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Winter 2018 EDUC 3 & EDUC 4
Program Handbook
Rev. 12/14/17
2
TABLE OF CONTENTS
I. General References ···································································· 3 A. Contact Information B. Pathways to Preparing Quality Science and Mathematics Teachers
II. Mentees ··················································································· 6A. General Expectations: Classroom Code of Conduct and Professional ValuesB. School District TB Test ProceduresC. Course Preparation TimelineD. Mentees’ Responsibility ChecklistE. SMI Classroom Supply Reimbursement Procedures and GuidelinesF. TB & Travel Expense Reimbursement Procedures & Guidelines
III. Mentor Teachers ···································································· 13A. Expectations & ResponsibilitiesB. Stipend ChecklistC. SMI Mentor Teacher Progress Form
IV. Forms ···················································································· 18A. W-9 FormB. Documentation of Hours
V. Financial Resources ···································································· 24 A. SMI Exam & Professional Development Reimbursement Program B. Supply Request for Classroom Project:
a. Approval Formb. Reimbursement Form
C. Financial Support Application: TB & Travel Expense a. Mileage Log Formb. Mileage Limits of Assigned Schools
D. SMI Tiered Scholarship Program
VI. Academic References ·································································· 35A. Professional Development Activities B. STEM-Education Degree Option Overview C. SMI Teaching Career Path Milestones Diagram D. SMI Teaching Career Preparation Checklist
UCR Winter 2018 ACADEMIC CALENDAR Quarter Begins January 3, 2018
Instruction Begins January 8, 2018 Holidays January 1, 2018
January 15, 2018 February 19, 2018
Instruction Ends March 16, 2018 Final Examinations March 17-23, 2018
For Mentor Teachers: Quarterly Progress Reports Due
March 19, 2018
3
SECTION I
General References
4
CONTACT INFORMATION
EDUC 3 & EDUC 4 Instructors • EDUC 003: Sounghwa Walker (swalk009@ucr.edu) • EDUC 004: Michael Towne (michael.r.towne@gmail.com)
• Assigns and evaluates all course assignments including weekly journal reflections
• Monitors Fieldwork hours • Issues course grades
Leslie Bushong (leslie.bushong@ucr.edu) Staff Director
• Oversees EDUC 3 & EDUC 4 course program development • Determines school placement assignment • Recruits and advises pre-service STEM teachers • Authorizes travel reimbursement requests and stipends
Professor Jack Eichler (jack.eichler@ucr.edu) Faculty Director
• Oversees EDUC 3 & EDUC 4 program development • Recruits and advises pre-service STEM teachers • Reviews petitions for EDUC 3/EDUC 4 grades
Website: http://smi.ucr.edu Location: 1315 Pierce Hall E-mail: smi@ucr.edu Phone: (951) 827-4970 Fax: (951) 827-4971
5
Demonstrate Progress in a STEM Degree Program
SMI Pathways Preparing Quality
Science and Mathematics Teachers
Other Opportunities
• Participate in the SMI Mentor Program • Complete foundation education courses
(elective courses) • Attend career-related workshops &
training & seminars • Collect artifacts for Teacher Portfolio • Establish professional network • Satisfy CCTC requirements, including
exams • Participate in professional
development/conferences • Learn about financial resources,
including Scholarships
EDUC 3 Imagining Teaching – Science/Math Emphasis
EDUC 4 Looking into Classrooms– Science/Math Emphasis
ADVANCED FIELD TRAINING & RESEARCH EXPERIENCES
Apprenticeships (sophomores, juniors, seniors) Summer institute training programs Assume leadership roles in professional organization
GRADUATION
OR Student Teaching Credential Program
Intern Teaching Credential Program
CREDENTIALED “HIGHLY QUALIFIED”
SCIENCE or MATH TEACHER
6
SECTION II
Mentees
7
General Expectations:
Classroom Code of Conduct and Professional Values
All Mentees are expected to:
• Act as professional representatives of UCR. • Dress in professional and conservative attire when working at their
school site.
Suitable Articles of Clothing: Women: Slacks (dress pants), skirts (mid-calf to about two inches above the knee), blouses, blazers, casual dresses, closed toed shoes. Men: Slacks (dress pants), button down shirts, polo shirts (short sleeved shirts with a collar), blazers, closed toed shoes.
• Be punctual and prepared to observe and participate. • Coordinate your weekly field experience hours with your assigned
mentor teacher.
• Maintain regular communication with assigned mentor teacher.
• Be respectful of the teacher as s/he is teaching…NEVER interrupt during a lesson even if you think it’s a really important question…ask it later!
• Be addressed as Mr., Miss, Mrs., or Ms. by classroom students.
8
School District TB Test Procedures All School Districts will require that you have a valid 4-year TB clearance or that you have a clear TB test taken within the last 60 days. Otherwise, you’ll need to complete the California TB Risk Assessment Questionnaire and submit to the assigned school district personnel office. Alvord Unified School District 10365 Keller Avenue Riverside, CA 92505 951.509.5030 Jurupa Unified School District 4850 Pedley Road Jurupa Valley, CA 92509 951.360.4124 Moreno Valley Unified School District 25634 Alessandro Blvd. Moreno Valley, CA 92553 951.571.7500 x17315 Riverside Unified School District 3380 14th Street Riverside, CA 92501 951.788.7135 x80112
Val Verde Unified School District 975 West Morgan Street Perris, CA 92571 951.940.6100 x10312
9
COURSE PREPARATION TIMELINE
Before Instruction Begins: Download Program Handbook from iLearn and bring (either hard copy or digital print) to
first day of class meeting.
Be prepared to provide assigned school site your current TB test results from UCR Campus Health Center. TB clearance is often required by school districts before you are permitted into the classroom. Avoid delays into the classroom, which will have a negative impact on your course grade and reimbursement eligibility. Refer to the previous page or visit http://smi.ucr.edu/visit.html for specific school district’s TB test processing requirements. (Refer to Mentee’s Responsibilities Checklist for reimbursement details).
Obtain Field (classroom) Placement Information - Refer to “Course Materials” in iLearn.
Make arrangements with your assigned Mentor Teacher to establish classroom visitation schedule to begin no later than 2nd week of the quarter.
During Academic Quarter:
Adhere to General Expectations: Classroom Code of Conduct and Professional Values.
Attend EDUC 3 weekly class and adhere to requirements as described in course syllabus.
Submit the signed “Student Acknowledgement of Rights and Responsibilities” form (see Forms section within this handbook), if your field placement is located in the Riverside Unified School District
Complete Weekly Field Work Requirements (3 hours per week) by coordinating with SMI Mentor (classroom) Teacher. • REQUIRED
30 hours in classroom observation/participation (3 hours per week in the assigned classroom)
Immediately contact SMI Mentor (classroom) Teacher and EDUC 3 instructor if unable to fulfill the weekly classroom field work responsibilities.
Check weekly on your UCR iLearn (http://ilearn.ucr.edu) account.
Complete weekly online Journal Reflections through UCR iLearn account. Writing prompts will be posted on iLearn.
Update and obtain mentor teacher’s signature on Documentation of Hours Form (at least 3 hours per week) on a weekly basis.
Complete steps described on Reimbursement Checklist (see section within this section of the handbook).
Plan ahead if you are teaching a lesson. Refer to the “Forms” section in the handbook for financial assistance in purchasing instructional project(s).
