Applications must be received by
3 PM PST Wednesday, April 16, 2014.
Experience Teaching English Learners:
Experience Teaching Students with Disabilities:
List your four highest academic degrees and/or certifications earned and the awarding institution. List your highest achievement first.
Describe how the CA NGSS, adopted in September 2013, will impact instruction and student learning. Use 2,000 characters or less.
Describe how your education and experience prepare you to participate in the CFCC to revise the Science Framework
. As part of your response, please describe your knowledge and use of the NGSS
and your experience providing effective instruction to a diverse student population, which helps them explore and understand the scientific practices included in the NGSS
, developing curriculum or assessments, and serving as an instructional leader. Use 2,000 characters or less.
Conflict of Interest Disclosure Statement
Your answers below will serve as the disclosure of certain information as required by the “Statement of Activities that are Inconsistent, Incompatible, or in Conflict with Duties of a Member of an Educational Policy Advisory Commission or a Committee or Panel Thereof,” as amended January 1978, and California Code of Regulations, Title 5, Education, Section 18600. Your answers will be the basis for an eligibility ruling in the event some activity appears to be inconsistent, incompatible, or in conflict with the duties assigned to the advisory framework committee.
For the questions below, “immediate family” is defined as your spouse and dependent children (California Government Code Section 82029).
Do you or a member of your immediate family have, or have you had, a business relationship at any time over the last twelve months with a publisher that produces instructional materials for California?
Are you currently employed by or under contract to any person, firm, or organization which will do business with or submit instructional material to the California Department of Education (CDE)?
Have you ever been employed by or had any other kind of contractual relationship with any person, firm, or organization doing business with, or submitting instructional materials to, the CDE?
Do you expect to receive any royalty payments during your period of service on the Science CFCC?
Were you or any member of your immediate family an author, contributor, or editor of (or consultant on) any textbook, other curriculum material, or project proposal that is likely to be submitted to the CDE?
Have you received compensation, do you expect to receive compensation, or do you have any other kind of contractual relationship with any organization that is either a subsidiary, parent organization, or “sister organization” of any entity which will do business with your advisory body or will submit materials to your advisory body?
Languages in which you are fluent (other than English)
Select all that apply from below: