Summer Term Title IIB Math-Science Partnership Grant K-6 NGSS Course Tuition Support Request

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Grant sponsored Portland State University (PSU) tuition assistance is available for K-6 NGSS grant courses. These funds are made possible through Oregon’s federally funded Title IIB Math Science Partnership Program three-year grant, Expansion of K-6 NGSS Instructional Specialists Program, awarded to Portland State University and the Portland Metro STEM Partnership. Please fill out the information below to be considered for PSU tuition support. There are limited tuition support funds, so please determine eligibility for using district or school tuition reimbursement funds before requesting grant tuition support.

Thank you.

Carol Biskupic Knight
K-6 NGSS Grant Co-Principal Investigator

First Name

Last Name

District

School

Grade Level

E-mail

Phone Number

PSU ID Number

PSU Course Needing Tuition Support

Please list course title and CRN (Course Registration Number)

Term

Amount Requested

The full cost of the course is $281 for 4 credits. Please identify if you need full coverage, a certain dollar amount or a certain credit amount of support.

What is the primary reason for requesting grant-funded tuition assistance?

1. District or school does not provide tuition reimbursement.

2. District or school provides tuition reimbursement, but does not cover full course cost or credits.

3. District or school provides tuition support, but have used up most or all reimbursement fund or credits.

Other:

Please explain in further detail your specific situation for reasons 2-4. Provide specific reimbursement or credit amounts initially available, how used and reimbursement cycle.

Describe briefly how you anticipate taking this course will benefit your science instruction and student learning.

Verification of Need for Tuition Support-Name of Contact

Please identify the contact person, title and phone number of the person in your school or district that can verify the above tuition support need.

Verification of Need for Tuition Support-Name of Contact

Please identify the contact person in your school or district that can verify the above tuition support need.

Verification of Need for Tuition Support-Contact Person Title

Please identify the contact person's title.

Verification of Need for Tuition Support-Contact Person Phone Number

Please identify the contact person's phone number.

Participant Verification of Above Information

Please verify the information above is accurate by completing the sentence below by marking the statement and adding your initials.

The information above is accurate.

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