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FREE After School Opportunity Offered By:

K-12 STEM Department, Pinellas County Schools in Collaboration With

Who • Enrollment is limited to females in 4-8 grades currently attending Pinellas County public schools operated by the Pinellas County School Board.

• Space is limited to only 12 seats! • We want females who DO NOT have any experience using Minecraft.

Participation Details

• In order to ensure a successful experience, a commitment to ALL 5 dates is required: Mon. 10/21, Mon. 10/28, Mon. 11/4, Mon. 11/11, and Tue. 12/3 (Final session & celebration)

• Each session will be held at the PCS Administration Building (301 4th Street SW, Largo FL 33770) from 4:00-6:00pm.

Deadline to Apply

• Thursday, October 17th by 6:00pm. • See application submission details located on page 3 of this application packet.

Selection Process

• 12 females will be selected using the process of random lottery. Applicant names will be placed in a bag and 12 drawn at random. Students not selected, will be placed on a wait list and will be contacted if a seat becomes available.

• All families will be notified of their child’s status (accepted or wait listed) on Friday, October 18th, no later than 12:00pm.

“Girls Who Game” STEM Academy

Opportunity

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The Reality

Computing skills are the most sought-after employee skill set in the job market, with demand growing 3X the North American average. Many girls, especially minority girls, are being left behind. Less than a quarter of computing jobs are held by women, and that number is declining.

We are looking to help bridge this gap by providing an after school “Girls Who Game” PCS STEM Academy to support young females as well as educators across North America with the chance to learn more about gaming and build STEM skills using Minecraft as a learning tool. This is a collaboration between the PCS K-12 STEM Department, Dell and Microsoft.

Goals of the “Girls Who Game” STEM Academy:

• increase female engagement in STEM (Science, Technology, Engineering, and Mathematics) fields of study

• develop and apply skills, behaviors, and dispositions (critical thinking, collaboration, communication, creativity, problem solving etc.) to authentic learning experiences

• build capacity using Minecraft (computational thinking and coding) and its application and connection to other subjects

• opportunity to connect and communicate with female mentors in STEM fields to create awareness of opportunities in the workforce using live virtual presentation sessions

Questions? Contact Laura Spence, PCS K-12 STEM Specialist at Spencela@pcsb.org

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“Girls Who Game” STEM Academy – Application Packet Application Deadline:

No later than, Thursday, October 17th, 6:00pm.

Submission Options:

1. Email pages 3-6 as attachments to PCS K-12 STEM Specialist, Laura Spence at Spencela@pcsb.org. 2. Drop off hard copies of pages 3-6 to the PCS K-12 STEM Department at 301 4th Street SW, Largo, FL

33770. If you choose this option, please contact the PCS K-12 Specialist, Laura Spencela@pcsb.org 727-588-6006 to let her know in advance of your arrival.

STEM ACADEMY BACKGROUND

(It is not required that the female applicant is a former STEM Academy student.)

Did your child participate in the PCS STEM Academy program during the 2018-2019 school year? YES or NO

If yes, provide the following information:

Grade your child was in last year (18-19): ___________

Name of school attended last year (18-19): ____________________________

Name of STEM Academy teacher last year (18-19): _______________________________

2019-2020 GENERAL STUDENT INFORMATION (please print clearly)

STUDENT NAME (FIRST, LAST)

SCHOOL CURRENTLY ATTENDING (19-20)

GRADE CURRENTLY ATTENDING (19-20)

CLASSROOM TEACHER’S NAME

HOME ADDRESS: STREET ADDRESS CITY, STATE, ZIP CODE

STUDENT’S GENDER

ETHNICITY (OPTIONAL)

BIRTH DATE (MM/DD/YYYY)

T-SHIRT SIZE (UNISEX FIT, COTTON BLEND)

A bulk t-shirt order will most likely be placed by Dell. In the event that they allow us to pick shirt sizes, please circle, highlight or bold the shirt size most appropriate for your child:

YS YM YL AS AM AL AXL

PARENT/GUARDIAN INFORMATION (please print clearly)

PRIMARY CONTACT INFORMATION SECONDARY CONTACT INFORMATION

PARENT/CAREGIVER NAME

PARENT/CAREGIVER NAME

RELATIONSHIP TO STUDENT

RELATIONSHIP TO STUDENT

STREE ADDRESS

CITY, STATE, ZIP CODE

STREET ADDRESS

CITY, STATE, ZIP CODE

PHONE NUMBERS Cell: PHONE NUMBERS Cell:

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Intent to Participate

Please take a moment to read and complete the Intent to Participate requirements below. In order for your child to be considered for this learning experience all elements of this form must be completed.

