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Lurie Center South Application

Please Word Process a document with this information or neatly print here:

Name (Last/First/Middle)____________________________________________

Permanent Home Address___________________________________________

________________________________________________________________

Phone____________________________________

Email____________________________________

Elementary School Name____________________________________________

Principal's Name__________________________________________________

School Address___________________________________________________

________________________________________________________________

School Phone____________________________________

Email___________________________________________Number of Years Of Teaching Experience:____ 

At What Grade Levels?________

Approximate Percent of Students Of Color That You:  Teach________% Reach ________%

Clear Credential(s) Held:____________________________________________

Other Professional and Relevant Work Experience:________________________

________________________________________________________________

Professional Organizations: (membership and offices held):

________________________________________________________________

Awards, Honors, Grants:____________________________________________

________________________________________________________________

Publications:______________________________________________________

________________________________________________________________ 

Community Involvement:____________________________________________

________________________________________________________________

On separate typed or word processed pages, please answer the following questions:

  1. In what ways do you encourage students of color to pursue high academic standards and career goals?

  2. What efforts do you take inside and outside the classroom to provide enrichment and support for students of color?

  3. What innovative methods do you use to teach mathematics, and to improve mathematics literacy among your students?

  4. To what professional organizations do you belong?

  5. What is your leadership involvement?

  6. How are you involved in local, regional, state, or national mathematics projects?

  7. Provide any other evidence of your dedication to mathematics literacy among your students.

Also enclose a support letter on school stationery signed by an administrator. Have the administrator address the ways in which you encourage students of color to pursue educational and career goals and mathematics literacy.

Completed applications and 4 collated copies should be postmarked no later than September 30 for the current year's conference. Mail completed applications to:

Professor Greisy Winicki Landman

Department of Mathematics and Statistics

California  State  Polytechnic  University Pomona

3801  W. Temple Avenue

PomonaCA  91768