ATOMS2XP - Advancing Teachers of Middle School Science >> 2009 Registration

Welcome to the Pre-Registration page for Year 3 of the ATOMS^2XP project. Conference dates are June 8-12, 2009 and July 6-10, 2009 (Teachers must attend all conference dates to participate in the project). Teachers in 5th-8th grade who wish to participate in this project for the 2009-2010 school year must do the following:

*** Returning ATOMS2XP Teachers Click Here to Register

Fill out and submit the information requested on this Web page.
Later in the Spring, participants will be selected from the pool of applicants and will be contacted and asked to complete additional forms including securing signatures on agreement forms from your principal and superintendent supporting your participation in this project.
If you are chosen to participate, you will be asked to place a refundable deposit of $40 dollars by check (mail) to reserve your spot in the project.
When you complete the Summer workshops, your deposit will be refunded to you.
Particpants must be a licensed teacher employed by a Mississippi school district for the 2009-2010 school year.

Personal Information:

First Name: * Last Name: *

Your School Email: *

Your Personal Email: *

Home Mailing Address:
Street * City * State * Zipcode *

Home Phone: *

Work Phone: *

Cell Phone: *

School Mailing Address:
Street * City * State * Zipcode *

School Information:

School District: *

Superintendent's Name: *

Superintendent's Phone No: * Fax No: *

Superintendent's Mailing Address:
Street * City * State * Zipcode *

School Where You Teach: *

Principal's Name: *

Principal's Phone No: * Fax No: *

What subjects do you teach this year? *

What subjects will you teach next year? *

What grade level(s) do you teach currently? *

If you have any questions, feel free to contact , ATOMS^2XP Field Coordinator, via e-mail or phone at 662.325.1685 or , ATOMS^2XP Field Coordinator, via e-mail or phone at 662.325.8140.

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