HGCI 2016 Tending to Sustainable Gardens Course Application Form
This is an application form for teachers interested in attending the Professional Development course: Tending to Sustainable Gardens on February 4 & February 25, 2017 from 8:00am-4pm plus a half-day volunteer experience of the teacher's choice related to agriculture or invasive species control. A two-hour Google Hangout with other teacher participants is also required. This course will be conducted by the Mālama Learning Center in partnership with the Hawai'i State Teachers Association (HSTA) and 'AINA in Schools, a program of the Kokua Hawai'i Foundation as part of the Hawai'i Green Collar Institute and is designed for grades K-12 teachers. Seats in the class will be filled as qualified applications are accepted, therefore early submissions are encouraged. Preference will be given to Leeward O'ahu teachers. Applications are due by January 4, 2017. A $150 program fee will be due to HSTA after one is accepted, other expenses are paid for by a grant from the U.S. Department of Agriculture.

If you have any questions or concerns regarding this course, please contact pauline@malamalearningcenter.org.

Email address *
What is your last name? *
Your answer
What is your first name? *
Your answer
Name of the school where you teach currently *
Your answer
Grade level(s) and subject(s) you teach currently *
Your answer
How many students are you teaching this year? *
Your answer
Island location of school *
Email Address *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
Are you a member of HSTA? *
Have you taken a Hawai'i Green Collar Institute course before? *
Why do you want to take this course? What do you hope to gain from this experience and how will it enhance your teaching? *
Your answer
This course will require various forms of physical participation (e.g., sun exposure, dust, dirt, pollen, walking in uneven terrain, getting dirty, etc.). Do you have any health, dietary, or other conditions that would need to be accommodated? If so, please list any accommodations you may need. *
Your answer
I have read the material about this course and I am applying to be a participant. I certify that all of the statements made in this application are true to the best of my knowledge, and if selected, will participate fully. I understand that it is mandatory to attend all dates of the program and there is a $150 fee to participate. *
Mahalo nui loa for completing this application. You will be contacted soon regarding next steps. Please let us know if you have any questions.
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