2016/2017 HBSST Application form
Full Name (Surname First)
Your answer
Sex
School/Institution
Your answer
Email
Your answer
Local Government in which your school is located
Your answer
Geopolitical Zone in which your school is located (e.g) South-east, South-West, South-South
Your answer
Name of School
Your answer
Full Address of School
Your answer
Phone Number of Applicant
Your answer
Which subject do you teach in your School
Your answer
do your school offer any of the following subjects: basic Science, integrated Science, physics or introductory technology in its curriculum?
Full Name of Principal/Head Master or Mistress
Your answer
Phone No. of Principal/Head Master or Mistress
Your answer
Institution email
Your answer
Personal email of Applicant
Your answer
Do you understand English?
Provide information on the programs in your School that could benefit from your participation in this Teachers training workshop and be explicit on how your acquired skill from this program will of benefit to students in your school.
Your answer
Have you participated in any space science/Astronomy workshop or conference for teachers in Nigeria or Overseas in the past?
If yes, please indicate the following: Tittle of workshop or conference, Location, Date of Attendance and subject(s) covered during the program
Your answer
HEALTH REQUIREMENTS: Life/major health insurance for each selected participants is the responsibility of his/her institution as organizers will not be responsible for any major health issues. Do you agree?
Do you have a laptop?
Most of the teaching/workshop materials will be provided by the organizers free in soft and hard copies; Can you provide an empty re-writable DVD or flash drive for collection of soft copy materials needed to teach your students in your institution?
Provide other Comment(s)
Your answer
Availability (Enugu:NSK / Rivers:Port-harcourt)
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