complete permission form by march 21. · classroom is 1680 in lagomarcino hall on the isu campus;...
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Complete Permission Form by March 21.
Forms are available at
https://www.extension.iastate.edu/boone/news/do-you-math-sign-fun-math-problem-solving-activity
Youth in Kindergarten through 9th grade from Boone and Story Counties are invited to help ISU students preparing to become math teachers at a one-time problem solving activity April 13, 6-7 p.m. at 1680 in Lagomarino Hall on the ISU Campus. No test, no grades, just a fun opportunity to help future teachers become great teachers. The future teachers will create interactive math problems targeted to interests and grade levels of the youth who sign-up to participate. Youth need to sign-up by March 21 to allow time for the ISU students to create math problems. Signing up includes completing a few questions and a permission form (signed by parent/guardian). Return forms to Annette Brown at [email protected] or Boone County Extension, 1327 SE Marshall Street, Boone IA 50036. Address question to Brown via email [email protected] or phone 515-432- 3882 Ext. 5.
This is not a United Community School District publication. It is being distributed through the school district as a community service of the district to inform you of other community activities or services available.
This institution is an equal opportunity provider. For the full non-discrimination statement or accommodation inquiries, go to www.extension.iastate.edu/diversity/ext.
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Boone County
1327 SE Marshall Street
Boone, IA 50036
515-432-3882
FAX 515-432-3883
Email [email protected]
January 2020
Dear Kindergarten – 9th Grade Student,
Youth in Boone and Story Counties are invited to help ISU students preparing to become math
teachers at a one-time problem solving activity April 13, 6-7 p.m. at 1680 in Lagomarcino Hall on the ISU
Campus. No test, no grades, just an opportunity to help future teachers become great teachers. The future
teachers will create math problems targeted to the youth interests and grade levels. They need to know who
will participate by March 21 so they can create math problems.
If you are willing to participate, please respond by completing a couple questions and the
permission form (signed by parent/guardian) in this letter. Return to Annette Brown by March 21 at
[email protected] or Boone County Extension, 1327 SE Marshall Street, Boone IA 50036.
See detailed information below. Let me know if you have questions, 515-432-3882.
Annette Brown, 4-H Youth Program Specialist
Letter from Dr. Ji-Yeong I:
I am Dr. Ji-Yeong I at Iowa State University. I am teaching mathematics methods courses for future
math teachers and am collaborating with Extension and Outreach in Boone and Story Counties to recruit K-9
grade youth who can work with us. I am requesting at least 10-15 youth to participate in our fun hands-on 1-
hour math event (April 13), which is a part of our coursework. I believe this collaboration is win-win for both
the future teachers and participating youth because the future teachers can have authentic teaching experiences
through this collaboration and the youth can have an opportunity to learn mathematics in a fun way.
Our future teachers who enroll in this course are mostly college seniors and graduate students who are
approaching their student teaching and graduation. All of them have done some practicum field experience in
K-9 schools in Iowa. They have completed the necessary process to work with minors such as background
check.
ISU Course: EDUC 513 Problem Solving in K-12 Classrooms. In this course, the future teachers
explore mathematical problem solving which is relevant to real-world situations and learn to create/teach real-
life connecting math problems in a student-centered approach.
Expectation: The future teachers will create a real-life math problem/activity in this course and work
with youth using the activity for 1 hour in small groups (the numbers of youth and future teachers in one group
depend on the number of participating youth). The future teachers will create problems based on participant’s
grade level and interests. If you are interested, respond to a few questions and complete a permission form
signed by parent/guardian attached. Return to Annette Brown ([email protected]) by March 21. This
will allow time for the college students to prepare problems/activities based on youth’s interests.
Date and Time (It is a one-time meeting): April 13, 6:00-7:00 p.m. is our plan for youth to visit (this is during the course’s regular class time). The
classroom is 1680 in Lagomarcino Hall on the ISU Campus; it is on the first floor Northeast corner. Attached is
a map of first floor. On the map, 1680 is on the right corner on the bottom and the drop off/pickup area is in the
middle of the bottom line. Parking near the building is free after 5:30 p.m.
Thank you so much!
Ji-Yeong I Annette Brown
ISU Assistant Professor 4-H Youth Development Specialist
Secondary Math Ed Program Coordinator Boone and Story Counties
[email protected] 515-294-7667 [email protected] 515-432-3882 Ext. 5
Iowa State University Extension and Outreach does not discriminate on the basis of age, disability, ethnicity, gender identity, genetic information, marital status, national origin, pregnancy, race, color, religion, sex, sexual
orientation, socioeconomic status, or status as a U.S. veteran, or other protected classes. Direct inquiries to the Diversity Advisor, 515-294-1482, [email protected].