10
MENTEE’S RESPONSIBITLIES CHECKLIST To maintain reimbursement eligibility for the TB Test
Weekly Basis: ___ Maintain updated records on your Documentation of Hours form
Special Notes: o Weekly hours will be verified with assigned Mentor Teacher o 2 make-ups are permitted, but must be pre-approved by assigned Mentor Teacher and
EDUC 3 Instructor
By 1st Day of Class EDUC 3 sect 1: 1/9/18; sect 2: 1/10/18 EDUC 4: 1/12/18
___ Make arrangements with assigned mentor teacher for first field visitation. ___ Bring printed or digital copy of EDUC 3-4 Handbook (download from iLearn) to class.
By 2st Week of the Quarter: (Deadline: 1/15/18 M)
___ Submit to the SMI Resource Center (1315 Pierce Hall) copy of your Request for Financial Support Application: TB & Travel (optional). If you are submitted a EDUC 3-4 Financial Support Application, the following items are required by the application deadline ___ W-9 Form to SMI Resource Center (1315 Pierce Hall). ___ copy of your driver’s license ___ copy of driver’s insurance showing proof of your valid dates for travel period that corresponds with the current academic quarter
By 10th Week of the Quarter: (Deadline: 3/16/18 F) ___ Complete the SMI Student Survey for EDUC 3/EDUC 4 (on iLearn) ___ Complete and record at least 30 classroom hours at the assigned placement (exceptions must be
pre-approved by SMI – hours are verified by assigned Mentor Teacher) on the Documentation of Hours Form.
By Monday of Finals Week: (Deadline: 3/19/18 M)
___ Submit completed Documentation of Hours Form. ___ Submit supporting documents if Financial Support Application was approved (see Week 1 & 2)
____ TB Test: Itemized payment of receipt for TB Test from UCR Campus Health Center. • Date that your TB Test was conducted at UCR Campus Health Center • Your first and last name
____ Travel: Completed Mileage Log, which will be cross-checked with submitted Documentation of Hours Form
Other conditions to maintain eligibility for TB/transportation financial support:
___ Earned “C” grades or better in Winter 2018 EDUC 3/EDUC 4 ___ Remain as a declared STEM (CNAS or BCOE) major when EDUC 3/EDUC 4 grades are issued.
11
SMI Classroom Supply Reimbursement
Procedures and Guidelines
An excellent way to develop pre-service training in the classrooms is to develop and implement classroom lessons with mentor teachers. As a way to support your classroom endeavors, SMI offers a modest reimbursement program to help offset costs associated with implementing classroom lessons. If you wish to seek financial assistance from SMI toward your lesson implementation (up to $25/lesson), please follow the set of instructions listed below:
1. Before implementation of lesson
Submit the “Step 1: APPROVAL FORM” with documents requested in the form to SMI Resource Center. Please allow for 5 to 7 days to review your request and for the items to be purchased/delivered.
2. After SMI’s Approval • Purchase supplies (if SMI is unable to furnish these specific items) • Implement lesson • Submit “Step 2: REIMBURSEMENT FORM” with itemized paid
receipt of items SMI approved for reimbursement.
LIST OF UNAPPROVED ITEMS • Food or Beverage Items • Explosives/Firearms • Controlled Substances/Narcotics/Dangerous Drugs • Consultants • Purchases from University Employees and Near Relatives • Radioactive Items • Rental of Real Property • Repairs to the Plants & Grounds
12
TB & TRAVEL REIMBURSEMENT Procedures and Guidelines
SMI administrative leaders recognizes there are out-of-pocket expenses involved in completing the required EDUC 3-EDUC 4 field work. Due to funding limitations, the program is unable to offer financial support to all EDUC 3-4 students to fray the costs associated with TB testing and travel (e.g. mileage/gas). Therefore, to be considered for reimbursement eligibility, please follow the steps below:
1. Submit the EDUC 3/EDUC 4 Financial Support Application: TB & Travel Expenses by the posted deadline on the application (see Section V: Financial Resources in this handbook).
2. If your application is approved, you must follow posted requirements and deadline listed on the Mentee’s Responsibilities Checklist (in this handbook).
Summary of required items (read handbook carefully for details): • Week 1:
1. copy of valid driver’s license 2. copy of driver’s insurance 3. completed Financial Support Application
• Week 10: Documentation of Hours Form • Monday of Finals Week:
1. TB test receipt 2. Mileage Log
13
SECTION III
Mentor Teachers
14
MENTOR TEACHERS’ EXPECTATIONS & RESONSIBILITIES
There are three distinct tiers of mentee/apprentice participation. The levels of mentee participation are:
• EDUC 3 (an undergraduate course) mentees are expected to observe 3 per week for a minimum of 30 hours (10-week quarter) in the assigned science/mathematics classroom for the academic quarter. They are not expected to teach a lesson, but are encouraged to do so and/or to actively get involved in classroom activities.
• EDUC 4 (an undergraduate course) mentees are expected to observe and participate in 3 per week for a minimum of 30 hours (10-week quarter) in the assigned science/mathematics classroom for the academic quarter. They are expected to develop and implement at least one lesson in the assigned science/mathematics classroom while maintaining active involvement in classroom activities.
•
• SMI Apprentices (yearlong employment with UCR): These are advanced level students selected after their completion of early field experiences (i.e. EDUC 3 and EDUC 4). CMST apprentices are expected to complete 5 hours per week in the assigned classroom for each academic quarter. They are expected to work closely with the assigned mentor teacher by assisting, developing, implementing lessons along with grading class assignments.
All SMI Mentor Teachers are to: Remain in the classroom throughout the period SMI Mentee(s) is present. Coordinate with SMI Mentee(s) to establish a schedule for classroom
observation/participation for at least 3 hours per week. Monitor Mentee(s)’ weekly hours and maintain weekly communication with
Mentee(s). Get SMI Mentee(s) involved in as many of the following activities as possible:
o Lesson preparation o Teaching o Tutoring o Administrative duties o Attend relevant on-campus functions (i.e. faculty meetings, parent-teacher conferences,
curriculum meetings, etc.) o EDUC 4 Mentor Teachers: Must agree to allow mentee to co-construct and
implement at least one lesson during the academic quarter Submit end-of the-quarter progress verification form of assigned Mentee(s) to
smi@ucr.edu (forms are provided by SMI). Maintain current e-mail address, mailing address, and phone number with SMI. E-mail SMI director, Leslie Bushong, at smi@ucr.edu if you have any questions or
concerns. ************
Winter 2018 Mentor Teacher’s Stipend = $100 for each assigned mentee
15
Mentor Teachers’ Checklist to Receive Stipend
_______ 1) Submit to SMI Resource Center completed W-9 form – Due immediately You may either fax (951.827.4971) or email your completed scanned copy to smi@ucr.edu.
_______ 2) Monitor and Verify SMI Mentee(s) Progress and Attendance – Due date as specified on request from the SMI Office
You will need to submit End-of-the -Quarter Progress Reports of SMI Mentee form to verify Mentee’s participation.
_______ 3) Mailing of Your Stipend Approximately three to four weeks after the academic quarter ends, your stipend check(s) will be processed and sent to you based on mailing information posted on your W-9.
TAX INFORMATION: This is to inform you about the general treatment of your Cal Teach-SMI stipend for tax purposes, as well as your reporting
and recordkeeping responsibilities. Your Cal Teach-SMI stipend is considered to be a scholarship for tax purposes. The information provided below applies to
any scholarship, fellowship, or grant, regardless of whether the award is from the University of California or from a third-party source. Under Internal Revenue Service (IRS) regulations, you do not have to pay taxes on a scholarship to the extent the funds are
used for required tuition, fees, books, supplies, equipment, or other mandatory fees for classes or enrollment. The amount of health insurance premiums you pay to the University in order to be enrolled is also considered a required fee. To the extent you use scholarship funds to pay for these types of required fees and expenses, the funds should be excluded from your taxable income.
