1. Food Provided? NO


        CHIP FORM

        (Class, Hour, Instructor Planning and approval)

         
         


        Instructor(s) Name
        		Jeanne Willard, JoAnne Buiteweg, Patricia Burke, Eric Bush, Pat Collins, Loretta Comfort, Cindy Foster, Tasha Lewis, Tessa O’Connor, Debra Ritchhart, Monte Scholz, Barbara Tibbits  


        Work Location
        		Center

        (Curriculum & Assessment)
         

        Home Address
                 		 
         

        City
        		  


        State
        		  


        Zip
                 		 
         

        Home Phone
        		 
         

        Work Phone
        		425-385-4053
            
         
        Course Name Integrating Literacy Instruction in the Content Areas, Grades 6-12
        Administrator Approving this Course_Ric Williams________________________________________________
        Budget Authority  
        Budget #
                 		 
        * Authorizes all costs related to this class (e.g., instructors, meals, subs, materials)
         
        Class Size: Min NA Max 30
        Total Hours of Instruction (not including lunch)
        Up to 21
        Class Date
        		October 7th, 2008
        Times
        		3 pm – 6 pm
        Class Date
        		November 4th, 2008
        Times
        		3 pm – 6 pm
        Class Date
        		December 2nd, 2008
        Times
        		3 pm – 6 pm
        Class Date
        		January 13th, 2009
        Times
        		3 pm – 6 pm
        Class Date
        		February 3rd, 2009
        Times
        		3 pm – 6 pm
        Class Date
        		March 3rd, 2009
        Times
        		3 pm – 6 pm
        Class Date
        		March 31st, 2009
        Times
        		3 pm – 6 pm
        We will cancel class automatically if minimum is not met by one week prior to the class. If you want to hold class regardless, put “0” as the minimum. We will not exceed maximum, and will automatically begin a waiting list.
         
        Location:
        		Varying
        Room:
        		Varying
        You need to reserve room, plan for your equipment needs, set up and clean up.
         
        Who will provide security if needed?
                 		 
        They must have a key and know security procedures for building.
         



        Food Provided? NO
        Attached Food Request Approval required for snacks, meals, and drinks using district funds.
        (Cost for food and beverage should not exceed $1.50 per individual.)
         
        Credit Planned
        Please underline if you would like to offer Clock hours
         
        Clock hours
        		  
         
        ²   In District Clock Hours – Application process for instructor approval on other side – class must be 3 hours minimum, 6.5 hours maximum per day. (3 one-hour meeting times may equal one 3-hour class.)




         
        STRAND: Insert “X” beside only ONE of the course description headings for set-up on the Course Registration System.
         All X Foreign Language  On-Line
              
         Administration  General  Paraeducator
              
        X Curriculum  Guidance & Counseling X Science
              
         Early Childhood X Health & Fitness X Social Studies
              
        X English Language Learner X Language Arts X Special Education
              
         Equity & Diversity  Learning Environment  Support Staff
              
        X Fine & Performing Arts X Math  Technology
        Audience: Invitation Only – Grades 6-12, Content Area Teachers

        (e.g., All Staff, Teachers, Administrators, Invitation Only)
        Course Description: (will appear in Electronic Registrar):

        Instruction will include learning how to integrate literacy instruction and strategies into content areas in order for students to better access text and communicate understanding.

         
        Inservice Objective/Intended Outcomes: Upon successful completion of this course, the participant will:  

        ·   Improve reading and writing instruction within the content area

        ·   Provide tools for students to help them better access content area text

        ·   Provide tools to be consistent in developing writing related to specific content area  
        Prerequisites: Teaching Assignment for 05-06 includes literacy instruction in Grades 6-12 Is the class “By Invitation Only”?
         
        X
        		Yes   Ã No  No
        Restrictions:      
        Registrant Type:
        		Certificated
        Classification:
        		Teacher
        Location:
        		Variable
        (E.g., Certificated, Classified)
        (E.g., Teachers-ES, Librarian, Administration, etc.)
        (E.g., North, Cascade, Whittier, etc.)
        Which state defined criteria does this class address? Check the box(es) that apply.
        X
        1.
        		It is consistent with the school district’s strategic plan for improving student learning.
           
         
        2.
        		It is consistent with a school-based plan for improving student learning developed under student
          learning improvement block grants for the school in which the individual is assigned.
           
        X
        3.
        		It pertains to the individual’s current assignment or expected assignment for the following school year.
           
         
        4.
        		It is necessary for obtaining an endorsement as prescribed by the State Board of Education.
           
         
        5.
        		It is specifically required for obtaining advance levels of certification.
           
         
        6.
        		It is included in a college or university degree program that pertains to the individual’s current
          assignment or potential future assignment as a Certificated instructional staff of the school district,
          where the potential of the future assignment is agreed upon by the school district and the individual.
        Instructor Qualifications
        State law requires that for each Clock Hour instructor and each class, we provide the following information:

        Academic and/or professional experience that qualifies you to teach this class, e.g., degrees and current professional position (can attach resumé, in lieu). Previous presenters enter ON FILE in this box.   

         

        ON FILE

           
         

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