Socratic Brain Pilot Application 2016

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Socratic Brain is a non-profit founded by physics teachers for physics teachers.

Please describe your role: *

HS Physics Teacher

College Physics Teacher

School Administrator

Other?

Required

What subject(s) do you teach *

check all that apply

Introductory Physics

AP Physics

Chemistry

Biology

Other:

Required

What grade levels do you teach

select all that apply

Other:

Including this year, how many years of Modeling Instruction experience do you have? *

less than 1

1-3

More than 3

Number of students taking introductory physics *

under 20

20-75

75-150

150-300

300+

Type of school

Public

Public / magnet

Charter

Private

Other:

Clear selection

How accessible is technology at your school? *

Check all that apply

Almost always available

Often available

Sometimes available

Availability of computers or tablets for each student

Broadband internet access

Support for technology problems disrupting instruction

Accessing websites needed for instruction

Funds to support instruction (textbooks, online software, etc)

Funds to support professional development

Please estimate home access for your students to an internet-connected device *

School Name *

Zip code *

How supportive is your administration of your use of Modeling or other innovative instruction?

Extremely supportive

Supportive

Somewhat supportive

Not supportive

Other:

Clear selection

When is it convenient to participate in a 30 minute Socratic Brain demo and Q&A (webinar) in the next two weeks *

Select all that apply. We would like interested teachers to better understand Socratic Brain and how it may be helpful in their classrooms

During the school day

Evenings

Weekends

Other:

Required

Type of Pilot(s) you may consider: *

select all that apply

Pilot additional practice problems with student reports the following morning

Pilot a course (with teacher control of content) before school ends this spring

Pilot a course for limited units in one of my 2016/17 classes

Pilot for all units during one semester in one of my 2016/17 classes

Pilot for all units for one of my 2016/17 classes

Pilot for all my 2016/17 classes

Pilot for multiple teachers and their 2016/17 classes at my school

Other:

Required

What contributions do you feel you can make to the Socratic Brain community? (check all that apply) *

I would like to pilot additional practice problems

I can participate in a short webcast training session.

I can use Socratic Brain with some of my students to assess learning outcome benefits

I can provide feedback on my pilot: what is working, what could be improved, etc.

I can participate in occasional collaborative webcasts with other pilot teachers to brainstorm effective teaching methods.

I may be able to modify or create SBx practice problems and other content to share with other pilot teachers.

I am currently swamped, but would like to be considered for a pilot at some time in the future.

Other:

Required

First Name *

Last Name *

Email address *

Phone

Describe how you believe Socratic Brain could help your teaching and your students?

Do you have suggestions to improve Socratic Brain?

Thank you for your application!

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