You are required to maintain records and documentation showing that you used all or a portion of your scholarship or fellowship funds for these required purposes. Any portion of a scholarship or fellowship used to pay for other expenses (e.g., room and board, travel, and other living expenses) should be included in your taxable income for the year.
For more information on the tax treatment of scholarships and fellowships, see IRS Publication 970 (Tax Benefits for Education), which can be found on the IRS website at http://www.irs.gov/.
You should make the determination about whether your Cal Teach-SMI or other scholarship awards are taxable based upon your individual facts, not how the University may have applied your award funds to the amounts you owed the University. If you determine that a portion or all of your scholarship funds are not subject to tax, you should retain receipts and other documents that show the total amount of your qualifying (i.e., nontaxable) expenses.
The University is required by federal law to file a Form 1098-T (Tuition Statement) information return to the IRS for most students. If a return is filed, the University will also provide you with a copy of the return showing the information reported to the IRS. Depending on the UC campus you attend, either the amount of qualified tuition and related expenses paid, or the amount billed, is reported (in either Box 1 or Box 2 of the 1098-T).
Among other information, the University also is required to report the amount of all scholarships (referred to by the IRS as “scholarships or grants”), from all known sources, that the University processed on your behalf. The amounts reported on the 1098-T represent a summary of the qualified tuition and related expenses by campus, as well as any scholarships you received, based on the information on file at the UC campus you attended. Since UC Office of the President (through UCLA) will be disbursing the Cal Teach-SMI stipends regardless of the campus attended, your stipend may not appear on the 1098-T form you receive from UCR. This information may be of use to you in calculating the amount of the higher education tax credit or deduction you may be eligible to claim, but your personal financial records serve as the official supporting documentation for your federal income tax return. For more information about the education tax credit or deduction, see IRS Publication 970, which is available on the IRS website shown above.
Please note that this letter is intended only to introduce you to the tax rules applicable to recipients of scholarships. The University of California does not provide tax advice; you should contact your personal tax advisor with any questions or concerns. Sincerely, Bobbi McCracken Asst. Vice Chancellor-Financial Services and Controller – UCR
EDUC 3 Quarterly Progress Report of SMI Mentees
Classroom Visitation Period: Between 1/8/18 and 3/16/18
Instructions to SMI Mentor Teachers: 1. Complete Quarterly Progress Report for each assigned SMI Mentee. If more space is needed, please
submit additional pages separately. Your detailed responses will greatly help our program to continue its efforts to develop our future STEM teachers. All information provided on this form will remain confidential.
2. Submit to Leslie Bushong at smi@ucr.edu or fax (951.827.4971) by: Monday, March 19, 2018
Mentor Teacher’s Name:___________________________________ School Name: _________________
Type of Instructional Support: __Mathematics __Science
SMI Mentee’s Name: __________________________________________________________________
1. Did your Mentee complete the weekly 3 hours per week in your classroom during this review period? ___Yes ___No, please explain
2. Briefly describe observational/instructional activities your Mentee was involved during this reporting period.
3. If your Mentee conducted lessons, please explain his/her involvement with the planning of the lesson.
4. Briefly describe how would you rate your Mentee's interaction with classroom students, administrators, parents, and you?
5. Describe what worked well with this placement assignment.
6. What recommendations, if any, would you make to help improve future mentee placement assignments?
7. Would you be interested in serving as an SMI Mentor Teacher again? ___Yes _____No, please explain
8. Additional comments/concerns
9. Did your Mentee complete at least 30 classroom hours during the observation period assigned for this academic quarter. ___Yes ___No, any additional would be greatly appreciated
10. Please provide a general raw number headcount summarizing the demographics of students comprised in the class period(s) your Mentee conducted his/her weekly field visits.
Ethnicity Number of students
Gender Number of Students
American Indian Male Asian Female Black/African American Hispanic/Latino White Native Hawaiian/ Pacific Islander
Other/Unknown
11. Certification: I certify that the information above is correct. Please Sign and Date below.
Mentor Teacher's Signature ____________________________________Date ____________________
If you have any questions, please call (951) 827-4970
EDUC 4 Quarterly Progress Report of SMI Mentees
Classroom Visitation Period: Between 1/8/18 and 3/16/18
Instructions to SMI Mentor Teachers: 1. Complete Quarterly Progress Report for each assigned SMI Mentee. If more space is needed, please
submit additional pages separately. Your detailed responses will greatly help our program to continue its efforts to develop our future STEM teachers. All information provided on this form will remain confidential.
2. Submit to Leslie Bushong at smi@ucr.edu or fax (951.827.4971) by: Monday, March 29, 2018
Mentor Teacher’s Name:___________________________________ School Name: _________________
Type of Instructional Support: __Mathematics __Science
SMI Mentee’s Name: __________________________________________________________________
1. Did your Mentee complete the weekly 3 hours per week in your classroom during this review period? ___Yes ___No, please explain
2. Briefly describe observational/instructional activities your Mentee was involved during this reporting period.
3. If your Mentee conducted lessons, please explain his/her involvement with the planning of the lesson.
4. Briefly describe how would you rate your Mentee's interaction with classroom students, administrators, parents, and you?
5. Describe what worked well with this placement assignment.
6. What recommendations, if any, would you make to help improve future mentee placement assignments?
7. Would you be interested in serving as an SMI Mentor Teacher again? ___Yes _____No, please explain
8. Additional comments/concerns
9. Did your Mentee complete at least 30 classroom hours during the observation period assigned for this academic quarter. ___Yes ___No, any additional would be greatly appreciated
10. Please provide a raw number general headcount summarizing the demographics of students comprised in the class period(s) your Mentee conducted his/her weekly field visits.
Ethnicity Number of students
Gender Number of Students
American Indian Male Asian Female Black/African American Hispanic/Latino White Native Hawaiian/ Pacific Islander
Other/Unknown
11. Certification: I certify that the information above is correct. Please Sign and Date below.
Mentor Teacher's Signature ____________________________________Date ____________________
If you have any questions, please call (951) 827-4970
INSTRUCTIONS TO PRINTERSFORM W-9, PAGE 1 of 4MARGINS: TOP 13mm (1⁄2 "), CENTER SIDES. PRINTS: HEAD to HEADPAPER: WHITE WRITING, SUB. 20. INK: BLACKFLAT SIZE: 216mm (81⁄2 ") � 279mm (11")PERFORATE: (NONE)
Give form to therequester. Do notsend to the IRS.
Form W-9 Request for TaxpayerIdentification Number and Certification(Rev. January 2005)
Department of the TreasuryInternal Revenue Service
Name (as shown on your income tax return)
List account number(s) here (optional)
Address (number, street, and apt. or suite no.)
City, state, and ZIP code
Pri
nt o
r ty
pe
See
Sp
ecifi
c In
stru
ctio
ns o
n p
age
2.
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoidbackup withholding. For individuals, this is your social security number (SSN). However, for a residentalien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it isyour employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.
Social security number
––or
Requester’s name and address (optional)
Employer identification numberNote. If the account is in more than one name, see the chart on page 4 for guidelines on whose numberto enter. –
Certification
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the InternalRevenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS hasnotified me that I am no longer subject to backup withholding, and
2.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backupwithholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirementarrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you mustprovide your correct TIN. (See the instructions on page 4.)
SignHere
Signature ofU.S. person � Date �
Purpose of Form
Form W-9 (Rev. 1-2005)
Part I
Part II
Business name, if different from above
Cat. No. 10231X
Check appropriate box:
Under penalties of perjury, I certify that:
2I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
TLS, have youtransmitted all Rtext files for thiscycle update?
