Contra Costa ( LFCC ) Culinary Training Program ( CTP ) The Loaves and Fishes Culinary Training Program is a five-week (@70-100 hours)

More information

Phase 0 Program Contacts By County

Phase 0 Program Contacts By County Phase 0 Program Contacts By County Alachua Baker Bay Bradford Brevard Bonnie O'Regan, Incubator Manager TRDA Business Innovation Center 1050 W. NASA Blvd., Melbourne, FL 32901 321-872-1050, Ext. 107 &

More information

Name: (Last, First, Middle Initial) Home Street Address: City: State: Address: Date of Birth: In Case of Emergency Notify: Name:

Name: (Last, First, Middle Initial) Home Street Address: City: State:  Address: Date of Birth: In Case of Emergency Notify: Name: 2017-2018 PARENT/COMMUNITY MEMBER VOLUNTEER APPLICATION GETTING STARTED In order to be cleared to volunteer with Richland County School District One, you will need to follow the steps below: 1. Richland

More information

Developing a Best Practice Model for Clinical Integration

Developing a Best Practice Model for Clinical Integration Developing a Best Practice Model for Clinical Integration History/Purpose Since 2013 child welfare and behavioral health stakeholders have established multiple forums to collaborate, communicate, share

More information

Dear Volunteen Applicant:

Dear Volunteen Applicant: Dear Volunteen Applicant: Thank you for your interest in volunteering at Marian Regional Medical Center. Our Volunteen Program is for current high school students who are at least 14 years old. Please

More information

If you have any questions, please direct them to the District Volunteer Office at (916)

If you have any questions, please direct them to the District Volunteer Office at (916) Dear Volunteer, We are pleased that you have decided to participate in the Sacramento City Unified School District (SCUSD) Volunteer Program! As parents, grandparents, neighbors and community members you

More information

Enhanced Utilization Management Model

Enhanced Utilization Management Model PROVIDER PRESENTATION UPDATE Enhanced Utilization Management Model Physical Therapy, Speech Therapy and Occupational Therapy 12/18/17 Provider Training Tool Publication Enhanced Utilization Management

More information

WIB incentivize faculty to join these discussion so to educate industry on the needs (e.g., Videotape or live feed for broader access shared online

WIB incentivize faculty to join these discussion so to educate industry on the needs (e.g., Videotape or live feed for broader access shared online BOARD OF GOVERNORS WORKFORCE, JOB CREATION, AND A STRONG ECONOMY RECOMMENDATIONS 1 NOTE: THE COMMENTS IN RED ARE FROM THE REGIONAL MEETINGS AND ARE NOT SPECIFICALLY ENDORSED BY THE ACADEMIC SENATE STUDENT

More information

AGREEMENT BETWEEN: LA CLÍNICA DE LA RAZA, INC. AND MOUNT DIABLO UNIFIED SCHOOL DISTRICT

AGREEMENT BETWEEN: LA CLÍNICA DE LA RAZA, INC. AND MOUNT DIABLO UNIFIED SCHOOL DISTRICT AGREEMENT BETWEEN: LA CLÍNICA DE LA RAZA, INC. AND MOUNT DIABLO UNIFIED SCHOOL DISTRICT This agreement is made as of the day of, 2009 by and between the Mt. Diablo Unified School District, hereafter known

More information

Behavioral Solutions. VolunteerHandbook. Guidelines for TrueCore Volunteers and Interns

Behavioral Solutions. VolunteerHandbook. Guidelines for TrueCore Volunteers and Interns Behavioral Solutions VolunteerHandbook Guidelines for TrueCore Volunteers and Interns 1 TrueCore Behavioral Solutions VolunteerHandbook TrueCore Behavioral Solutions is committed to building partnerships

More information

Providing leadership in advancing the nursing profession so that Floridians can access safe, high quality healthcare.

