Participant Agreement Form
MRIS
2017-2018

KCM Professional Learning Experience Requirements

Attend and fully participate in all professional learning sessions (10 days), including completion of assignments, journal entries and readings.
Attend monthly online WebEx meetings.
Participate in a minimum of 4 coaching visits.
Demonstrate proficiency in teaching techniques with a Math Recovery student.
Administration of video-recorded assessments.
Complete an Assessment Project (fall).
Record 100 hours of video from one-on-one mathematics intervention lessons; watch and reflect on the video from each lesson as you plan the next lesson.
Share instructional video clips at four in-person collegial team meetings.
Complete a Case Study (spring).
Obtain Math Recovery Leader recommendation.

Participant Name

Participant Email

Course Location

School District

School

Administrator Name

Administrator Email

By pressing “Agree and Save,” I confirm that I have read through this agreement form and I agree that I intend to fulfill all requirements listed.