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2015 Waksman Student Scholars Program (WSSP)
High School Endorsement of the Academic Year Participation in the WSSP by Master Teachers
who have participated in the WSSP Research Project for Three or More Years
NAME ____________________________________________________DATE __________________________
SCHOOL NAME___________________________________________________________________________
SCHOOL ADDRESS________________________________________________________________________
CITY, STATE_____________________________________________________ZIP______________________
SCHOOL PHONE_________________________________E-MAIL (school)__________________________
PRINCIPAL’S NAME_______________________________________________________________________
SCIENCE SUPERVISOR’S NAME ___________________________________________________________
REQUIREMENTS:
•
schools agree to provide teachers with facilities and a secure work area so that your students can conduct the
research during the academic year.
•
schools agree to support the research by providing direct, ready access to computers and communications
technology, including communications software and Internet access.
•
schools agree to support your work and that of your students by offering a research course or an official club
in conjunction with the project during the 2015 – 2016 academic year. Preference for involvement in
academic year laboratory activities will be given to those schools that provide this support.
•
your participation with your students in after school, academic year follow up meetings (a minimum of six
meetings, which are scheduled in advance) at the Waksman Institute.
ENDORSEMENT OF YOUR SCHOOL’S CONTINUED PARTICIPATION IN THE 2015 WSSP DURING
THE 2015-2016 ACADEMIC YEAR:
Please have your school principal and/or science supervisor support your school's continued participation in the 20152016 WSSP during the academic year by signing below:
I acknowledge and support our school ___________________________________________________________
High School Name (please print)
continued participation in the Waksman Student Scholars Program (WSSP) during the 2015-2016 academic year. I
understand that if selected our school will participate in all academic year activities.
_____________________________________________________________
TEACHER SIGNATURE
____________________________
DATE
_____________________________________________________________
SCIENCE SUPERVISOR/PRINCIPAL SIGNATURE
____________________________
DATE
Page 2
TEACHER NAME _________________________________________________________________________
HOME ADDRESS__________________________________________________________________________
CITY, STATE_____________________________________________________ZIP______________________
HOME PHONE___________________________________E-MAIL (personal) ________________________
To help us prepare for the 2015-2016 academic year project, we are asking each Master Teacher to provide us with
some information about how they plan to conduct the research back at their high school beginning in September, 2015.
This will help us when ordering materials and supplies, and to accommodate, as best we can, your requests to borrow
equipment from the Biology Equipment Lending Library (BELL).
Please approximate at this time and provide the following information:
1. (circle) Format of the 2015 WSSP academic year program:
Class
Club
Other_______________
2. Approximate number of students:_______________________
3. (circle) When will you be conducting the wet laboratory experiments that are part of the 2015 WSSP academic year
program?
Fall, 2015
Spring, 2016
4. (circle) If needed, when will you need to borrow equipment from the BELL during the 2015 WSSP academic year
program?
Fall, 2015
Spring, 2016
5. Do you anticipate any changes in your request to borrow equipment from previous years (i.e., your school has
purchased equipment for you to use with the project or you have acquired donated equipment that you will use, so you
will not need to borrow this/these items)?
_____________________________________________________________________________________________
6. (circle) When will your students be conducting the bioinformatic analyses on DSAP that is part of the 2015 WSSP
academic year program?
Fall, 2015
Spring, 2016
7. Other comments, questions or concerns?
Please return this to Sue Coletta by Friday, March 13, 2015 (electronically, fax, or USPS). Your students will be
notified of their selection in the 2015 summer Institute and/or you will be notified of our intention to work with you
and your school during the 2015-2016 WSSP academic year after we receive this completed, signed form.
Sue Coletta
Rutgers Waksman Institute
190 Frelinghuysen Road
Piscataway, NJ 08854
coletta@waksman.rutgers.edu
FAX: (732) 445 - 5735