STELLAR APPLICATION FORM

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The Supporting Teacher/Educators in Lifelong Learning And Reflection (STELLAR) Program for Professional Learning in Mathematics is designed to be a flexible model to promote professional learning opportunities in mathematics education. It is intended to support educators who have identified mathematics pedagogy or content as a professional learning priority, need, or interest.

1.0 Email address: *

1.1 Salutation:

1.2 First Name: *

1.3 Last Name: *

1.4 Full mailing address including postal code (HOME): *

1.5 Phone number: *

1.6 Select the option that best describes you: *

1.7 In which education system do you work? *

1.8 Are you a resident of Newfoundland and Labrador? *

1.9 Are you a Canadian citizen? *

1.10 Are you a graduate of a B. Ed. and/or M. Ed. program? *

1.11 Are you currently certified to teach in Newfoundland and Labrador? *

1.12 In which district and region do you work? *

1.13 Full mailing address including school name and postal code (SCHOOL): *

1.14 School phone number: *

1.15 Current mathematics teaching assignment: *

1.16 Briefly explain your mathematics professional learning goal(s). Clearly explain how this opportunity will support your practice and learning journey. *

1.17 Have you previously applied for and received STELLAR funding? *

I have never applied for STELLAR funding.

I applied for STELLAR funding but my application was not successful.

I have applied for and received STELLAR funding in the past.

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