Last Name:
State:
E-mail:
Work Phone:
Fax:
Application
Basics
1.
Lesson / Project Title:
2.
Primary Subject: (Choose only one)
Cross-Content Workplace Readiness
Visual and Performing Arts
Comprehensive Health and Physical Education
Language Arts and Literacy
Mathematics
Science
Social Studies
World Languages
Other
If selecting other, please list subject:
3.
Technology Environment: (Choose only one)
The One Computer Classroom
Using A Classroom Pod or Group of Computers
Utilizing a Computer Lab
Online Collaborative Project
4.
Category (Choose only one):
Instruction suitable for Grades K - 8
Instruction suitable for Grades 9 -12
5.
Date(s) that lesson was conducted (if available):
6.
Goals and Objectives of Lesson: (250 words or less)
7.
Specify which New Jersey Core Curriculum Content Standards
addressed: (Please indicate subject area and specific standard
numbers, separated by commas..)
8.
Summary of the Lesson: (500 words or less)
9.
Equipment, materials and other technology needed: (Please
list hardware, machines, any peripheral devices, software
needed for the lesson. Web resources can be listed in the
next section.)
10.
Web Resources (if any): please copy and paste up to 10 web
addresses (URLs) below. Additional addresses can be entered
in the general comments section at the end.
Web
Resource #1
Web Resource #2
Web Resource #3
Web Resource #4
Web Resource #5
Web Resource #6
Web Resource #7
Web Resource #8
Web Resource #9
Web Resource #10
10.
Detail of Activities: (1000 words or less)
11.
Student Feedback and Assessment: (200 words or less.)
12.
Student Work Samples, additional comments & suggestions:
(250 words or less) You can include handout materials and
worksheets used, downloaded Internet pages, sample student
work, and other supplemental materials. Participants may
provide one copy of supporting materials such as videotapes,
CD-ROMs, etc. Supporting materials can be picked up at the
Southern Regional ETTC after judging is complete.
Publishing
Rights
I give the Southern Regional ETTC all necessary rights to
publish my application and supplementary materials on the
ETTC website, and disseminate them in relevant workshops
and presentations.
Please
submit one hard copy (and soft copy on PC diskette or PC
zip disk if possible) of all supplementary materials. The
application itself can be submitted online, via email to
ettc@pollux.stockton.edu
or by US mail to: The Southern Regional ETTC Technology
in the Classroom Lesson Contest, Richard Stockton College
of New Jersey, 701 Route 50, Mays Landing, NJ 08330. Entries
must be received at the ETTC by 8 pm on April 21, 2004.
You
will receive a letter confirming receipt of your application
after it has been entered into the ETTC database.