GEMS Professional Development Application

Print this form to mail or fax us your application and payment. You may also register online using our secure form.

University of California, Berkeley
GEMS
Professional Development
Lawrence Hall of Science # 5200
Berkeley, CA 94720-5200

Fax (510) 643-0309

Name ____________________________________________________________
(as you would like it to appear on your name tag)

Colleague's Name (if applicable)____________________________________________

Institution/Work Address________________________________________________

City _______________ State ____ Zip ________ Work Phone (____) __________

e-mail ______________________________

Position ______________________________ Grade Level Involvement _________

Home address____________________________________________________

City _______________ State ____ Zip _________

Home Phone (____) ____________


We encourage teams of people from the same community to take advantage of the discounted team rates. Team members must each fill out an application and return them together in the same envelope. Visa or MasterCard accepted (please include: Cardholder's Name, Card Number, Expiration Date).
Make check/purchase order to: Regents of the University of California

GEMS Professional Development Application   

Indicate the Session you plan to attend:

Ocean Sciences Sequence, July 23 and July 24, 2012, at Lawrence Hall of Science, $320 (including lunch and parking at LHS), $280 per person for groups of 2 or more.

GEMS Associates Workshop, July 25 thru July 27, 2012, at Lawrence Hall of Science, $475 (including lunch and parking at LHS), $425 per person for groups of 2 or more.

Both the Ocean Sciences Sequence and the GEMS Associates Workshop: Combine the two and the price drops from $795 for the week to $635. No further discounts apply.

Seeds of Science/Roots of Reading, July 11 thru July 13, 2012, at Lawrence Hall of Science, $625, (including lunch and parking at LHS), $560 per person for groups of 2 or more.



(Additional discounts apply for those attending multiple workshops. Contact Karen Milligan as indicated below for specifics.)

Associate's Professional Development background information. (Attendees of other workshops DO NOT need to complete this section.)

Your application will be evaluated in part based on your responses to the questions below.
Please attach a separate sheet of paper with your responses.

  1. Have you used GEMS, GEMS Sequences, or Seeds of Science/Roots of Reading units with students? If so, which units?
  2. For Seeds of Science/Roots of Reading sessions only: Please tell us what science and reading curricula you currently use, how many hours weekly you use each, and where you heard about this program. Do you currently have any of the units in the Seeds of Science/Roots of Reading line?

Associate's workshop applicants only, please also address these questions:

  1. Have you used GEMS units with students? If so, which units?
  2. Have you presented a GEMS workshop for teachers? Describe region served, length of workshop, how many participants, grade levels, and guides presented.
  3. Have you presented other science and/or math workshop for teachers? If so, please describe.
  4. How does/will your district or institution support you in providing future GEMS workshops for teachers? (funds, materials, inservice time?)
  5. What are your plans/opportunities for GEMS leadership in the coming years? Please include: Approximately how many workshops do you plan to present per year? Whom will your workshops serve? (If teachers, what grade levels? From your district? County? State?)
  6. Team applicants: How do you and your team members plan to work together to provide GEMS leadership in the future?
Mail completed application and payment to:

University of California, Berkeley
GEMS Professional Development
Lawrence Hall of Science # 5200
Berkeley, CA 94720-5200


Make checks payable to "Regents of the University of California." For more information, contact GEMS Workshop Administrator Karen Milligan at (510) 642-1981 or reach her by e-mail: tcort@berkeley.edu

Accommodations and Transportation Information

For credit card payments



Cardholder Name:_____________________________________


Card Number:_____________________________________

Expiration Date:________________________________


Card Type (Visa or MasterCard):_____________________________________

Lawrence Hall of Science    © 2012 UC Regents. All rights reserved.    Contact GEMS    Updated February 27, 2012