1. education
2. adult education

The UNM STEAM-­‐H Career Exploration Extravaganza Weekend PROGRAM DATES: JUNE 12 – 14, 2015 APPLICATION DEADLINE: 5:00PM, FRIDAY, APRIL 17, 2015 YOUR STUDENTS CAN EXPLORE A FUTURE IN SCIENCE, TECHNOLOGY, ENGINEERING, ARTS, MATH AND HEALTH CAREERS. Join student groups (rising 5th grade – 1st year college) from across the state for the UNM Career Exploration Extravaganza Weekend featuring animated, hands-­‐on learning and mind grabbing workshops with health professionals, scientist, engineers and community partners. Educators will gain skills in developing and sustaining valuable relationships with statewide community partners that promote STEAM-­‐H careers. This program is FREE for all participants who are selected to attend. Lodging and food will be provided at no cost for all student and teacher/chaperone participants. Free transportation options will be available from select regional locations throughout the state. Who Can Apply: ü Teachers serving rising 5th – 12 grade students ü Community organizations serving 5th – 12th grade students ü Institutions serving 1st year college students *Individual student applicants will not be accepted. Applicants: Must show evidence of commitment to promote classroom and out-­‐of school STEAM-­‐H experience for their student group. Applications will be evaluated based on classroom/organizational feasibility and readiness. Feasibility and Readiness will be determined in the application responses where Teachers/ Sponsors can specify how they: ü Will engage students, school and local community in advance of and after the event; ü Promote classroom and out-­‐of-­‐school STEAM-­‐H experiences in advance of and after the event; ü Help students explore potential pathways for college education and professional careers; ü Help facilitate and promote sustainable connections between community representatives in STEAM-­‐H, UNM, HSC and their students, parents, and other organizational participants. Participant Guidelines: Student Participants: ü Must participate in the full weekend event, arriving Friday, June 12th and departing Sunday, June 14th. ü Must provide written parental consent prior to June 1, 2015 (See Student Application). ü Will be expected to review reading material provided by UNM Office for Diversity prior to the event. ü Will be expected to take part in a pre-­‐ and post-­‐event evaluation. 1
2015 STEAMH Application
Revised March 22, 2015
Parents, Teachers and Organization sponsors: ü Must participate in the full weekend event, arriving Friday, June 12th and departing Sunday, June 14th ü Commit to a multi-­‐year plan to create partnership/collaboration in their communities to sustain the efforts and momentum of this weekend event. ü Must have a minimum of 10 and a maximum of 30 student participants. ü Must provide a roster of student participants prior to May 15, 2015. ü Must include parent/ teacher chaperones who are committed participate in the full weekend event. Grade 5 & 6: 1 adult chaperone for every 8 students Grade 7 & 8: 1 adult chaperone for every 10 students Grade 9 – 13: 1 adult chaperone for every 15 students ü Will be expected to incorporate reading material on STEAM-­‐H career exploration into their classroom/group instruction prior to attending. ü Will be expected to take part in a pre-­‐ and post-­‐event evaluation. How to Apply: Classroom teachers or organization sponsor must submit an application by April 17, 2015: Online Application Option: https://www.surveymonkey.com/s/STEAMH Mail Application to (Postmarked by April 17, 2015): UNM School of Medicine Office for Diversity MSC08 4680 1 University of New Mexico Albuquerque, NM 87131-­‐0001 Please see ADDITIONAL INFORMATION document for further details.
For questions regarding application details please contact us at:
(505)- 272-2728 or 1 (866) 494- 0064
SUBMIT COMPLETE APPLICATION BY APRIL 17, 2015:
Apply Online:
https://www.surveymonkey.com/s/STEAMH
Mail to:
UNM HSC Office for Diversity
MSCO8 4680
1 University of New Mexico
Albuquerque, NM 87131-0001
Deliver in person to:
UNM Health Science Center, UNM North Campus
Office for Diversity
Health Sciences and Services Building, Suite 102
Building #266, Campus Map
2
2015 STEAM-H Application
Revised February 28, 2015
The UNM STEAM-H Career Exploration Extravaganza Weekend
SPONSOR APPLICATION
A.
SPONSOR PERSONAL INFORMATION
1.
Name:
2.
