PARTICIPANT

RESPONSE FORM

* (Please fax/e-mail completed form no later than February 28, 2003)

TO: Dionna Williams at 202-334-1294 or djwilliams@nas.edu

è FROM: ________________________________________________________

(Please Print Your Name)

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(Title)

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(Affiliation/Company)

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(Company Street Address)

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(Company City, State and Zip)

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(Company Phone Number)

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SUBJECT: Next Steps in Mathematics Teacher Professional Development Workshop

The meeting begins at 12:00 p.m. on Friday, March 7^th and ends at 12:30 p.m. on Sunday, the 9^th.

I WILL NOT BE ABLE TO ATTEND THE WORKSHOP

Workshop on Friday, March 7^th
Lunch on Friday, March 7^th
Dinner on Friday, March 7^th

Workshop on Saturday, March 8^th
Breakfast on Saturday, March 8^th
Lunch on Saturday, March 8^th
Dinner on Saturday, March 8^th

Workshop on Sunday, March 9^th
Breakfast on Sunday, March 9^th
Lunch on Sunday, March 9^th

CATEGORY
(Please circle only one category. Select the category that describes your role while attending the workshop.)

High School Teacher
Professional Development (Inservice/Preservice)
Mathematician
Mathematics Educator
School Administrator/Board of Education
Education Organization

Algebraic Thinking
Geometric Thinking
Thinking with Data
Analytical Thinking
Thinking about Models

VEHICLES FOR PROFESSIONAL DEVELOPMENT BREAKOUT GROUPS
(please mark in order of your preference (i.e., 1 - 6)

Curriculum Materials
Test Items & Grading Rubric
Video
Case Study
Reflective Practitioner

Lesson Study

Special Needs or Concerns: