Please use the following format to report to WWNFF and the National Science Foundation
1. Name, email, phone number, home address
2. School name, mailing address, phone, fax, email, web address
3. Supervisor’s (Principal’s) name, title
4. District Name, mailing address, phone, fax, email, web address
5. Superintendent’s name, title
For
each leadership activity please list the following:
a. Goal/ desired outcome in terms of organization’s goals and objectives
b. Title of activity/event/process
c. Short description of activity (2-3 lines, you may use more)
d. Names of other Woodrow Wilson teachers contributing to the activity
e. Number of participant-teachers involved
f. Levels of those involved: elementary, secondary, and pre-service
g. Number of contact hours
h. Number of Internet hours
i. Number of “homework/ field” hours
j. Outcome in terms of organization’s goals and objectives
k. Supplemental Activities (if applicable)
The activities noted above are in fulfillment of the 20-hour (minimum) leadership commitment flowing from the LPT 1999 Leadership Institute in Environmental Science.
Signature of one or more of the following: supervisor (principal), superintendent, curriculum director, or other concerned official (please explain relationship).
Your signature