Providing leadership in advancing the nursing profession so that Floridians can access safe, high quality healthcare. * 2010-2017 * Providing leadership in advancing the nursing profession so that Floridians can access safe, high quality healthcare. LE A DERS HIP EDUC ATI O N PR AC TICE DIVERSIT Y * October 2010: Institute

More information

Improving the quality of life for long-term care residents

Improving the quality of life for long-term care residents Improving the quality of life for long-term care residents 2012-2013 AnnuAl RepoRt What is the Ombudsman Program? The Long-Term Care Ombudsman Program is made up of over 350 volunteers who are passionate

More information

Master of Science in Nursing Program. Nurse Educator / Clinical Leader Orientation Handbook for Preceptors. Angelo State University

Master of Science in Nursing Program. Nurse Educator / Clinical Leader Orientation Handbook for Preceptors. Angelo State University Master of Science in Nursing Program Nurse Educator / Clinical Leader Orientation Handbook for Preceptors Angelo State University Revised: Fall 2014; Summer 2017 1 TABLE OF CONTENTS Master of Science in

More information

Overview. Alaska Career and Technical Education Plan: A Call to Action

Overview. Alaska Career and Technical Education Plan: A Call to Action Overview Alaska Career and Technical Education Plan: A Call to Action Strategy 1.0: Make transitions planned and accountable for both successful student progress and systemic cooperation. 1.1. Ensure every

More information

Andrada Polytechnic High School

Andrada Polytechnic High School Andrada Polytechnic High School Welcome letter Timeline Parental Consent Form Project proposal guidelines Senior Exit Project Handbook 2015-2016 Table of Contents Internship Requirements o Overview and

More information

SIS Enrollment Checklist

SIS Enrollment Checklist SIS Enrollment Checklist 2011-2012 Member name: Institution: Date of In-Person Orientation: Official enrollment date begins no earlier than the day a member passes in a complete enrollment package (all

More information

South Park Eagle Academy Application

South Park Eagle Academy Application South Park Eagle Academy Application First Name: Last Name: Gender: Male Female Date of Birth: Commitment Level: Part Time Full Time Address Street: City: State: ZIP: Student Contact Information Email

More information

Request For Qualifications (RFQ) for Rural Economic Opportunities Professional

Request For Qualifications (RFQ) for Rural Economic Opportunities Professional for Rural Economic Opportunities Professional About Fresno Economic Opportunities Commission (Fresno EOC) Request For Qualifications (RFQ) Founded in 1965, Fresno EOC has spent over four decades investing

More information

CERTIFIED CLINICAL SUPERVISOR CREDENTIAL

CERTIFIED CLINICAL SUPERVISOR CREDENTIAL REQUIREMENTS: CERTIFIED CLINICAL SUPERVISOR CREDENTIAL Applicants must live or work at least 51% of the time within the jurisdiction of ADACBGA, or live or work in a jurisdiction that does not offer the

More information

STANDARDS OF CONDUCT A MESSAGE FROM THE CHANCELLOR INTRODUCTION COMPLIANCE WITH THE LAW RESEARCH AND SCIENTIFIC INTEGRITY CONFLICTS OF INTEREST

STANDARDS OF CONDUCT A MESSAGE FROM THE CHANCELLOR INTRODUCTION COMPLIANCE WITH THE LAW RESEARCH AND SCIENTIFIC INTEGRITY CONFLICTS OF INTEREST STANDARDS OF CONDUCT A MESSAGE FROM THE CHANCELLOR Dear Faculty and Staff: At Vanderbilt University, patients, students, parents and society at-large have placed their faith and trust in the faculty and

More information

A - Organization Information

A - Organization Information 2018-2019 Special Category Grant Application Application to be submitted via online system when solicitation is announced in 2017. Applications and supporting information will be accepted only via the

More information

East Baton Rouge Parish Junior Deputy

East Baton Rouge Parish Junior Deputy East Baton Rouge Parish Junior Deputy 2018 Application Packet Sheriff Sid J. Gautreaux, III Captain Randy M. Aguillard Program Director raguillard@ebrso.org Junior Deputy Membership Rules All members of

More information

2014 Scholarship Application Form and Information

2014 Scholarship Application Form and Information The Michaels Organization Educational Foundation 2014 Scholarship Application Form and Information Dear Students, Parents, and Friends of Michaels: All high school seniors and graduates living in sites

More information

RURAL EDUCATION ACHIEVEMENT PROGRAM (REAP) TITLE VI, PART B

RURAL EDUCATION ACHIEVEMENT PROGRAM (REAP) TITLE VI, PART B RURAL EDUCATION ACHIEVEMENT PROGRAM (REAP) TITLE VI, PART B Rural Education Achievement Program (REAP) is designed to assist rural school local educational agencies (LEAs) in using federal resources more

More information

Your to North Florida

Your to North Florida Power Connection Your to North Florida Our Mission To exceed the expectations of our members by providing excellent customer service and reliable electric service at competitive rates while maintaining

More information

Florida Job Growth Grant Fund Workforce Training Grant Proposal

Florida Job Growth Grant Fund Workforce Training Grant Proposal Florida Job Growth Grant Fund Workforce Training Grant Proposal Proposal Instructions: The Florida Job Growth Grant Fund Proposal (this document) must be completed and signed by an authorized representative

More information

Dear Prospective TeenAge Volunteer,

Dear Prospective TeenAge Volunteer, 1900 Don Wickham Dr. Clermont, FL 34711 tel 352.394.4071 SouthLakeHospital.com Dear Prospective TeenAge Volunteer, Thank you for your interest in the Teenage Volunteer Program at South Lake Hospital. Teenage

More information

BURSARY APPLICATION GUIDE

BURSARY APPLICATION GUIDE BURSARY APPLICATION GUIDE We want to make sure that you give the Bursary Selection Committee the information it needs to make its decision. Therefore, we have created this guide to assist you with filling

More information

Please Print Affiliation (school, company name, etc): Mailing Address: City: Postal Code: Home Phone: Cell Phone: Work: Date of Birth (DD/MM/YY):

Please Print Affiliation (school, company name, etc): Mailing Address: City: Postal Code: Home Phone: Cell Phone: Work: Date of Birth (DD/MM/YY): Name: Volunteer Application Thank you for your interest in volunteering with Habitat for Humanity Wellington Dufferin Guelph. The information you provide will help us to place you in a volunteer position

More information

Building Future Employment Opportunities for Students with Disabilities John Navy Terrebonne Parish School Counselor

Building Future Employment Opportunities for Students with Disabilities John Navy Terrebonne Parish School Counselor Building Future Employment Opportunities for Students with Disabilities John Navy Terrebonne Parish School Counselor Job Readiness - Introduction Jump Start focus Career Readiness Why Focus on Students

More information

2016 SCHOLARSHIP APPLICATION PACKET

2016 SCHOLARSHIP APPLICATION PACKET 2016 SCHOLARSHIP APPLICATION PACKET Receipt Deadline April 15, 2016 The Collier Building Industry Foundation is the charitable arm of the Collier Building Industry Association the country s first state

More information

Request for Proposals

Request for Proposals Request for Proposals For the period May 1, 2018 August 31, 2021 Learn & Earn Summer Youth Employment Program Proposals Due: February 26, 2018 at 12:00 PM (noon) Partner4Work 650 Smithfield Street, Suite

More information

The Hofstra Noyce Scholarship Program for Mathematics and Science Teaching

The Hofstra Noyce Scholarship Program for Mathematics and Science Teaching The Hofstra Noyce Scholarship Program for Mathematics and Science Teaching About the Hofstra University Robert Noyce Scholarship Program for Undergraduate Math and Science Education Students The Hofstra

More information

PROJECT SUMMARY. A communications strategy includes a comprehensive regional approach.

PROJECT SUMMARY. A communications strategy includes a comprehensive regional approach. PROJECT SUMMARY Name of the Applicant: Workforce Board Lehigh Valley (WBLV) Project title: Best Practices in Education! Project service area: Lehigh and Northampton County Objective of the project: Establish

More information

American Mock World Health Organization 2015

American Mock World Health Organization 2015 American Mock World Health Organization 2015 18th June, 2015 Dear Delegates, Observers, and Faculty, It is with great pleasure that we welcome you to the second American Mock World Health Organization

More information

Florida s Medicaid Reform

Florida s Medicaid Reform Florida s Medicaid Reform Plan Workshop Macclenny December 11, 2006 0 Introductions Lisa Broward Field Office Manager Medicaid Area 4 1 Technical Assistance for Filling out the Application Melanie Brown-Woofter

More information

Welcome to LifeWorks NW.

Welcome to LifeWorks NW. Welcome to LifeWorks NW. Everyone needs help at times, and we are glad to be here to provide support for you. We would like your time with us to be the best possible. Asking for help with an addiction

More information

Build Dakota Scholarship Acceptance Agreement. Build Dakota Scholarship Offer Status (please mark one) SAMPLE

Build Dakota Scholarship Acceptance Agreement. Build Dakota Scholarship Offer Status (please mark one) SAMPLE Build Dakota Scholarship Acceptance Agreement Build Dakota Scholarship Offer Status (please mark one) DATE: Thank you I will accept the Build Dakota Scholarship. Please complete this packet in its entirety