Date
Action
Revised proofsrequested
Date Signature
O.K. to print
U.S. person. Use Form W-9 only if you are a U.S. person(including a resident alien), to provide your correct TIN to theperson requesting it (the requester) and, when applicable, to:
1. Certify that the TIN you are giving is correct (or you arewaiting for a number to be issued),
2. Certify that you are not subject to backup withholding,or
3. Claim exemption from backup withholding if you are aU.S. exempt payee.
Foreign person. If you are a foreign person, do not useForm W-9. Instead, use the appropriate Form W-8 (seePublication 515, Withholding of Tax on Nonresident Aliensand Foreign Entities).
3. I am a U.S. person (including a U.S. resident alien).
A person who is required to file an information return with theIRS, must obtain your correct taxpayer identification number(TIN) to report, for example, income paid to you, real estatetransactions, mortgage interest you paid, acquisition orabandonment of secured property, cancellation of debt, orcontributions you made to an IRA.
Individual/Sole proprietor Corporation Partnership Other �
Exempt from backupwithholding
Note. If a requester gives you a form other than Form W-9 torequest your TIN, you must use the requester’s form if it issubstantially similar to this Form W-9.
Nonresident alien who becomes a resident alien.Generally, only a nonresident alien individual may use theterms of a tax treaty to reduce or eliminate U.S. tax oncertain types of income. However, most tax treaties contain aprovision known as a “saving clause.” Exceptions specifiedin the saving clause may permit an exemption from tax tocontinue for certain types of income even after the recipienthas otherwise become a U.S. resident alien for tax purposes.
If you are a U.S. resident alien who is relying on anexception contained in the saving clause of a tax treaty toclaim an exemption from U.S. tax on certain types of income,you must attach a statement to Form W-9 that specifies thefollowing five items:
1. The treaty country. Generally, this must be the sametreaty under which you claimed exemption from tax as anonresident alien.
2. The treaty article addressing the income.3. The article number (or location) in the tax treaty that
contains the saving clause and its exceptions.
● An individual who is a citizen or resident of the UnitedStates,● A partnership, corporation, company, or associationcreated or organized in the United States or under the lawsof the United States, or
● Any estate (other than a foreign estate) or trust. SeeRegulations sections 301.7701-6(a) and 7(a) for additionalinformation.
For federal tax purposes you are considered a person if youare:
Phone Number _____________________
INSTRUCTIONS TO PRINTERSFORM W-9, PAGE 2 of 4MARGINS: TOP 13 mm (1⁄2"), CENTER SIDES. PRINTS: HEAD to HEADPAPER: WHITE WRITING, SUB. 20. INK: BLACKFLAT SIZE: 216 mm (81⁄2") � 279 mm (11")PERFORATE: (NONE)
Form W-9 (Rev. 1-2005) Page 2
Sole proprietor. Enter your individual name as shown onyour social security card on the “Name” line. You may enteryour business, trade, or “doing business as (DBA)” name onthe “Business name” line.
2I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Other entities. Enter your business name as shown onrequired Federal tax documents on the “Name” line. Thisname should match the name shown on the charter or otherlegal document creating the entity. You may enter anybusiness, trade, or DBA name on the “Business name” line.
If the account is in joint names, list first, and then circle,the name of the person or entity whose number you enteredin Part I of the form.
Limited liability company (LLC). If you are a single-memberLLC (including a foreign LLC with a domestic owner) that isdisregarded as an entity separate from its owner underTreasury regulations section 301.7701-3, enter the owner’sname on the “Name” line. Enter the LLC’s name on the“Business name” line. Check the appropriate box for yourfiling status (sole proprietor, corporation, etc.), then checkthe box for “Other” and enter “LLC” in the space provided.
Specific Instructions
Name
Exempt From Backup Withholding
Generally, individuals (including sole proprietors) are notexempt from backup withholding. Corporations are exemptfrom backup withholding for certain payments, such asinterest and dividends.
5. You do not certify to the requester that you are notsubject to backup withholding under 4 above (for reportableinterest and dividend accounts opened after 1983 only).
Certain payees and payments are exempt from backupwithholding. See the instructions below and the separateInstructions for the Requester of Form W-9.
Civil penalty for false information with respect towithholding. If you make a false statement with noreasonable basis that results in no backup withholding, youare subject to a $500 penalty.Criminal penalty for falsifying information. Willfullyfalsifying certifications or affirmations may subject you tocriminal penalties including fines and/or imprisonment.
PenaltiesFailure to furnish TIN. If you fail to furnish your correct TINto a requester, you are subject to a penalty of $50 for eachsuch failure unless your failure is due to reasonable causeand not to willful neglect.
Misuse of TINs. If the requester discloses or uses TINs inviolation of federal law, the requester may be subject to civiland criminal penalties.
If you are an individual, you must generally enter the nameshown on your social security card. However, if you havechanged your last name, for instance, due to marriagewithout informing the Social Security Administration of thename change, enter your first name, the last name shown onyour social security card, and your new last name.
Exempt payees. Backup withholding is not required on anypayments made to the following payees:
1. An organization exempt from tax under section 501(a),any IRA, or a custodial account under section 403(b)(7) if theaccount satisfies the requirements of section 401(f)(2),
2. The United States or any of its agencies orinstrumentalities,
3. A state, the District of Columbia, a possession of theUnited States, or any of their political subdivisions orinstrumentalities,
4. A foreign government or any of its political subdivisions,agencies, or instrumentalities, or
5. An international organization or any of its agencies orinstrumentalities.
Other payees that may be exempt from backupwithholding include:
6. A corporation,
If you are exempt, enter your name as described above andcheck the appropriate box for your status, then check the“Exempt from backup withholding” box in the line followingthe business name, sign and date the form.
4. The IRS tells you that you are subject to backupwithholding because you did not report all your interest anddividends on your tax return (for reportable interest anddividends only), or
3. The IRS tells the requester that you furnished anincorrect TIN, or
2. You do not certify your TIN when required (see the PartII instructions on page 4 for details), or
You will not be subject to backup withholding on paymentsyou receive if you give the requester your correct TIN, makethe proper certifications, and report all your taxable interestand dividends on your tax return.
1. You do not furnish your TIN to the requester, or
What is backup withholding? Persons making certainpayments to you must under certain conditions withhold andpay to the IRS 28% of such payments (after December 31,2002). This is called “backup withholding.” Payments thatmay be subject to backup withholding include interest,dividends, broker and barter exchange transactions, rents,royalties, nonemployee pay, and certain payments fromfishing boat operators. Real estate transactions are notsubject to backup withholding.
Payments you receive will be subject to backupwithholding if:
If you are a nonresident alien or a foreign entity not subjectto backup withholding, give the requester the appropriatecompleted Form W-8.
Example. Article 20 of the U.S.-China income tax treatyallows an exemption from tax for scholarship incomereceived by a Chinese student temporarily present in theUnited States. Under U.S. law, this student will become aresident alien for tax purposes if his or her stay in the UnitedStates exceeds 5 calendar years. However, paragraph 2 ofthe first Protocol to the U.S.-China treaty (dated April 30,1984) allows the provisions of Article 20 to continue to applyeven after the Chinese student becomes a resident alien ofthe United States. A Chinese student who qualifies for thisexception (under paragraph 2 of the first protocol) and isrelying on this exception to claim an exemption from tax onhis or her scholarship or fellowship income would attach toForm W-9 a statement that includes the informationdescribed above to support that exemption.
Note. You are requested to check the appropriate box foryour status (individual/sole proprietor, corporation, etc.).
Note. If you are exempt from backup withholding, youshould still complete this form to avoid possible erroneousbackup withholding.
4. The type and amount of income that qualifies for theexemption from tax.
5. Sufficient facts to justify the exemption from tax underthe terms of the treaty article.
INSTRUCTIONS TO PRINTERSFORM W-9, PAGE 3 of 4MARGINS: TOP 13 mm (1⁄2"), CENTER SIDES. PRINTS: HEAD to HEADPAPER: WHITE WRITING, SUB. 20. INK: BLACKFLAT SIZE: 216 mm (81⁄2") � 279 mm (11")PERFORATE: (NONE)
I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
Form W-9 (Rev. 1-2005) Page 3
2
Part I. Taxpayer IdentificationNumber (TIN)Enter your TIN in the appropriate box. If you are a residentalien and you do not have and are not eligible to get an SSN,your TIN is your IRS individual taxpayer identification number(ITIN). Enter it in the social security number box. If you donot have an ITIN, see How to get a TIN below.
How to get a TIN. If you do not have a TIN, apply for oneimmediately. To apply for an SSN, get Form SS-5,Application for a Social Security Card, from your local SocialSecurity Administration office or get this form online atwww.socialsecurity.gov/online/ss-5.pdf. You may also get thisform by calling 1-800-772-1213. Use Form W-7, Applicationfor IRS Individual Taxpayer Identification Number, to applyfor an ITIN, or Form SS-4, Application for EmployerIdentification Number, to apply for an EIN. You can apply foran EIN online by accessing the IRS website atwww.irs.gov/businesses/ and clicking on Employer IDNumbers under Related Topics. You can get Forms W-7 andSS-4 from the IRS by visiting www.irs.gov or by calling1-800-TAX-FORM (1-800-829-3676).
If you are asked to complete Form W-9 but do not have aTIN, write “Applied For” in the space for the TIN, sign anddate the form, and give it to the requester. For interest anddividend payments, and certain payments made with respectto readily tradable instruments, generally you will have 60days to get a TIN and give it to the requester before you aresubject to backup withholding on payments. The 60-day ruledoes not apply to other types of payments. You will besubject to backup withholding on all such payments until youprovide your TIN to the requester.
If you are a sole proprietor and you have an EIN, you mayenter either your SSN or EIN. However, the IRS prefers thatyou use your SSN.
If you are a single-owner LLC that is disregarded as anentity separate from its owner (see Limited liability company(LLC) on page 2), enter your SSN (or EIN, if you have one). Ifthe LLC is a corporation, partnership, etc., enter the entity’sEIN.Note. See the chart on page 4 for further clarification ofname and TIN combinations.
Note. Writing “Applied For” means that you have alreadyapplied for a TIN or that you intend to apply for one soon.Caution: A disregarded domestic entity that has a foreignowner must use the appropr iate Form W-8.
9. A futures commission merchant registered with theCommodity Futures Trading Commission,
10. A real estate investment trust,11. An entity registered at all times during the tax year
under the Investment Company Act of 1940,12. A common trust fund operated by a bank under
section 584(a),13. A financial institution,14. A middleman known in the investment community as a
nominee or custodian, or15. A trust exempt from tax under section 664 or
described in section 4947.
THEN the payment is exemptfor . . .
IF the payment is for . . .
All exempt recipients except for 9
Interest and dividend payments
Exempt recipients 1 through 13.Also, a person registered underthe Investment Advisers Act of1940 who regularly acts as abroker
Broker transactions
Exempt recipients 1 through 5Barter exchange transactionsand patronage dividends
Generally, exempt recipients1 through 7
Payments over $600 requiredto be reported and directsales over $5,000 1
See Form 1099-MISC, Miscellaneous Income, and its instructions.
However, the following payments made to a corporation (including grossproceeds paid to an attorney under section 6045(f), even if the attorney is acorporation) and reportable on Form 1099-MISC are not exempt frombackup withholding: medical and health care payments, attorneys’ fees; andpayments for services paid by a Federal executive agency.
The chart below shows types of payments that may beexempt from backup withholding. The chart applies to theexempt recipients listed above, 1 through 15.
1
2
7. A foreign central bank of issue,8. A dealer in securities or commodities required to register
in the United States, the District of Columbia, or apossession of the United States,
2
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SECTION V
Financial Resources
SMI Exam & Professional Development Reimbursement Program
Tiered Chart
Funded Activities Exam Registration
Cost Coverage
Requirements
Tier 1
CBEST $41 • Provide passage and payment
documentation for Tier 1 exam
• Complete EDUC 3 (minimum C grade)
• Complete EDUC 4 (minimum C grade) or
Complete Peer Mentor Program (2 or more
terms)
• Maintain an updated SMI Program Plan
Tier 2
Up to first CSET
math/science subtests
$99/math
$99/science (before
8/7/17 exams)
$133/science Subtest I
(after 8/6/17 exams)
$134/science Subtest II
(after 8/6/17 exams)
• Provide passage and payment
documentation for Tier 2 exam(s)
• Complete EDUC 3 (minimum C grade)
• Complete EDUC 4 (minimum C grade) or
Complete Peer Mentor Program (2 or more
terms)
• Maintain an updated SMI Program Plan
• Pass CBEST exam (documentation required)
Tier 3
Up to second and third CSET
math/science subtests
$99/math
$99/science (before
8/7/17 exams)
$133/science Subtest I
(after 8/6/17 exams)
$134/science Subtest II
(after 8/6/17 exams)
• Provide passage and payment
documentation for Tier 3 exam(s)
• Complete EDUC 3 (minimum C grade)
• Complete EDUC 4 (minimum C grade) or
Complete Peer Mentor Program (2 or more
terms)
• Maintain an updated SMI Program Plan
• Pass CBEST (documentation required)
• Pass one CSET math/science subtest exam
(documentation required)
Post-Tier:
Professional
Development
(PD)
One or more of these
activities:
-Additional CSET
math/science subtests
- Professional
development
workshops/conferences
- Professional affiliation
memberships
- Scholarly STEM-EDUC
journals
$125/year • Complete EDUC 3 (minimum C grade)
• Complete EDUC 4 (minimum C grade) or
Complete Peer Mentor Program (2 or more
terms)
• Maintain an updated SMI Program Plan
• Participant of the CMST Apprentice Program
or Attend 4 TTSM general meetings
• Pass CBEST (documentation required)
• Pass 1 CSET math/science subtests
(documentation required)
• Minimum GPA of 2.7
• Attend PD event in-full
• Debrief with SMI advisor after PD event
SPECIAL NOTE: All students approved for reimbursements are required to agree to 1) complete an SMI Exam
Reimbursement Survey, and 2) allow SMI to identify him/her as a successful examinee for various SMI publications.
Rev. 7/6/17
SMI Supply Request for Classroom Project
STEP #1: APPROVAL FORM
Please complete the following information for approval to purchase classroom supplies
needed for an upcoming lesson plan you and your mentor teacher would like to implement.
PLEASE PLAN AHEAD: at least 5 to 7 days advance notice required.
Student’s Name _________________________________ Student ID #_____________________
Mentor Teacher’s Name _______________________________________________________
Mentor Teacher’s signature (approval to implement lesson) _______________________
Proposed lesson implementation date _________
# of class periods you will teach this lesson _________ # of students total ______
In which course are you enrolled? (please circle appropriate course listed below)
EDUC 3 EDUC 4
I. Proposed Lesson Plan: Your proposed lesson plan should explain the purpose and outcome of
the lesson. Describe below your proposed lesson plan and attach a formally written lesson plan (5
E or Madeline Hunter lesson design format). ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
II. Purchase assistance: List below items you need SMI’s purchasing assistance in order to
implement your proposed lesson plan. ITEMS QUANTITY
III. Copying assistance: If you have instructional materials (i.e. handouts) that need to be
copied, please attached those items and complete the grid below. TITLE OF INSTRUCTIONAL
MATERIAL
TOTAL NUMBER
OF COPIES
CAN IT BE COPIED
BACK-TO-BACK?