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PERMISSION AGREEMENT, RELEASE AND WAIVER OF LIABILITY
Activity: Math Problem Solving Opportunity with ISU Teacher Preparation Students
Brief Description of Activity:
The future teachers in ISU Course EDUC 513 Problem Solving in K-12 Classrooms will create a real-life math
problem/activity course and work with youth using the activity for 1 hour in small groups (the numbers of youth
and future teachers in one group depend on the number of participating 4-H youth). The future teachers will be
required to adjust their activity based on participating youth.
Please complete all highlight areas.
Participant Name: (print) Participant Grade:
Parent Name: (if participant is under 18) 4-H Club Name OR
Extension program participated in
(i.e. babysitting, Ricochet) OR School
Location of Activity: Iowa State University Campus 1680 in Lagomarcino Hall Date of Activity: April 13, 2020 6:00-7:00 p.m.
Permission, Release and Waiver of Liability This 4-H Activity Agreement and Release and Waiver of Liability shall be governed by and construed under the laws of the
State of Iowa, which shall be the forum for any lawsuits arising from or incident to this Agreement.
I, ______________________________________(participant or parent or guardian if participant is under age 18) give my permission
for the above named individuals to participate in the Youth Math Problem Solving with ISU Teacher Preparation Students
I hereby RELEASE FROM LIABILITY, IMDEMNIFY, and HOLD HARMLESS the State of Iowa, Board of Regents of the State of
Iowa, Iowa State University, ISU Extension and Outreach, and Story and Boone County Agricultural Extension Districts, Iowa State
University teacher preparation class, and any of the officers, servants, agents and employees of the above-mentioned entities (hereinafter
referred to as RELEASEES) for any liability, claim and/or cause of action arising out of or related to any loss, damage or injury,
including death, costs or other expenses or liabilities incurred by me and anyone accompanying me, (including minors I am responsible
for during this event), that occurs as a result of my or my child’s voluntary participation in this program. This release, however, is not
intended to release the above-mentioned RELEASEES from liability arising out of their sole negligence.
PUBLICITY/IMAGE/VOICE PERMISSION
The Iowa State University Extension and Outreach 4-H Youth Development normally takes photographs, video, and/or tape recordings
of our programs. During this program, a photograph or video/audio recording may be taken of you or your child. Unless you request
otherwise, your application will be considered permission for Iowa State University and the 4-H Youth Development program to
photograph, film, audio/video tape, record and/or televise your image and/or voice or the image and/or voice of your child for use in
any publications or promotional materials, in any medium now known or developed in the future without any restrictions. If you object
to ISU using your or your child's image or voice in this manner, please notify the Iowa State University Extension and Outreach 4-H
Youth Development, in writing, at the time of your application.
BY SIGNING THIS RELEASE AND WAIVER OF LIABILITY, I STATE THAT I HAVE READ AND UNDERSTAND THE
CONDITIONS SET FORTH IN THIS RELEASE AND THAT I AGREE TO ALL CONDITIONS SET FORTH HEREIN, AND
THAT I SIGN THIS VOLUNTARILY.
Participant Name (please print) Date Participant Signature Date
Parent or Guardian Name (please print) Signature of Parent or Guardian (if Participant is under age 18)
NOTE: This Agreement and Release and Waiver of Liability must be signed by both the participant and the participant’s
legal guardian if the participant is not EIGHTEEN (18) YEARS OLD
This institution is an equal opportunity provider. For the full non-discrimination statement or accommodation inquiries, go to www.extension.iastate.edu/diversity/ext.
Math Problem Solving Opportunity with ISU Teacher Preparation Students
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Boone County
1327 SE Marshall Street
Boone, IA 50036
515-432-3882
FAX 515-432-3883
Email [email protected]
April 13, 2020 6:00-7:00 p.m.
Iowa State University Campus 1680 in Lagomarcino Hall
By March 21 complete the following and the permission form and return to Annette Brown
Via email: [email protected]
Or mail to:
Attn: Annette Brown
Boone County Extension and Outreach
1327 SE Marshall Street
Boone, IA 50036
Please answer the following questions. This will help the ISU students to create problems that match
grade levels and participant interest.
Complete the PERMISSION AGREEMENT, RELEASE AND WAIVER OF LIABILITY
1. Youth: First Name ___________________ Last Name __________________
Parent/Guardian: First Name____________________ Last Name_______________________
2. For confirmation and last minute communication, parent/guardian’s
email ______________________________ Cell phone _____________________________
3. County you are from (circle one) Boone County Story County
4. 4-H Club Name if you are a 4-H Member _________________________________________________
5. Grade ________________
6. School or school district you attend. _______________________
7. Tell us about yourself and your life a little bit. What do you do after school or weekend? What are your
favorite things to do?
8. Write about your thoughts and feeling about mathematics. What math have you learned? What do you
like or dislike about mathematics?
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Boone County
1327 SE Marshall Street
Boone, IA 50036
515-432-3882
FAX 515-432-3883
Email [email protected]