More information

FIRST Tech Challenge Application for Sylvania STEM Center FTC Robotics

FIRST Tech Challenge Application for Sylvania STEM Center FTC Robotics 2017-2018 FIRST Tech Challenge Application for Sylvania STEM Center FTC Robotics What is FIRST Tech Challenge (FTC)? FIRST Tech Challenge is designed for those who want to compete head to head (with robots),

More information

Application for Recovery Coach Supervisor Registration with IBADCC. Name: (Please print)

Application for Recovery Coach Supervisor Registration with IBADCC. Name: (Please print) Application for Recovery Coach with IBADCC Name: (Please print) Address: City/State/Zip: Phone: email: Employer: YOU MUST INCLUDE COPIES OF YOUR RECOVERY COACH TRAINING CERTIFICATES! Please note: Registering

More information

Tallahassee Community College Foundation College Innovation Fund. Program Manual

Tallahassee Community College Foundation College Innovation Fund. Program Manual Tallahassee Community College Foundation College Innovation Fund Program Manual REVISED APRIL 2018 TCC Foundation College Innovation Fund Page 2 Table of Contents INTRODUCTION & OVERVIEW... 3 PURPOSE...

More information

THE ASCENSION HEALTH CORPORATE RESPONSIBILITY PROGRAM A MISSION BASED ON VALUES AND ETHICS

THE ASCENSION HEALTH CORPORATE RESPONSIBILITY PROGRAM A MISSION BASED ON VALUES AND ETHICS THE ASCENSION HEALTH CORPORATE RESPONSIBILITY PROGRAM A MISSION BASED ON VALUES AND ETHICS Ascension Health, its local health ministries, associates and agents are committed to carrying out their health

More information

Panhandle Area Educational Consortium. Website Development. Bid #16-06

Panhandle Area Educational Consortium. Website Development. Bid #16-06 Panhandle Area Educational Consortium Website Development Bid #16-06 1 REQUEST FOR BID PAEC Website Development Panhandle Area Educational Consortium (PAEC) RFB # 16-06 RFB Timeline: 1. Begin advertisement

More information

OSU Extension 4 H Volunteer Application Revised

OSU Extension 4 H Volunteer Application Revised OSU Extension 4 H Volunteer Application Revised 7.31.17 Adults or teens should complete and submit this 2 page application if they are interested in (a) teaching, coaching, advising or chaperoning youth

More information

INFORMED CONSENT FOR TREATMENT

INFORMED CONSENT FOR TREATMENT INFORMED CONSENT FOR TREATMENT I (name of patient), agree and consent to participate in behavioral health care services offered and provided at/by Children s Respite Care Center, a behavioral health care

More information

Statewide Medicaid Managed Care Long-term Care Program

Statewide Medicaid Managed Care Long-term Care Program Statewide Medicaid Managed Care Long-term Care Program Questions and Answer Session for Aging Network Providers July 1, 2013 9:00-10:00 a.m. 1 Welcome to the Question and Answer Webinar Meeting for Aging

More information

Fort Bend Independent School District. Small Business Enterprise Program Procedures

Fort Bend Independent School District. Small Business Enterprise Program Procedures Fort Bend Independent School District Small Business Enterprise Program Procedures Spring 2015 TABLE OF CONTENTS I. Summary Of Fort Bend Independent School District s Small Business Enterprise Program

More information

WORKPLACE LEARNING PROCEDURES AND STANDARDS

WORKPLACE LEARNING PROCEDURES AND STANDARDS The Workplace Learning Policy (2005) and the Associated Documents and Forms, replaces the Workplace Learning Handbook for secondary students in government schools and TAFE NSW institutes (2001) published

More information

In order to qualify as a Member of the Flagler Hospital Auxiliary, volunteers shall:

In order to qualify as a Member of the Flagler Hospital Auxiliary, volunteers shall: FLAGLER HOSPITAL INC. 400 Health Park Blvd. St. Augustine, FL 32086 904-419-4411 Dear Future Volunteer: Thank you for your interest in serving as a volunteer with the Flagler Hospital Auxiliary. We offer

More information

School Manual Statewide Vision Program School Year

School Manual Statewide Vision Program School Year 601 Southwest 8 th Avenue Phone: (305) 856-9830 Fax: (305) 856-9840 School Manual 2011-2012 School Year Approved by: Ed Largespada, CFO Signature: Date: Phone: (305) 856-9830 / 1(888) 996-9847 Fax: (305)

