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Content-Type: TEXT/PLAIN; CHARSET=US-ASCII
Content-ID: <Pine.GSO.3.94.970909223628.3526B@churchill.srvusd.k12.ca.us>
Many of you asked me for the SC97 travel grant applications. Here is the
info and I hope to see you all in San Jose in November! (Also sending as
an attachment.) Deadline is September 19. Mail today!
-------------------
Travel Support Application
Please fill out this application completely before submitting it to:
Bryant York, SC97 Education Co-chair
College of Computer Science
Northeastern University
Boston MA 02115
education97@mail.supercomp.org
All information should be either typed or word-processed. This application may be printed
out.
Personal Information
Name:
Address:
Telephone:
Fax:
E-mail address (optional):
School Information:
School Name:
Address:
Telephone:
Fax:
Education Background (please list all degrees earned, institutions, and dates):
Other Relevant Background (please list and describe):
Computing Experience
Please rate your experience using this scale:
0 - no experience
1 - limited experience
2 - experienced
3 - very experienced
Desktop Applications
[ ] Word Processing
[ ] Spreadsheet
[ ] Database
[ ] Desktop Publishing
Languages and OPerating Systems
[ ] BASIC
[ ] FORTRAN
[ ] Pascal
[ ] C
[ ] HTML
[ ] CGI or PERL
[ ] Java
[ ] UNIX
Internet
[ ] E-mail
[ ] FTP
[ ] Telnet
[ ] Internet databases(Gopher, WAIS, etc.)
[ ] WWW Browser - which one?
Computers
[ ] Macintosh
[ ] PC/Windows
[ ] PC/DOS
[ ] Unix workstation - which one?
[ ] Supercomputer - which one?
Prior SCXY Conference Attendance
Please mark previous SCXYs you've attended and SCXYs you've received funding from.
SC92 - Minneapolis
[ ] Attended
[ ] Funded by SC92
SC93 - Portland
[ ] Attended
[ ] Funded by SC93
SC94 - Washington, DC
[ ] Attended
[ ] Funded by SC94
SC95 - San Diego
[ ] Attended
[ ] Funded by SC95
SC96 - Pittsburgh
[ ] Attended
[ ] Funded by SC96
Teaching Experience and Background
Please answer the following questions as completely as possible as they apply to you. Feel
free to use separate sheets of paper.
1.) List primary teaching subjects for 1997-98 school year. Indicate grade level.
2.) List number of years in present postition and total years experience.
3.) Give a brief description of your school, including number of students, grades taught in the
school, racial and ethnic make-up of the student body and faculty, and a description of the
community, such as socio-economic factors and whether it is urban/suburban/rural.
4.) Explain why you are interested in attending SC97 and participating in the Education
Program. Tell how you plan to apply and share what you learn at SC97 with your students
and with colleagues at your own school and others. If you attended a previous SCXY
conference(s), describe how you applied that experience during any subsequent school year
and why you believe SC97 will enhance what you learned at previous conference(s).
Travel Specifics
Please check which is applicable for travel to/from San Jose:
[ ] I need to fly to SC97 from:
City:
Airport:
If you are flying please note that airline tickets will be purchased by SC97 for you. Do not
purchase your own ticket. SC97 will not be responsible for reimbursing you for tickets your
purchase.
[ ] I will drive to SC97 from:
City:
Distance from San Jose (miles, one-way):
If you are driving mileage will be reimbursed up to the cost of an equivalent airfare.
Please check which is applicable for housing to/from San Jose:
[ ] I plan to stay in a conference hotel in San Jose as assigned by the housing bureau.
[ ] Double occupancy (no cost to participant for four nights, 11/15-18/97)
[ ] Single occupancy
[ ] I have other housing arrangements.
If you are staying in a hotel please note that you must pay any extra costs that exceed the
double occupancy rate. Also, if you wish to stay for the entire conference (through
11/21/97), you may extend your hotel room stay at the applicable rate for single or double
occupancy. You must pay for all meals and the cost of the hotel during this extended period.
Applicant Signature
I understand the stated minimum selection criteria and my responsibility for certain costs as
stated in this application. Further, I agree to bring the knowledge I gain from SC97 to my
classroom and to share it with my colleagues.
__________________________________________
Signature
Approval
A signature from your principal or superintendent is required.
I support this teacher's efforts and have confidence in his/her ability to apply what is learned
at SC'97 with his/her students and colleagues. I understand that substitute teacher costs are
our school's responsibility.
[ ] Principal - OR - [ ] Superintendent
_________________________________________________________
Name (typed or word processed)
_________________________________________________________
Signature
==================================================================
Roseann Krane, http://www.mvhs.srvusd.k12.ca.us/~rkrane/
Monte Vista High School, UNIX System Administrator (510) 552-2859
3131 Stone Valley Road, Danville, CA 94526,
Teacher, Computer Science Department (510) 837-7507
"All students are different, schools should make them more so!"
==================================================================
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