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Participation Form For Teachers and Curriculum Supervisors Cyberschoolbus is looking for teachers and curriculum supervisors who would like to review content we are developing for this site and to try activities and lessons that we are creating for teachers and students around the world. Your participation will help us make this site more useful for teachers around the world. Each time you review content or try out lessons on a particular topic with your students, we will send you FREE material about the UN for your school or classroom as a token of our appreciation. Note: If you are a supervisor and do not have a class that you teach at the moment, you can volunteer to review content. Privacy Rights The information that is requested in this form will help us decide which material to give you and will not be shared with any other office or organization. All responses will remain confidential. Cyberschoolbus Participation Form Name: Address: Street: City: State or Province and zip code: Country: Region: - North America Latin America/Caribbean Europe Asia Middle East Africa Oceana E-Mail: Telephone: I am a: Teacher Supervisor Are you currently working with special ed or gifted students? Work with Special Ed Students Work with Gifted Students At which educational levels do you currently teach or supervise? (Indicate the number of years you have taught or supervised this level) - Primary School (5-11 years old) - Middle School (11-14 years old) - Secondary School (14-17 years old) What subjects do you currently teach or supervise? (Indicate the number of years you have taught or supervised these subjects) - All/General - Art/Music - Languages/Language Arts - History/Social Studies - Math - Science - Other: At which other educational levels have you taught or supervised in the past? (Indicate the number of years you have taught or supervised each educational level) - Primary School (5-11 years old) - Middle School (11-14 years old) - Secondary School (14-17 years old) What other subjects have you taught or supervised in the past? (Indicate the number of years you have taught or supervised each subject) - All/General - Art/Music - Languages/Language Arts - History/Social Studies - Math - Science - Other: Do you have any experience teaching topics with a multicultural emphasis? Yes No Do you have any experience teaching topics that deal with international issues? Yes No Do you have any experience teaching topics dealing with peace education? Yes No Are you familiar with the concept of cooperative learning? Yes No If yes, do you incorporate cooperative learning into your lessons? Or if you are a supervisor, have you used cooperative learning activities with students before? Never Sometimes, but not often Often Always Once we have received your form, we will send you material to review or use in your classroom along with an evaluation form for you to fill out and send back once you have finished. Thank you for your participation in this project.

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