CMSE On-Site Professional Development Inquiry
Thank you for your interest in on-site professional development facilitated by the Center for Mathematics and Science Education at the University of Mississippi. We look forward to the opportunity to work with you and your teachers. In order to better understand the needs of your school/district and to create the session agenda, we will need the following information. A member of our Professional Learning Division staff will contact you to further discuss your specific needs and draft a contract.

If you have any questions, please contact Dr. Julie James via email (jjames1@olemiss.edu) or phone (662-915-6621).

Contact Person *
Please provide the first and last name of a contact person knowledgeable of your professional development needs.
Your answer
Contact Person Title/Position *
Your answer
School District *
Your answer
School *
Please provide the name of the school that will participate in the session. If this request is a district-wide request, please enter "District-Wide".
Your answer
Contact E-mail Address *
Your answer
Contact Phone Number *
Please provide a phone number where you can be reached during business hours (Monday - Friday; 8:00 am - 5:00 pm)
Your answer
Contact Fax Number
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Number of teachers to participate in training *
Please provide an estimated number of participants.
Your answer
Grade level(s) of teachers to participate in training. *
Please select all that apply
Required
Content Focus *
Description of Training Needs *
Please provide a brief description of the goals you have for this session. If you are interested in having us lead an advertised workshop at your school site, please include the name of the workshop here.
Your answer
Location of Training *
Please provide the name of the building and a physical address. If the location is not known at this time, please enter "TBD".
Your answer
Proposed Dates of Training *
If you have specific dates in mind for the session, please provide that information here. If your dates are open or flexible, please provide a range of dates when the training could be scheduled.
Your answer
Proposed Time of Training *
Sessions typically begin at 8:30 am or 9:00 am and end at 3:00 pm or 3:30 pm. This can be adjusted to meet the needs of your school.
Your answer
Lunch Schedule
This information will be used to plan for a full-day session. If not known at this time, our staff can discuss these options with you at a later time.
Submit
Never submit passwords through Google Forms.
This form was created inside of University of Mississippi. Report Abuse - Terms of Service - Additional Terms