Address:
Last
First
Street Address or P.O. Box Number
City or Town
3.
Phone:
4.
Gender:
Middle
County
State
Zip Code
Email Address:
□ Female □ Male
Classroom/ Teacher go to SECTION B
Non-classroom program, affiliated with specific school site go to SECTION C
Community organization program, not affiliated with specific school site go to SECTION D
B.
CLASSROOM / TEACHER
Please fill in this section if you are a teacher who plans to bring a group of your classroom students to the event.
5.
School Name:
6.
Address:
Street Address or P.O. Box Number
City or Town
County
7.
Phone:
8.
Name of Head Administrator or Principal:
9.
Is this a Title I School?
10.
Grade Level that Participating Students will be in Fall 2015:
12.
Zip Code
Email Address:
□5
11.
State
□6
□ Yes
□7
□ No
□8
□9
□ 10
□ 11
□ 12
□ 1st year college
Number of Student Participants:
Number of Adult Participants: ___________
(Please provide contact information for each chaperone in Section F by May 15, 2015)
Grade 5 & 6: 1 adult chaperone for every 8 students Grade 7 & 8: 1 adult chaperone for every 10 students Grade 9 – 13: 1 adult chaperone for every 15 students 3
2015 STEAM-H Application
Revised MARCH 22, 2015
C.
NON-CLASSROOM PROGRAM, AFFILIATED WITH SPECIFIC SCHOOL SITE
Please fill in this section if you are a sponsor who plans to bring a group of students who are members of a school based
organization that may not be affiliated with a specific classroom. Provide information based on the group of students that you
intend to bring to the event. If your organization has multiple groups of students please have an adult leader submit an
application for each group.
12.
Organization Name:
12.
School Name:
13.
School Address:
Street Address or P.O. Box Number
City or Town
County
14.
Phone:
12.
Head Administrator or Principal of School:
15.
Name of local Program Director or Leader for this organization?
9.
Is this a Title I School?
17.
Grade Level that Participating Students will be in Fall 2015:
□5
State
Zip Code
Email Address:
□6
□7
□ Yes
□8
□ No
□9
□ 10
□ 11
□ 12
□ 1st year college
18.
Number of Student Participants:
19.
Number of Adult Participants: ___________
(Please provide contact information for each chaperone in Section F by May 15, 2015)
Grade 5 & 6: 1 adult chaperone for every 8 students Grade 7 & 8: 1 adult chaperone for every 10 students Grade 9 – 13: 1 adult chaperone for every 15 students 4
□ 2nd year college
2015 STEAM-H Application
Revised MARCH 22, 2015
D.
COMMUNITY ORGANIZATON PROGRAM, NOT AFFILIATED WITH SPECIFIC SCHOOL SITE
Please fill in this section if you are a sponsor who plans to bring a group of students who are members of a community or school
based organization that may not be affiliated with a specific school. Provide information based on the group of students that you
intend to bring to the event. If your organization has multiple groups of students please have an adult leader submit an
application for each group.
12.
Organization Name:
13.
Address:
Street Address or P.O. Box Number
City or Town
County
State
14.
Phone:
15.
Name of local Program Director or Leader for this organization?
15.
What city is this program hosted?
16.
Briefly describe the demographic of students this organization serves:
Zip Code
Email Address:
For example, students at risk, medically underserved community, racial/ ethnic minorities, students interested in
science careers, etc.
______________________________________________________________________________________________
______________________________________________________________________________________________
17.
Grade Level that Participating Students will be in Fall 2015:
□5
□6
□7
□8
□9
□ 10
□ 11
□ 12
□ 1st year college
18.
Number of Student Participants:
19.
Number of Adult Participants: ___________
(Please provide contact information for each chaperone in Section F by May 15, 2015)
Grade 5 & 6: 1 adult chaperone for every 8 students Grade 7 & 8: 1 adult chaperone for every 10 students Grade 9 – 13: 1 adult chaperone for every 15 students 5
□ 2nd year college
2015 STEAM-H Application
Revised MARCH 22, 2015
E.
ADDITIONAL REQUIRED QUESTIONS
We anticipate there will be a wide range of applicants, those who have established programming in STEAM-H and those who
are just starting to build their programs and connections. We encourage all teachers and organizations to apply, regardless of
current resources, partnerships, and funding.
20.
Describe how you currently promote STEAM-H learning in your classroom or organization:
21.
List and briefly describe community businesses, organizations, partnerships, curriculums or affiliations that your
classroom or organization already uses or has access to for the purpose of engaging in STEAM –H learning:
22.
List and briefly describe community businesses, organizations, partnerships or affiliations that you envision could
potentially support STEAM-H related activities for your classroom or organization (even if you have never pursued
such relationships in the past):
23.
Identify initiatives that you will implement and/or expand on in your programming to achieve STEAM-H
engagement in school, local community and/ or regional networks prior to and for one year after the UNM Health
Career Exploration Extravaganza Weekend event:
24.
Identify initiatives that you will implement and/or expand on over the next year to further student, parent, and
community awareness and exploration of STEAM-H related pathways for college education and professional careers:
6
2015 STEAM-H Application
Revised MARCH 22, 2015
25.
Please identify ways in which you plan to promote STEAM-H experiences in your classroom or organization over the
next year (e.g, science fairs, competitions, health career days, fund raising):
26.
Please identify strategies that you can execute in your school or organization to help facilitate and promote
sustainable connectivity between the University of New Mexico, the UNM Health Science Center and your students,
parents, and/or organizational participants:
STATEMENT OF CERTIFICATION
I certify that all information given is true to the best of my knowledge. I understand that failure to disclose accurate
information is grounds for dismissal from our selection into the program. If accepted into the UNM STEAM-H Career
Exploration Extravaganza Weekend, I understand that my participation is a major educational privilege that can impact my
student’s future, my community’s future, my future, and the future of the healthcare and science workforce in New Mexico.
I understand that I am assuring to the best of my knowledge and ability that this application is completed and submitted on
contingent that we will participate in a multi-year commitment and partnership. I agree to provide all necessary
documentation. I understand that my group will receive free participation and other resources that have been secured for this
event and cancelling our attendance without a 3-week notice could have financial impact on the success of this event.
Printed Name of Sponsor Applicant
Date
Signature of Sponsor Applicant
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2015 STEAM-H Application
Revised MARCH 22, 2015
The UNM STEAM-H Career Exploration Extravaganza Weekend
SPONSOR APPLICATION
F.
ADULT PARTICIPANT PERSONAL INFORMATION
Number of Adult Participants: __________________
Name:
Address:
Last
First
Street Address or P.O. Box Number
City or Town
Phone:
Address:
County
Last
First
County
Zip Code
T-Shirt Size: □ Small □ Medium □ Large □ X-Large
Last
First
Middle
Street Address or P.O. Box Number
City or Town
Phone:
County
State
Zip Code
Email Address:
Gender: □ Female □ Male
Address:
State
Email Address:
Gender: □ Female □ Male
Name:
Middle
Street Address or P.O. Box Number
Phone:
Address:
Zip Code
T-Shirt Size: □ Small □ Medium □ Large □ X-Large
City or Town
Name:
State
Email Address:
Gender: □ Female □ Male
Name:
Middle
T-Shirt Size: □ Small □ Medium □ Large □ X-Large
Last
First
Middle
Street Address or P.O. Box Number
City or Town
Phone:
Gender: □ Female □ Male
County
State
Zip Code
Email Address:
T-Shirt Size: □ Small □ Medium □ Large □ X-Large
8
2015 STEAM-H Application
Revised MARCH 22, 2015
G.
PARTICIPANT LIST
The student participation list is due on or before May 15, 2015. It is important to determine all student participants in advance
for the assignment of rooms. However, if changes occur after submitting this document but before the event please contact the
UNM HSC Office for Diversity. All students must have a parent consent form complete and submitted by June 1, 2015.
School or Organization Name: _____________________________________________________________________
Student Name
Grade
Level
(Fall 2015)
Gender
T-shirt Size
Circle
Circle Youth or Adult
Circle Size
1.
2.
M
M
/
/
F
F
Youth or Adult
Youth or Adult
: S / M / L/ XL
: S / M / L/ XL
3.
M
/
F
Youth or Adult
: S / M / L/ XL
4.
M
/
F
Youth or Adult
: S / M / L/ XL
5.
M
/
F
Youth or Adult
: S / M / L/ XL
6.
M
/
F
Youth or Adult
: S / M / L/ XL
7.
M
/
F
Youth or Adult
: S / M / L/ XL
8.
M
/
F
Youth or Adult
: S / M / L/ XL
9.
M
/
F
Youth or Adult
: S / M / L/ XL
10.
M
/
F
Youth or Adult
: S / M / L/ XL
11.
M
/
F
Youth or Adult
: S / M / L/ XL
12.
M
/
F
Youth or Adult
: S / M / L/ XL
13.
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/
F
Youth or Adult
: S / M / L/ XL
14.
M
/
F
Youth or Adult
: S / M / L/ XL
15.
M
/
F
Youth or Adult
: S / M / L/ XL
16.
M
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F
Youth or Adult
: S / M / L/ XL
17.
M
/
F
Youth or Adult
: S / M / L/ XL
18.
M
/
F
Youth or Adult
: S / M / L/ XL
19.
M
/
F
Youth or Adult
: S / M / L/ XL
20.
M
/
F
Youth or Adult
: S / M / L/ XL
21.
M
/
F
Youth or Adult
: S / M / L/ XL
22.
M
/
F
Youth or Adult
: S / M / L/ XL
23.
M
/
F
Youth or Adult
: S / M / L/ XL
24.
M
/
F
Youth or Adult
: S / M / L/ XL
25.
M
/
F
Youth or Adult
: S / M / L/ XL
26.
M
/
F
Youth or Adult
: S / M / L/ XL
27.
M
/
F
Youth or Adult
: S / M / L/ XL
28.
M
/
F
Youth or Adult
: S / M / L/ XL
29.
M
/
F
Youth or Adult
: S / M / L/ XL
30.
M
/
F
Youth or Adult
: S / M / L/ XL
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2015 STEAM-H Application
Revised MARCH 22, 2015
The UNM STEAM-H Career Exploration Extravaganza Weekend
PROGRAM DATES: JUNE 12 – 14, 2015
ADDITIONAL INFORMATION
The UNM STEAM-H Career Exploration Extravaganza Weekend will provide New Mexico Students with
captivating hands-on learning experiences that deepens curiosity, enlivens innovative thinking and learning,
promotes high-beliefs, and strengthens the pursuit of and preparation for careers in health, science, engineering,
art, technology, and math.
Summary
On June 12 – 14, 2015, student groups from across New Mexico will have an opportunity to participate in a
technology-rich and fun Science, Technology, Engineering, Art, Math and Health (STEAM-H) Career Exploration
Extravaganza Weekend on the campuses of University of New Mexico and the University of New Mexico Health
Sciences Center.
Participants of the weekend-long program will learn approaches to preparing for college and pursuing professional
careers in fields such as health care, engineering, cyber-technology, bioengineering, computer programming and
coding, physics and biological sciences. Program highlights include: interactive hands-on simulation activities and
learning sessions, motivational speakers, college-readiness seminars, robotics, high-touch healthcare activities and
lab tours, creativity in science, computer technology, and engineering.
A Community Learning Academy will provide an opportunity for teachers, organization sponsors, and parents to
engage with professionals and community representatives from local businesses and corporations who hope to
inspire participants with straight talk, real-life strategies, and stepping stones towards helping students achieve
attainable futures. The Community Learning Academy will also help prepare participating adults to go back to
their home communities with the start of a plan in hand to develop and/or strengthen STEAM-H education focused
collaborations/partnerships that will sustain the momentum of this weekend event.
Eligible Participants
This year’s program is open to: 1) classroom groups of rising 5th through 12th grade students, 2) non-classroom
school based programs serving rising 5th through 12th grade students, 4) community based organizations that are
not affiliated with a specific school who serve rising 5th thru 12th grade students and 4) institutions supporting 1st
year college students in New Mexico. Up to 1,000 student participants will be selected to participate in this event.
Teachers, organizational representatives, and parent volunteers are expected to participate in a Community
Learning Academy that will feature innovative strategies and educational materials to: 1) introduce, promote
and/or enhance student learners’ exposure to and interest in STEAM-H professions, educational and training
programs; 2) help identify and foster community partnerships through local or regional collaborations that promote
student opportunities in STEAM-H; and 3) enhance sustainable connections between the University of New
Mexico and the Health Sciences Center and students, families, teachers, schools and organizations serving
underserved and underrepresented residents from across New Mexico by initiating a plan to foster/develop
collaborations/partnerships that will help sustain the momentum of this event upon returning to their respective
communities.
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2015 STEAM-H Application
Revised MARCH 22, 2015
Program Objectives
1) Empower New Mexico youth to envision themselves as STEAM-H professionals by providing age
appropriate, engaging, and high touch experiences that maximize their potential to succeed educationally
and professionally; and
2) Provide an opportunity for New Mexico youth to build sustainable relationships with UNM and other New
Mexico colleges and universities, local and state-based entities that will support their educational and
career goals; and
3) Empower New Mexico parents, teacher and organizational sponsors to utilize UNM, UNM HSC and
community knowledge, resources and skills for promoting STEAM-H learning in their community.
Program Goals
Student Participants
1) To provide student participants with step-by-step approaches to preparing for college and pursuing
professional careers in fields such as health care, engineering, science, art, math, and technology.
2) To increase student participants’ understanding about strategies for life success.
3) Students will improve their self-confidence and attitude about their future.
Parents, Teachers and Organization sponsors
4) Teachers/sponsors, organizational representatives, and parent volunteer participants will acquire
knowledge, skills, and strategies to promote STEAM-H professions in their local communities.
5) Teachers/sponsors, organizational representatives, and parent volunteer participants will acquire strategies
to create and sustain partnerships with entities in their community who are resources in the STEAM-H
professions.
6) To create sustainable connections between University of New Mexico, and UNM Health Sciences Center
and students, families, teachers, schools and organizations serving underserved and underrepresented
residents from across New Mexico.
11
2015 STEAM-H Application
Revised MARCH 22, 2015
Why STEAM-H?
Given the rich cultural history, racial, and linguistic diversity of our state, New Mexico is uniquely positioned to
contribute significantly to both immediate and future national and local demands for a technologically advanced
STEAM-H workforce. However, only 42 percent of the state’s seventh graders are proficient in science as
benchmarked in national assessments. Additionally, New Mexico has the challenge of preparing many students
who live in rural settings and may not have access to the engagement of STEAM-H communities that urban
centers and large institutions have to offer.
Why would UNM Health Science Center host a STEAM-H event?
As a leading employer and the only academic medical center in the state, the University of New Mexico and the
Health Sciences Center is advancing its commitment to help build the future workforce across the state. Research
suggests that developing a science identity requires performance (social performance of a scientist, e.g. ways of
talking and using tools), recognition (recognizing oneself and getting recognized by others as a scientist), and
competence (knowledgeable of science content). To promote these three attributes in New Mexico youth, the
UNM HSC Office for Diversity will host the first annual UNM Health Careers Exploration Extravaganza
Weekend. Importantly, there will be scientists, health professionals, professional students and community
members who will engage with and inspire participants to envision themselves in such careers while building
sustainable relationships regardless of geographical or other barriers.
Office for Diversity, University of New Mexico Health Science Center
The HSC's commitment to addressing health and educational disparities is evidenced by the creation of HSC
Office for Diversity. The Office for Diversity is responsible for a full array of programs addressing faculty
diversity, linguistic and cultural competence, K-20 educational pipeline, research data and analyses, family
involvement/community engagement, and leadership on issues of inclusion and equity.
The Office for Diversity is perhaps best known for it’s excellent educational pipeline programs that encourage and
support New Mexican students of all ages, from kindergarten through college and professional schools, to succeed
in careers in health sciences. Offering strong academic and other support to students from traditionally underserved
or underrepresented groups, these programs assist more than 300 learners a year and create a pipeline of students
into health careers in New Mexico.
SUBMIT COMPLETE APPLICATION BY APRIL 10, 2015:
Apply Online:
https://www.surveymonkey.com/s/STEAMH
Mail to:
UNM HSC Office for Diversity
MSCO8 4680
1 University of New Mexico
Albuquerque, NM 87131-0001
Deliver in person to:
UNM Health Science Center, UNM North Campus
Office for Diversity
Health Sciences and Services Building, Suite 102
Building #266, Campus Map
12
2015 STEAM-H Application
Revised MARCH 22, 2015