

Imagine the
Possibilities—Be a GK-12 Fellow!
GK-12 2008-2009 Application
Deadline: Priority will be given
to applications received by January 15, 2008.
We will be interviewing selected candidates in late January through
February.
Please send this three-page application and personal essay to
Dr. Mary Lou West
Department of Mathematical
Sciences
Montclair State
University, Montclair, NJ 07043
The three letters of recommendation should be sent to the same address.
1. Personal Information:
Name:__________________________________________________
Address:______________________________________
Email
address:__________________________ Telephone:______________________
Citizenship status:
U. S. Citizenship ____, U.S.
National ____, or Permanent Resident _______
Optional: Please list languages
spoken other than English ___________________________
gender _________, ethnicity _____________________, disability status ____________
2. Undergraduate degree
Institution:____________________________ Degree:________________________
Major:_____________________________ Minor (if any):___________________
Overall GPA:_____________ GPA in major:____________
3.
Graduate status
Have you been officially admitted to a graduate program at MSU? _____
When did you (or do you plan to) apply?________
Program (include concentration if
there is one):____________________________
Anticipated graduation date: ___________
4. Research Interests:
Specific research interests:__________________________
Potential research advisor at MSU. (If you do not know, please look over the list of research advisors on the website (http://csam.montclair.edu/gk12/gk12people.html) and list those who are in your field):
____________________________
_____________________________
5. Personal Essay:
Please write a one page (250 words)
statement of purpose describing your
a) interest and
experience in working with K-12 community (volunteer, tutoring);
b) interest and
experience in working with diverse populations;
c) participation
in student organizations and/or teams;
d) leadership
experience and honors; and
e) expectations of
the benefits of this program to your career goals.
6. Three letters of recommendation:
Two of these letters can be the ones you sent in for
admission to the graduate school, but at least one must address your
capabilities as a researcher, and at least one must attest to your ability to
work with others and your professionalism.
7. How did you find out about this program?_________________________


The Fellows in the Middle program
offers tremendous research-related, educational, and financial benefits to
graduate-student participants. However,
you must commit to all required
aspects of the program for 2008-2009 by initialing the space next to each
program component listed below.
·
Be enrolled in
full-time graduate studies in a CSAM discipline. _______
·
Participate in the program’s
Summer Institute for one month from mid-May through mid-June, 2008. (Hands-on
activities, field experiences, science and mathematics standards for the
classroom, field trip training, manipulatives, school visits, educational
games, lesson preparation.) ________
·
In teams, present
lessons in late August. _______
·
Work with middle
grades students in their schools two-full days (approximately 10 hours per
week) between September, 2008 and June, 2009.
_______
·
Participate in all
aspects of the program during the school year, including but not limited to
professional development meetings (2 hours) at MSU once a month ________
·
Conduct research
related to graduate studies and meet regularly with your research advisor and
other project personnel to produce publishable articles. _______
·
Participate in all
assessment activities. ______
·
Participate in the
Summer Institute from June 1-July 31st, 2009 mentoring new Fellows
and revising lessons. _______
Additionally, the program has some
optional research and education
opportunities for Fellows. Please
indicate by initialing the space next to any of the optional opportunities in which you are interested.
·
Participate in an
international component, which includes working with and visiting researchers
in Beijing, China _______
·
Present your
experiences with this program at regional or national conferences. ________
·
If asked, attend an
annual NSF project meeting in Washington D.C. in the spring of 2009 with other
project participants. _________