More information

Psychologist-Patient Services Agreement

Psychologist-Patient Services Agreement Psychologist-Patient Services Agreement Welcome! This document contains important information about my professional services and business policies. This document also contains a brief summary of information

More information

ICM Food & Clothing Bank Volunteer Application

ICM Food & Clothing Bank Volunteer Application Please print legibly. Date: / _/ ICM Food & Clothing Bank Volunteer Application Name: Email: Tel: ( ) Cell: ( ) Address: City: State: Zip: Emergency Contact Tel: 1. How did you hear about ICM? (i.e., school,

More information

Basic Information. Date: Patient s Name: Address:

Basic Information. Date: Patient s Name: Address: 1 Basic Information : Patient s Name: Address: Home Phone: Work Phone: Cell Phone: Email: Age: Birth : Marital Status: Occupation: Educational History: Name, Address and Phone of Child s School Counselor

More information

Department of Highway Safety & Motor Vehicles Partnership with Clerk of Courts

Department of Highway Safety & Motor Vehicles Partnership with Clerk of Courts Department of Highway Safety & Motor Vehicles Partnership with Clerk of Courts 1 Presentation Objectives Bureau of Records Uniform Traffic Citation Process DAVID System UTC Improvement Projects HSMV Motorist

More information

FORDHAM LAW GRADUATE EXTERNSHIP PROGRAM Guidelines for Host Institutions and Placement Supervisors

FORDHAM LAW GRADUATE EXTERNSHIP PROGRAM Guidelines for Host Institutions and Placement Supervisors FORDHAM LAW GRADUATE EXTERNSHIP PROGRAM Guidelines for Host Institutions and Placement Supervisors This document sets forth Fordham Law School s guidelines and expectations for the Graduate Externship

More information

POSITION STATEMENT. - desires to protect the public from students who are chemically impaired.

POSITION STATEMENT. - desires to protect the public from students who are chemically impaired. Page 1 of 18 POSITION STATEMENT The School of Pharmacy and Health Professions: - desires to protect the public from students who are chemically impaired. - recognizes that chemical impairment (including

More information

JUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION Age: Date of Birth: Parent/Guardian s

JUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION Age: Date of Birth:   Parent/Guardian s JUNIOR AMBASSADOR SUMMER PROGRAM APPLICATION - 2016 Name: (Last) (First) (Middle) Date: Address: (Street) (City) (State) (Zip Code) Phone: (H) (C) Age: Date of Birth: E-mail: Parent/Guardian s Email: High

More information

CENTERS OF EXCELLENCE FOR ELEMENTARY TEACHER PREPARATION FREQUENTLY ASKED QUESTIONS

CENTERS OF EXCELLENCE FOR ELEMENTARY TEACHER PREPARATION FREQUENTLY ASKED QUESTIONS CENTERS OF EXCELLENCE FOR ELEMENTARY TEACHER PREPARATION FREQUENTLY ASKED QUESTIONS WEEK OF MAY 27, 2014: 1. Where is a listing of contacts for the colleges and universities of teacher preparation programs?

More information

Internship Program Information

Internship Program Information Internship Program Information Mission Statement: is dedicated to improving the health of the community through treatment, prevention, and enabling services Frances Nelson is a primary care medical and

More information

CAPITAL PROJECTS PLAN for Fiscal Year Based upon Chapter , Laws of Florida

CAPITAL PROJECTS PLAN for Fiscal Year Based upon Chapter , Laws of Florida State University System (SUS) Florida Agricultural and Mechanical University 1,848,584 Florida Atlantic University 2,044,361 Florida International University 3,188,902 Florida State University 5,681,291

More information

2017 VolunTEEN Scheduling Form. SHIRT SIZE: S M L XL XXL **sizes run big

2017 VolunTEEN Scheduling Form. SHIRT SIZE: S M L XL XXL **sizes run big 2017 VolunTEEN Scheduling Form NAME: PHONE #: SHIRT SIZE: S M L XL XXL **sizes run big Indicate below your preference of shift by numbering the blocks by 1 st, 2 nd and 3 rd choice. If you have two first

More information

Come join the Youth Ministry for fun, fellowship and a friendly game of softball with other area Catholic High School teens.

Come join the Youth Ministry for fun, fellowship and a friendly game of softball with other area Catholic High School teens. Come join the Youth Ministry for fun, fellowship and a friendly game of softball with other area Catholic High School teens. Who do we play? Other Youth Ministries from the Dallas Diocese When do we play?

More information