Application for In-Service Workshops in Astronomy
Which workshop are you applying for? *
First Name *
Your answer
Last Name *
Your answer
Name to Appear on Name Tag *
Your answer
Email *
Your answer
Street Address 1 *
Your answer
Street Address 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number (xxx-xxx-xxxx) *
Your answer
Are you attending any other summer workshops at Penn State during the summer of 2018? *
Describe your current science teaching responsibilities: *
Your answer
The Grades You Currently Teach *
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
Is there anything else you would like to share with us about your school, yourself, or your teaching responsibilities that will help us evaluate your application?
Your answer
If you plan on attending either of these workshops with a colleague, please list who (first and last name).
Your answer
If accepted, 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 *
Your answer
Your School's Street Address *
Your answer
Your School's City, State, Zip Code *
Your answer
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 *
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