SPECIAL
INSTRUCTIONS
IV. With my signature, I agree to follow my proposed lesson plan if approved by SMI. Also,
I agree to allow SMI to store and share my lesson plan in its Resource Library located both
online and in its Resource Center.
______________________________________ ____________________
Student’s Signature Date
----SMI OFFICE USE ONLY----
� Approved by ________________________________Date________________
� Not Approved:
Explanation_____________________________________________________
SMI Supply Request for Classroom Project
STEP #2: REIMBURSEMENT FORM
Submission of this form will not be accepted unless you received SMI approval from
STEP #1: APPROVAL FORM.
Student’s Name _________________________________ Student ID #_____________________
Mentor Teacher’s Name _______________________________________________________
For which course are you enrolled? (please circle appropriate course listed below)
EDUC 3 EDUC 4
Itemize and detailed expenses of items SMI approved for outside purchase (see SMI
written remarks on STEP #1: APPROVAL FORM) incurred for implementing your
lesson plan proposed in
Date Purchased Purchased Items Actual Cost (include tax, delivery, other
applicable charges)
Vendor Used
Signature Verification: By signing below, you are verifying that these items were used
for lesson implementation (as submitted with Approval Form).
Mentor Teacher’s Signature _________________________________________________
Student’s Signature _______________________________________________________
Winter 2018 : EDUC 3 /EDUC 4
FINANCIAL SUPPORT APPLICATION TB & TRAVEL EXPENSES (UP TO $250)
DUE: MONDAY, JANUARY 15, 2018 BY 12:00 P.M. (NOON) TO: SMI RESOURCE CENTER (1315 PIERCE HALL)
PLEASE PRINT LEGIBLY Full Name _____________________________________ UCR Student ID #______________
Current Grade Level (select one): __ Freshman __ Sophomore __ Junior __ Senior
1. What is your primary reason for enrolling in EDUC 3 (select one)? a. Required by my major b. Required by my minor c. Elective to explore STEM teaching
2. From what type of settings did you learn about EDUC 3 (select all that apply)? a. Freshman Advising Seminar – NASC 93 b. SMI Information Advising Workshop c. Major advisor d. A friend e. SMI website or personnel f. Other (please list your source)
3. Each EDUC 3/EDUC 4 student will be responsible for his/her transportation to-and-from the assigned placement site. Do you have transportation? Yes____ No____
4. Do you need financial assistance to cover TB testing cost that was completed at the UCR Campus Health Center? Yes____ No____ What method of transportation are you seeking for financial support (select one)? ___ Car – either my car or borrow a friend/family member’s car ___ Zip car through UCR
__ Rideshare transportation systems (Uber,Lyft)
5. What type of financial support are you currently receiving? a. Financial Aid loan(s)
b. Scholarship(s), specify _________________________________________________________
c. Grant(s)/Fellowship(s), specify ___________________________________________________
d. Part-time on-campus job, where __________________________________________________
e. Part-time off-campus job, where __________________________________________________
6. Any additional information you’d like the Review Committee to consider as part of your application for need based travel support? _______________________________________________________________________________________________________________________________________________
Rev. 12/14/18
Office use only Date received Personnel who accepted the application Application reviewed by Review result
UNIVERSITY OF CALIFORNIA, RIVERSIDE
CaTEACH Science/Mathematics Initiative (SMI)
Mileage Report Log
________________________ _______________________ ________________________
Student Name Car License Plate ID Driver’s License #
Trip Purpose: __________________________________________________________
Date Origination
Location
Destination
Address (street
name & City)
Beginning Ending Total Mileage
UCR
Total Miles _________
_______________________________________________
Student’s Signature Date
Odometer Reading
Mileage Limits of Assigned Schools Travel reimbursement at UC Riverside is reported based on travel to and from UCR and the assigned school site, unless otherwise stated in the email sent to you with your field (classroom) placement assignment. The reimbursement rate is assessed at 53.5 cents per mile (subject to change without notice). Due to excessive variation in the submission of mileage requests, we use standard roundtrip mileage allowances for your reimbursements. We understand that you do not always leave from the university to travel to the school location but your mileage request cannot be more than what is listed below or the special travel agreement sent to you with your placement assignment. If your assigned school site is not listed below, please check on SMI’s website (http://smi.ucr.edu) for the most current list. Arizona Middle School 11045 Arizona Ave. Riverside, CA 92503 Roundtrip: 28 miles
Arlington High School 2951 Jackson St. Riverside, CA 92503 Roundtrip: 23 miles
Badger Springs Middle School 24750 Delphinium Av. Moreno Valley, CA 92553 Roundtrip: 19 miles Canyon Springs High School 23100 Cougar Canyon Dr. Moreno Valley, CA 92557 Roundtrip: 15 miles Central Middle School 4795 Magnolia Ave. Riverside, CA 92506 Roundtrip: 12 miles Chemawa Middle School 8830 Magnolia Ave. Riverside, CA 92503 Roundtrip: 22 miles Citrus Hill High School 18150 Wood Rd. Perris, CA 92570 Roundtrip: 18 miles Educational Options Center 6401 Lincoln Ave. Riverside, CA 92506 Roundtrip: 12 miles
John North High School 1500 3rd St. Riverside, CA 92507 Roundtrip: 5 miles
Jurupa Middle School 8700 Galena St. Riverside, CA 92509 Roundtrip: 22 miles
Landmark Middle School 15261 Legendary Dr. Moreno Valley, CA 92555 Roundtrip: 26 miles Martin Luther King High School 9301 Wood Rd. Riverside, CA 92508 Roundtrip: 17 miles
Matthew Gage Middle School 6400 Lincoln Ave. Riverside, CA 92506 Roundtrip: 12 miles
Moreno Valley High School 23300 Cottonwood Ave. Moreno Valley, CA 92553 Roundtrip: 16 miles
Mountain View Middle School 13130 Morrison St. Moreno Valley, CA 92553 Roundtrip: 22 miles Patriot High School 4355 Camino Real Riverside, CA 92509 Roundtrip: 18 miles Palm Middle School 11900 Slawson Ave. Moreno Valley, CA 92557 Roundtrip: 18 miles Perris High School 175 East Nuevo Rd. Perris, CA 92570 Roundtrip: 30 Miles
Poly High School 5450 Victoria Ave. Riverside, CA 92506 Roundtrip: 11 miles
Ramona High School 7675 Magnolia Ave. Riverside, CA 92504 Roundtrip: 18 miles
Riverside STEM Academy 4466 Mount Vernon Ave. Riverside, CA 92507 Roundtrip: 3 miles Rubidoux High School 4250 Opal St. Jurupa, CA 92509 Round trip: 18 miles University Heights Middle School 1155 Massachusetts Ave. Riverside, CA 92507 Roundtrip: 5 miles
Valley View High School 13135 Nason St. Moreno Valley, CA 92555 Roundtrip: 24 miles
Villegas Middle School 3754 Harvil Ln. Riverside, CA 92503 Roundtrip: 30 miles
Vista Del Lago High School 15150 Lasselle St. Moreno Valley, CA 92551 Roundtrip: 24 miles
Vista Heights Middle School 23049 Old Lake Dr Moreno Valley, CA 92557 Roundtrip: 15 miles
SMI Tiered Scholarship Program
Multiple Scholarship Awards each year
TIER I
Who should apply? SMI Seniors applying to UCR Teaching Credential Program
Scholarship Amount: Multiple SMI Scholarships will be awarded for 2017-18 AY in the amount
of up to $8,000 each. Award amounts will be based on applicant's merit and involvement in the SMI
Program.
