Mouse Create Learning Kit Application

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This application is for educators interested in receiving complimentary materials to support their facilitation of Mouse courses and programs. The ideal applicant:

1) has a clear vision and timeline for implementation
2) has adequate resources & time to facilitate
3) will facilitate students to submit their work for the related course via Mouse Create
4) will document and share their own and their student's feedback
5) has support from their principal or director

Accepted applications will receive kits on a first come first serve basis. If your application is not accepted, or kits have run out, please note that the majority of these materials can be purchased on Amazon.com, Sparkfun.com, Adafruit.com and other retailers. Mouse does not offer kits for sale. Please note that your school must be a Mouse member site in order for you to receive a learning kit. If you would like to bring Mouse to your learning site, please contact shaquana@mouse.org.

Which kit are you applying to receive? *

For details about each course, look through the projects and background steps on Mouse Create, and read the Course Descriptions here: https://tools.mouse.org/course-directory/

Green Tech Kit (includes materials for 10 students - more if you share - to complete the Green Tech course on Mouse Create)

Sewable Tech Kit (includes materials for 10 students - more if you share - to complete the Sewable Tech course on Mouse Create)

Tech Team Kit (includes materials for 25 students & 2 educators running a "Help Desk" style program, including: Lanyards & IDs, Fixer Flowchart poster, Precision screwdrivers, 5 USB thumb drives)

Applicant's Name (must be an educator) *

Applicant's Email *

Please use an email address that you check regularly.

Applicant's Phone *

Cell phone is preferred.

What is the name of your Mouse school or organization? *

What is the mailing address of your Mouse school or organization? *

Mouse Network

Mouse New York

Mouse California

Other:

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What is your role at your school or organization? (in addition to your role with Mouse) *

Are you a tech coordinator? Are you a classroom teacher? What courses do you teach? Are you an administrator? please describe.

Statement of Interest: Why should these materials go to your site? How does this specific course/program fit within your vision for your students and your site? *

(less than 250 words)

Implementation Plan: Having reviewed the course description and the background steps for each project within this course, describe your plan for implementation. Please include: 1) start and end dates (be as specific as you can), 2) which days/times you will meet with your students, 3) How many students you expect to participate, 4) How you plan to facilitate. *

(less than 250 words)

Check here to confirm that you have the full support of your principal or program director for the following requirements: *

I will facilitate the related course on Mouse Create with my students before June 2018.

I will ensure that my students submit their work for each course project via Mouse Create. I will evaluate their work and give feedback in the Discussion area.

I will submit feedback via survey to Mouse at the completion of the course.

I will reach out to Mouse with any questions or challenges as they come up.

Required

Anything else we should know?

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