1. I give permission for my child, ______________________________in grade ___ from school, _______________________________________to participate in the “Girls Who Game” learning experience.

2. My child can collaborate and communicate virtually with other Girls Who Game clubs throughout North America under teacher supervision during club meeting times. ________ (parent/caregiver initials-either handwritten or using a cursive electronic font)

3. My child can communicate with an assigned female mentor virtually to support building an awareness of STEM fields under teacher supervision during STEM Academy meeting times. ________ (paarent/caregiver initials-either handwritten or using a cursive electronic font)

4. As the parent/caregiver, I can ensure that my daughter is able to attend the following 9 STEM Academy meeting dates and times.

• Monday, Oct. 21st, 4:00-6:00pm: Kick-off & welcome event • Monday, Oct. 28th, 4:00-6:00pm • Monday, Nov. 4th, 4:00-6:00pm • Monday, Nov. 11th, 4:00-6:00pm • Tuesday, Dec. 3rd, 4:00-6:00pm Final meeting & celebration

________ (parent/caregiver initials-either handwritten or using a cursive electronic font)

5. Our STEM Academy teachers are passionate about your child; however, to honor their time (planning, teaching, family obligations) we ask that students are picked up promptly at the conclusion of each STEM Academy’s session. After 2 late pick-ups and/or unexcused absences, you will be contacted by the STEM Academy teacher who will provide a reminder that your child will be removed from the program following the 3rd late pick-up/unexcused absence and a new student from the wait list will fill their spot.

I acknowledge that I will be responsible for providing pick-up transportation each week for my child. _________________________________ _____________________ Parent/Guardian Signature Date

Home:

Work:

Home:

Work:

EMAIL ADDRESS (Email addresses will be used as the main form of communication.)

EMAIL ADDRESS (Email addresses will be used as the main form of communication.)

Additional Information (if needed):

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PINELLAS COUNTY SCHOOLS

MEDIA RELEASE FORM

During the school year, Pinellas County Schools may produce, reproduce, broadcast or publish student names, likenesses and/or voices on multiple media formats, including but not limited to:

• WPDS-Ch. 14 • Written publications • District websites • School websites • Teacher websites • Social Media Sites • Marketing Materials

All documents on district-sponsored websites are required to conform to school board policies, including Policy 7.33, Use of Electronic Resources.

In addition, news media, including representatives of television, radio, newspaper and magazines, are periodically permitted on school board property and may take notes, still photographs, sound recordings and/or video that may include your child. These items may appear or be used in news or feature stories by print, television or radio media.

Pursuant to Section 540.08 and Section 1002.22, Florida Statutes, the school board is required to obtain express written permission before using any student’s name or likeness in the above described manner. If you do not object to the use of your child’s name, picture or voice for any purpose mentioned above, please sign the form below granting your consent pursuant to Section 540.08(1) and Section 1002.221(2)(a), F.S. If you have any questions, please contact the principal of your child’s school.

If the student or parent/guardian wishes to rescind this permission, he or she may do so at any time with written notice. Unless rescinded, this permission will remain in effect in subsequent years.

REGARDING:

(name of student)

NAME OF SCHOOL:

I grant permission to use the above student’s name, likeness and/or voice in the manners described above.

Date: ________________

Student’s signature (if 18 or older)

Parent or guardian’s signature (if student is under 18)

PCS Form 1-3067 (Rev. 1/19) Category A Review Date 1/20

CC # 6050

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To: Parents/Guardians: Your daughter is a member of the Girls Who Game club in collaboration with Pinellas County Schools. During the club as well as at presentations, photos of your daughter may be taken. Please complete the photo release below and return to the school. If you do not wish for your child to participate, please do not sign the release.

Photo Release

I grant permission to Dell Inc. (“Dell”) to obtain and use photo and video images (“images”) of my child for the purpose of advertising and marketing by showcasing the district’s use of Dell technology in print, web and other media in whole or in part. I agree that the images will remain the property of Dell for Dell’s future use in advertising, marketing, media relations and other promotional activities at Dell’s sole discretion.

I hereby release Dell (including its officers, employees, subsidiaries and affiliates) and any other persons involved in obtaining or using the images from any and all liability, which may or could arise from the taking or use of such images.

__________________________________ __________________

Parent’s /Guardian Signature Date

___________________________________ __________________________________

Parent’s/Guardian Printed Name Student’s Printed Name