Requirements: Minimum
o Current SMI Students(received SMI advising)
o Admission to UCR Teaching Credential Program
o Passed CBEST
o Passed CSET Subtests I & II in subject area (Mathematics or Sciences)
o In pursuit of STEM Bachelor’s degree from UCR
o Completed EDUC 3 or equivalence
o Completed one upper-division course from: EDUC 109, 110, 116, 174, 175
Preferred
o Passed CSET Subtests I, II, III in subject area (Mathematics or Sciences)
o Completed EDUC 4 or equivalence
o Completed two or more upper-division courses from: EDUC 109, 110, 116, 174, 175
o Completed NASC 192
o Participated in SMI Peer Mentor Program
o Participated in CMST Apprentice Program or SMI sponsored academies
Deadlines: TBA
Application: UCR Teaching Credential application, including external materials (e.g. transcripts,
letters of recommendation, etc.) must be submitted directly to UCR-GSOE by the deadline. No SMI
Scholarship Application Needed. SMI Scholarship Committee will coordinate with UCR-GSOE to
review your teaching credential application.
Contact: Leslie Bushong
SMI-P20 Director
1315 Pierce Hall
leslie.bushong@ucr.edu
SMI Tiered Scholarship Program
Multiple Scholarship Awards each year
TIER II
Who should apply: SMI Juniors advancing to Senior Year
Scholarship Amount: Multiple SMI Scholarships will be awarded for 2017-18 AY in the amount of
up to $5,000. Award amounts will be based on applicant's merit and involvement in the SMI
Program.
Requirements Minimum:
o Maintain updated SMI Program Plan
o Maintain good academic standing
o Minimum GPA (cumulative): 2.80
o Passed CBEST, official documentation needed
o Passed one CSET Subtest in subject area (Mathematics or Sciences), official
documentation needed
o Completed EDUC 3 or equivalence
o Completed one upper-division course from: EDUC 109, 110, 116, 174, 175
o Updated Resume
Preferred
o Passed two or more CSET Subtests in subject area (Mathematics or Sciences), official
documentation needed
o Completed EDUC 4 or equivalence
o Completed two or more upper-division courses from: EDUC 109, 110, 116, 174, 175
o Completed NASC 192
o Participated in SMI Peer Mentor Program
o Participated in CMST Apprentice Program or SMI sponsored academies
o Attended one or more SMI approved professional development during this academic year
Deadline: TBA
Application:
Contact: Leslie Bushong
SMI-P20 Director
1315 Pierce Hall
leslie.bushong@ucr.edu
SMI Tiered Scholarship Program
Multiple Scholarship Awards each year
TIER III
Who should apply: SMI Sophomores advancing to Junior Year
Scholarship Amount: Multiple SMI Scholarships will be awarded for 2017-18 AY in the amount of
up to $3,000 each. Award amounts will be based on applicant's merit and involvement in the SMI
Program.
Requirements Minimum
o Maintain updated SMI Program Plan
o Maintain good academic standing
o Minimum GPA (cumulative): 2.75
o Passed CBEST, official documentation needed
o EDUC 3 or equivalence
Preferred
o Passed one CSET Subtest in subject area (Mathematics or Sciences), official
documentation needed
o Completed EDUC 4 or equivalence
o Completed one upper-division course from: EDUC 109, 110, 116, 174, 175
Participated in SMI Peer Mentor Program
o Attended one or more SMI approved professional development events during this
academic year
Deadline: TBA
Application:
Contact: Leslie Bushong
SMI-P20 Director
1315 Pierce Hall
leslie.bushong@ucr.edu
34
SECTION VI
Academic References
MaTHink 2018 Mini ConferenceStandards for Mathematical Practice
Deepen your knowledge of California Standards, and learn how they will affect learning and teaching in the next few years. We will provide active sessions that will help make this information personal and applicable to your classroom. Topics include:
• Content Support• Strategies for All Learners• Assessment• Discourse in the Mathematics Classroom• Science, Technology, Engineering, and Mathematics (STEM)• Parent Education• Math Coaching• Equity & Social Justice• Tools for Administrators
Tentative Schedule:
• 8:30 – 9:00 a.m. Registration• 9:00 – 10:30 a.m. Workshop Session 1• 10:30 – 10:45 a.m. Break• 10:45 a.m. – 12:15 p.m. Workshop Session 2• 12:15 – 12:45 p.m. Lunch• 12:45 – 2:15 p.m. Workshop Session 3• 2:15 – 3:00 p.m. College Credit Session
Who Should Attend: TK-12 mathematics teachers, TK-12 content coaches and mathematics leaders, district/ site administrators, university mathematics educators, and pre-service teachers.
DATE: Saturday, February 24, 2018 LOCATION: Riverside County Offi ce of Education Conference CenterTIME: 9:00 a.m. – 3:00 p.m. 3958 Twelfth Street Riverside, CA 92501 (Map on reverse.)
ATTENDEE LIMIT: 200 DEADLINE: Friday, February 9, 2018
REGISTRATION FEE: $45 (Includes materials and box lunch.)
Note: No refunds after deadline date. No refunds for no-show participants. All cancellations must be made in writing before the deadline date.
Online registration is available at http://rcoe.k12oms.org/.
For additional information, please contact: Vicky Kukuruda, Administrator, (951) 600-5658......................................................................................................................................
MaTHink 2018 Mini ConferenceSaturday, February 24, 2018
Name: _______________________________________________ Phone: _______________________________________________
District: _____________________________________________ School: ______________________________________________
Address: _____________________________________________ E-mail: ______________________________________________
Registration fee: $45 Limit: 200 Deadline: Friday, February 9, 2018 Make payment payable to: Riverside County Offi ce of Education
Mail or fax to: Riverside County Offi ce of Education - Murrieta Attn: Vicky Kukuruda, Administrator 24980 Las Brisas Road Murrieta, CA 92562 Fax: [951] 600-5639
Printed by the Riverside County Offi ce of Education
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ool d
istr
icts
of
YO
UR
cho
ice
Neg
otia
te a
sta
rtin
g sa
lary
(ty
pica
lly
unav
aila
ble
for
NO
N-S
TE
M te
ache
rs)
Bec
ome
an e
mer
ging
lead
er in
you
r sc
hool
di
stri
ct, s
choo
l sit
e, a
nd c
omm
unit
y
Dev
elop
you
r pr
ofes
sion
al p
rofi
le w
ithou
t de
layi
ng g
radu
atio
n
Incr
ease
mar
keta
bili
ty o
f yo
ur U
nive
rsit
y of
Cal
ifor
nia
degr
ee
Acc
ess
fina
ncia
l sup
port
opp
ortu
niti
es (
e.g.
re
imbu
rsem
ent,
stip
ends
, sch
olar
ship
s) in
pu
rsui
t of
teac
hing
Acc
ess
teac
hing
rel
ated
mat
eria
ls a
nd
reso
urce
s
Get
ting
invo
lved
wit
h pr
e-te
achi
ng
prof
essi
onal
dev
elop
men
t sem
inar
s an
d ev
ents
IN
TR
OD
UC
TIO
N
Mat
hem
atic
s fo
r S
econ
dary
Sch
ool
Tea
cher
s*
1.L
ower
-Div
isio
n M
athe
mat
ics
Req
uire
men
ts (
24 u
nits
):M
AT
H 0
09A
, MA
TH
009
B, M
AT
H 0
09C
, M
AT
H 0
10A
, MA
TH
010
B, M
AT
H 0
46
2.U
pper
-Div
isio
n M
athe
mat
ics
Req
uire
men
ts (
36 u
nits
):a.
