╨╧рб▒с>■  $&■   #                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴@ Ё┐ jbjbЛюЛю %сМсМ      lффффффф((((( 4(qъTTTTTTTT.000000,[ {x\фTTTTT\░ффTTT░░░TфTфT.░°ффффT.░~░.фф.H Скz╗((jF..qq.є░є.░├х TEACHER'S NAME: TEACHER'S EMAIL ADDRESS: TEACHER'S SCHOOL: GRADES TAUGHT: ABOUT HOW MANY STUDENTS TO DATE HAVE RECEIVED EISENHOWER (ITQ) LESSONS (even if only new lecture or lab information, need not be whole lessons) ABOUT WHAT PERCENTAGE OF THESE STUDENTS ARE UNDERREPRESENTED (Black, Latino, Native American, Pacific Islander) (1) WHAT EXACTLY DID YOU IMPLEMENT IN YOUR CLASSES RELATED TO EISENHOWER (ITQ) PROGRAM? (2) WHAT STUDENT WORK EVIDENCE DO YOU HAVE THAT INDICATES IF YOUR STUDENTS LEARNED THE EISENHOWER (ITQ) MATERIAL? (3) DID YOU DISSEMINATE (even over coffee) ANY EISENHOWER (ITQ) LESSONS OR MATERIALS TO COLLEAGUES? PLEASE GIVE DETAILS ON THIS (how many colleagues, what was disseminated): (4) DID YOU PARTICIPATE IN ANY OTHER SCHOOL, DISTRICT, ETC. LEADERSHIP ACTIVITIES BASED ON YOUR EISENHOWER WORK (please give details)? (5) DID YOUR SCHOOL OR DISTRICT CONTRIBUTE ANY SUPPLIES, SALARY POINTS OR ANYTHING ELSE BASED ON YOUR EISENHOWER (ITQ) WORK AND EXACTLY WHAT WAS CONTRIBUTED? (6) WHAT IS THE APPROXIMATE DOLLAR VALUE OF THIS CONTRIBUTION? (7) WHAT TYPE OF CREDENTIAL DO YOU HAVE? (8) WHAT PROGRESS (e.g., COURSES, please be specific) HAVE YOU MADE IN THE LAST YEAR TOWARDS OBTAINING A REGULAR CREDENTIAL IF YOU DO NOT HAVE ONE YET? Thank you.   Їэ CJOJQJB*CJOJQJph/0DEVWЦчшщ&YZ│┤╡'()*rПРуууууууууууууууууууууууууу1$7$8$H$ ╞& 0`Р└Ё PА░р@/0DEVWЦчшщ&YZ│┤╡'()*rПР┌█▄# c d e    D E F o p q ╝  ■/Р┌█▄# c d e    D E F o p q ╝  ууууууууууууууууууууу1$7$8$H$ ╞& 0`Р└Ё PА░р@#0P░╨/ ░р=!░"░#Ра$Ра%░ i4@ё 4NormalCJOJPJQJmH B@B Heading 1$@&5Б;Б>*B* CJphА<A@Є б<Default Paragraph Font    !  аzЩ   аzЩ   Р   %щ&\crН╝::::   Norman HerrRHerr G4 -933MHz HD:Users:normherr:Documents:Microsoft User Data:Word Work File A_6 Norman HerrPHerr G4 -933MHz HD: BACKUP: WEBSITES:sci_ed:sli:calendar:docs:itq_f03_survey.doc @А%%╨CОУУ%O НSP @GРTimes New Roman5РАSymbol3Р Arial3РTimes"ёИ╨h;yFNyF ┌▐ !е└┤┤А>0·   TEACHER'S NAME: Norman Herr Norman Herr■  рЕЯЄ∙OhлС+'│┘0hИРм╕╠╪ш № $ 0 <HPX`'TEACHER'S NAME: dEAC Norman HerrormNormalH Norman Herr1rmMicrosoft Word 10.0@v▌A@ЛжМq├@4№╛Оq├┌▐■  ╒═╒Ь.УЧ+,∙о0 hpаи░╕ └╚╨╪ р ■'(California State University, Northridge ·$ TEACHER'S NAME: Title ■    ■   ■    !"■   ¤   %■   ■   ■                                                                                                                                                                                                                                                                                                                                                                   Root Entry         └FАж·Tq├'А1Table             WordDocument        %SummaryInformation(    DocumentSummaryInformation8            CompObj    XObjectPool            Аж·Tq├Аж·Tq├            ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ■      └FMicrosoft Word Document■   NB6WWord.Document.8