Name: School Name: School Street Address: School County/State/Zip Code: School Phone: E-mail Address:
1. Research Interaction
A. Field Experience
Were you in the field this season? (If "no" please leave the boxes blank and move to "B. Continued Collaboration") Yes No
Dates in the Field:
Approximate Number of Student E-mails:
Approximate Number of Teacher E-mails:
Approximate Number of Other E-mails:
Approximate Countries Represented:
Did you maintain a daily (or as often as possible) electronic journal while in the field? Yes No
Is your journal complete? Yes No
B. Continued Collaboration with Research Team Members
Has a member of your research team visited your classroom in the last year? Yes No Visited in a Previous Year / Not a Responsibility
2. Community / Colleague Outreach
A. Transfer
How are you sharing your research experience with your colleagues, district, community, etc? (e.g. Presentations, Short Courses, Work Shops, Inservice days, etc.)
B. TEA Collaborative Learning Group
Teachers involved in your collaborative learning group:
Have you submitted your TEA Collaborative Learning Group Annual Report? Submit at: ../../mentor/cgi/login.html Yes No Completed in a Previous Year / Not a Responsibility
C. Associates Network
Number of Associates in local network:
Events and interactions with Associates:
D. Presentations and Real Audio Sessions
Have you presented to your local board of education this year? Yes No Completed in a Previous Year / Not a Responsibility
Activities Development
Names of activities developed in the last year with brief description (25 words or less):
Other Classroom Connections
4. Other TEA Involvement
Have you submitted all press-related materials concerning your TEA experience to the TEA Archives? Yes No Completed in a Previous Year / Not a Responsibility
Have you submitted 20 digital images to the TEA Archive with electronic captions? Yes No Completed in a Previous Year / Not a Responsibility
Have you submitted 6-8 photos to the TEA Archive? Yes No Completed in a Previous Year / Not a Responsibility
Have you submitted a hard-copy of your journal to the NSFEHR Program Officer? Yes No Completed in a Previous Year / Not a Responsibility
5. Cost Share
Release Days for TEA Business / Meetings
Reasons for Release (e.g., meeting, curriculum development, presentation, etc.):
Approximate Daily Rate of Substitute and number of substitute days:
TEA Meetings Covered by School/District/Corporation
Dates:
Approximate Cost of Travel Expenses Covered:
Permanent Materials and Equipment Purchased by Institution/Corportation/District for the TEA Program
Date of Purchase:
Approximate Cost of Equipment:
Other Grants
Specific Purpose of Grant within the Context of TEA:
Title of Grant Competition:
Granting Institution/Corportation/District:
Date of Application:
Date of Notification:
Grant Total:
Other Shared Costs (e.g., personal travel for TEA, Associates meetings, etc.)
6. Anticipated TEA Involvement (Next Year)