GLOBALORIA APPLICATION – NEW SCHOOL FOR 2010-2011

Thank you for your interest in joining the Globaloria program (www.myglife.org/usa/wv)

Please complete this application and return to:

David Lowenstein, State Director

Globaloria West Virginia c/o WVCPD

208 Hale Street

Charleston, WV 25301

Tel: 304-957-8379

e-mail:

1.  PRINCIPAL AND SCHOOL INFO

School
Address
Main Phone
Principal
Cell phone
E-mail
County
Superintendent
Why do you want to have Globaloria at your school?

2.  IDENTIFY GLOBALORIA LEAD EDUCATORS

Key qualifications are enthusiasm for learning new teaching methodologies and tools, and the time to participate. Extensive technology experience is not a requirement.

Educator Name
Class/Subject taught
Telephone
Email
Why you chose this educator to lead Globaloria

3.  Globaloria Program Requirements

Time Commitment / Yes / No / Notes
Full academic year program for credit
Students can work on the program daily (6-8 hours per week)
Educator can work on program daily
(8-10 hours per week)
Educator can attend all Globaloria Training Academies (3 days in November (19th-21st) 2010; 1 ½ days in January 2011; 3 days in July 2011; 2 days in August 2011
Educator has a laptop which can support Flash CS3 software, for use during training and at school
Technology and Infrastructure / Yes / No / Notes
1 Multimedia PC/Laptop for each student and educator, 6-8 hrs/week
·  1GHz or faster processor
·  512K RAM+
·  HD with 20GB free space+
·  Earphones/speakers
·  Batteries/electricity
Reliable High Speed Internet Access
Up-to-date Web Browser (IE, FireFox) with free Flash Reader plug-in
Flash CS3 software*
Photoshop or GIMP (freeware)
Webcam in classroom**
Phone in classroom**

*Flash software licenses may be granted to successful applicants

** Webcam and phone are used for support sessions with our experts and other Globaloria schools

4.  TECH SUPPORT CONTACT (Will be consulted for initial set up of Flash software)

Name of Technical Support person(s) for your school
Tech Support Person - Work phone
Tech Support Person - Cell phone
Tech Support Person – E-mail
How often is Tech Support person onsite and available to help?

5.  Globaloria LEAD EDUCATOR APPLICATION

(Each Lead Educator nominee should complete this application)

ABOUT ME
Name
Grades and Subjects Taught
Home address
Home phone
Cell phone
E-mail
Short Bio
Why I want to lead a Globaloria class
ABOUT MY GLOBALORIA CLASS
Title of class
Number of sections
Number of students per section
Grade level(s) and age(s)
Start and End dates
Schedule (days of week and times)
Course Number to be used
(We can help with this if you are unsure)

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