Thank you for submitting an application for the Amgen Leadership Symposium in Human
and Molecular Genetics Workshop in "DNA Boot Camp"/July 14 - August 1, 2008.
To complete your application, please print this page, and
have your principal and chair person sign it. Then, mail it to
Dolan DNA Learning Center
Amgen Leadership Symposium in Human
and Molecular Genetics
Cold Spring Harbor Laboratory
PO Box 100
Cold Spring Harbor,
NY 11724
If you have any questions please email
dnalcworkshops@cshl.edu.
INSTITUTIONAL
SUPPORT STATEMENT
To be completed by principal and science department chairperson or supervisor.
We support the application of
______________________________ to participate in the Amgen Leadership Symposium in Human and Molecular Genetics and his/her proposed local implementation strategy. The terms of funding stipulate that school officials be familiar with the behavioral and innovation objectives for participants:
- to inspire them to better fulfill their roles as innovators and leaders.
- to build mastery, synthesis, and integration of advanced genetics concepts.
- to prepare for implementation of new laboratory and computer technologies.
- to provide liaison to the medical and genetic foundation/support communities.
- to increase facility with computers for networking and designing class materials.
- to provide a minimum of 15 hours in-service instruction for elementary and secondary teachers.
Only qualified faculty nationwide will be selected to participate in the Leadership Symposium. Funding from the Amgen Foundation provides stipend, room and board, registration, and instructional costs totaling $4,635 per participant. Under terms of the grant, the participant’s school must commit to modest cost-sharing to insure successful local implementation of the program. Initial each item to confirm acceptance of responsibility to:
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Reimburse participant's travel expenses to/from the summer symposium. |
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Reimburse participant’s travel and room and board expenses to attend one NABT or NSTA meeting during each of the two years following the summer symposium. |
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Provide a total of at least 15 hours release time for participant to conduct local in-service activities for other teachers during the two years following the summer symposium. |
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Make school equipment and facilities available for local in-service activities conducted by the participant. |
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Signature Applicant |
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Signature
School Official
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Name and Title |
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Name and Title
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