ARMENIA SCHOOL CONNECTIVITY PROGRAMS
MOBILE LAB PROJECT APPLICATION FORM
Region: _______________________________________________________________________
Governor:
Name: ________________________________________________________________________
Regional Government Administration Address: _______________________________________
Work tel. (with city code): ____________________________________ Fax:______________
E-mail: __________________________
Head of Education Department:
Name:_________________________________________________________________________
Work tel. (with city code): ____________________________________ Fax: ________________
E-mail: __________________________
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Total Population for the Region _____________
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Number of cities/towns: ____________________
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# of secondary schools in cities/towns__________
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Number of villages: ______________________
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# of secondary schools in villages: ____________
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Is the Region actively involved in any special programs?
Ministry of Education program (describe)________________________________________
_____________________________________________________________________________
US Government program (describe)_____________________________________________
_____________________________________________________________________________ Diaspora describe)__________________________________________________________
_____________________________________________________________________________
Other (describe)_____________________________________________________________
Statement Of Interest
1. Please describe your vision for participating in the Mobile Lab Project in your region.
(We encourage you to gather input from schools participating in the AC2K/AmSCP)
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2. If your Marz is selected, how will the Mobile Lab help the students meet their needs and interests?
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3. Please state three concrete ways how the teachers will be able to use the opportunities offered by the project in their teaching activities.
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4. How do you plan to motivate users/beneficiaries to use the Mobile Lab? (Both in an educational and broader context)
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5. How can technology benefit community?
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PARTICIPATING GOVERNMENT ADMINISTRATION AGREEMENT
W
region name
e, as _____________________________ regional officials are prepared to fulfill the responsibilities and commitments outlined below, regarding the Mobile Lab project:
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Actively provide security for the Mobile Lab
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Offer Mobile Lab candidates for interview and selection by Project.
We do hereby endorse the region’s participation in the Mobile Lab project:
Region Date of submission
Governor (Please print) Signature of Governor
Head of Education Department Signature of Head of Education
Armenia School Connectivity Programs are programs of the US Department of State, Bureau of Educational and Cultural Affairs, funded through the FREEDOM Support Act and implemented by Project Harmony.
Armenia, Yerevan, 375028, 45 Sevastopolian St. Tel: 26-06-86, 26-06-87
Website: www.projectharmony.am E-mail: ph@projectharmony.am
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