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Application for In-Service Workshops in Astronomy
Which workshop are you applying for?
Do you wish to receive 2 credits at the master's level for the workshop? (This will require a higher registration fee of $350 if chosen.)
First Name
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Last Name
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Name to Appear on Name Tag
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Email
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Street Address 1
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Street Address 2
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City
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State
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Zip Code
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Phone Number
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Are you attending any other summer workshops at Penn State during the summer of 2017?
If you plan on attending either of these workshops with a colleague, please list who (first and last name).
Your answer
Would you like for us to arrange housing at the Days Inn Hotel for you, or will you find your own housing? Note: if you make other arrangements, it will not be funded.
Do you have any food allergies? If so, please list.
Your answer
If you have a physical disability, do you use a handicap parking placard?
Your School's Name
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Your School's Street Address
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Your School's City, State, Zip Code
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The Main Subject You Currently Teach
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The Grades You Currently Teach
Is your school or district considered to be in an underserved/underrepresented area? This also includes areas of economic hardship.
The Location of Your School
Please write a short essay discussing how the workshop fits into your professional development plans, how you will use the material, and what opportunities you will have to share what you learn with your colleagues.
Your answer
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