MA
TH
131
, MA
TH
133
, MA
TH
140
, MA
TH
144
,M
AT
H 1
53b.
Fou
r co
urse
s fr
om:
MA
TH
132
, MA
TH
136
, MA
TH
137
, MA
TH
138A
, MA
TH
145
A, M
AT
H 1
45B
, MA
TH
149
A,
MA
TH
149
B, M
AT
H 1
49C
, MA
TH
151
A, M
AT
H15
1B, M
AT
H 1
51C
, MA
TH
171
, MA
TH
172
3.A
dditi
onal
Mat
hem
atic
s &
Rel
ated
Dis
cipl
ine
Req
uire
men
ts (
12 u
nits
):a.
CS
010
b.C
S 0
11/M
AT
H 0
11c.
ST
AT
155
4.N
atur
al S
cie n
ces
(16-
20 u
nits
):a.
BIO
L 0
02 o
r B
IOL
003
or
BIO
L 0
05A
and
BIO
L 0
05L
Ab.
CH
EM
001
A a
nd C
HE
M 0
01L
A o
rC
HE
M 0
1HA
and
CH
EM
1H
LA
,C
HE
M 0
01C
and
CH
EM
001
LC
c.P
HY
S 0
02A
or
PH
YS
040A
d.C
HE
M 0
01B
and
CH
EM
01L
B o
rC
HE
M 0
1HB
and
CH
EM
1H
LB
or
PH
YS
002
B o
r P
HY
S 4
0B o
r an
add
ition
alla
bora
tory
Bio
logi
cal s
cien
ce c
ours
e
5.S
ocia
l Sci
ence
s (1
6 un
its)
:a.
One
cou
rse
in E
CO
N o
r P
OS
Cb.
One
cou
rse
in A
NT
Hc.
One
cou
rse
in P
SY
Cd.
One
cou
rse
in S
OC
6.M
athe
mat
ics
Edu
catio
n an
d E
duca
tion
Req
uire
men
ts(1
8 or
19
units
):
E
DU
C 1
04/M
AT
H 1
04, E
DU
C 0
03 o
r E
DU
C 0
04 o
r E
DU
C 1
00B
or
equi
vale
nt, E
DU
C 1
09, E
DU
C 1
10,
ED
UC
139
7.R
ecom
men
ded
Cou
rses
:
LIN
G 0
20 o
r L
ING
021
, ED
UC
116
, ED
UC
174
,
E
DU
C 1
7A
Wit
h th
e ec
onom
y in
crea
sing
ly r
elia
nt o
n sc
ienc
e, te
chno
logy
, eng
inee
ring
, and
m
athe
mat
ics
(ST
EM
) an
d th
e an
tici
pate
d la
rge
scal
e re
tire
men
t of
qual
ifie
d te
ache
rs,
pre-
teac
hing
pre
para
tion
is e
ssen
tial
to
prom
ote
teac
her-
stud
ent s
ucce
ss in
and
ou
tsid
e th
e cl
assr
oom
s.
In c
olla
bora
tion
wit
h S
TE
M f
acul
ty m
embe
rs,
seve
ral d
egre
e op
tion
s w
ith
emph
asis
in
scie
nce/
mat
hem
atic
s ed
ucat
ion
wer
e de
velo
ped.
The
se f
eatu
red
degr
ee o
ptio
ns
incl
ude:
geo
scie
nce
educ
atio
n (B
A),
m
ath
emat
ics
for
seco
nda
ry s
choo
l tea
cher
s (B
.S.)
, an
d p
hys
ics
edu
cati
on (
B.S
.).
Eac
h
of th
ese
degr
ee o
ptio
ns p
rovi
de a
fra
mew
ork
for
guid
ing
stud
ents
inte
rest
ed in
pur
suin
g a
care
er in
sec
onda
ry e
duca
tion
. T
he d
egre
e op
tion
s en
able
stu
dent
s to
pre
pare
for
en
tran
ce in
to a
teac
hing
cre
dent
ial p
rogr
am,
wit
h a
poss
ibil
ity
of in
tern
teac
hing
. B
ecau
se
thes
e de
gree
opt
ions
incl
ude
core
upp
er-
and
low
er-d
ivis
ion
maj
or c
ours
es, p
arti
cipa
ting
st
uden
ts g
ain
com
preh
ensi
ve s
ubje
ct c
onte
nt
know
ledg
e, w
hich
fac
ilit
ates
eff
ecti
ve le
sson
de
velo
pmen
t for
the
clas
sroo
m.
In a
ddit
ion,
par
tici
pati
ng s
tude
nts
are
able
to
deve
lop
earl
y te
achi
ng f
ound
atio
n, w
hich
in
clud
es e
arly
ped
agog
ical
trai
ning
thro
ugh
fiel
d w
ork
and
foun
dati
on e
duca
tion
cou
rses
.
*Ba
sed
on p
relim
inar
y de
gree
opt
ion
prop
osal
s. P
leas
ere
fer
to t
he U
CR G
ener
al C
atal
og f
or s
peci
fic
requ
irem
ents
for
eac
h de
gree
opt
ion.
For
mor
e sp
ecif
ic
and
up-t
o-da
te m
ajor
rel
ated
adv
isin
g, p
leas
e co
nsul
t wi
th a
cade
mic
/fac
ulty
adv
isor
s of
feri
ng t
he d
egre
e. S
ee
an S
MI
advi
sor
abou
t ED
UC-
rela
ted
cour
ses.
Phy
sics
Edu
cati
on*
1.L
ower
-Div
isio
n R
equi
rem
ents
(73
-74
units
):a.
PH
YS
040
A, P
HY
S 0
40B
, PH
YS
040
C,
PH
YS
040
D, P
HY
S 0
40E
b.M
AT
H 0
08B
or
MA
TH
009
A,
MA
TH
009
B, M
AT
H 0
09C
, MA
TH
010
A,
MA
TH
010
B, M
AT
H 0
46
c.C
HE
M 0
01A
, CH
EM
001
B, C
HE
M 0
01C
,C
HE
M 0
1LA
, CH
EM
01L
B, C
HE
M 0
1LC
d.E
DU
C 0
03, E
DU
C 0
04
e.L
ING
020
or
LIN
G 0
21
2.U
pper
-Div
isio
n R
equi
rem
ents
(75
uni
ts):
a.P
HY
S 1
30A
, PH
YS
130
B, P
HY
S 1
34, P
HY
S13
5A, P
HY
S 13
5B, P
HY
S 1
36, P
HY
S 15
6A,
PH
YS
156
Bb.
PH
YS
139
L, P
HY
S 1
42L
(3
units
)
c.T
wo
elec
tive
s fr
om th
e fo
llow
ing
list
(8
uni ts
):
PH
YS
111,
PH
YS
145A
, PH
YS
145
B, P
HY
S14
5C, P
HY
S 15
0A, P
HY
S 1
50B
, PH
YS
151
,P
HY
S 1
63, P
HY
S 1
64, P
HY
S 16
5, P
HY
S 1
66,
PH
YS
168
, PH
YS
177
d.E
DU
C 1
00B
, ED
UC
109
, ED
UC
110
, ED
UC
116,
ED
UC
139
, ED
UC
174
, ED
UC
177
A
3.U
pper
-Div
isio
n R
ecom
men
datio
ns (
4 un
its):
ED
UC
104
/MA
TH
104
33
Riverside County Offi ce of EducationP.O. Box 868Riverside, CA 92502-0868
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