CUTOUT4CS Application
Notification of acceptance will be sent via email in May.
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I am registering *
If registering as a team, please list the first and last name of all other members. As a reminder, each person of the team must complete their own application. (Please mark N/A if applying as an individual) *
Which session will you attend? *
First Name *
Last Name *
District *
School *
In which county is your district located? *
Position *
Preferred Email *
In your BUILDING, what percentage of students are designated as economically disadvantaged?

 *
Please enter the total number of students in your CLASSROOM *
How many students in your classroom are:
Asian American
 *
How many students in your classroom are:
Black/African American
 *
How many students in your classroom are:
Hispanic/Latinx
 *
How many students in your classroom are:
Native Hawaiian or Other Pacific Islander
 *
How many students in your classroom are:
Native American/Alaskan Native
 *
How many students in your classroom are:
White/Caucasian
 *
How many students in your classroom are:
Two or more races
 *
In your CLASSROOM, what percent of students scored proficient or above on the mathematics portion of the state assessment (this can be for a prior year if students have not yet taken the state assessment).
 *
How did you hear about this opportunity? *
What do you hope to gain from this experience? *
Please check EACH BOX to confirm you understand the program commitment *
Attending the two-day professional development session
Attending a virtual after-school session in Fall 2023 (no more than 2 hours)
Implementing CUTOUT4CS lessons with students in the classroom during the 2023-2024 school year
Providing feedback via program survey
I confirm that I will participate in the following:
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