HGCI 2017: Exploring HĀ and the Mālama 'Āina Field School Course Application Form
This is an application form for teachers interested in attending the Professional Development course: Exploring HĀ and the Mālama 'Āina Field School on May 6 (HĀ Summit), July 14 + two dates of your choice in June and/or July (between June 14 - July 7). This course will be conducted by the Mālama Learning Center in partnership with the Hawai'i State Teachers Association as part of the Hawai'i Green Collar Institute. This course is specifically designed for grades 4-12 teachers from Leeward O'ahu and seats in the class will be filled as qualified applications are accepted, therefore early submissions are encouraged. Applications are due by April 28, 2017. A $150 program fee will be due to HSTA after one is accepted, other expenses are paid for by a grant from Kamehameha Schools Ka Pua Initiative, the Marisla Fund of the Hawai'i Community Foundation, and the DOE Office of Hawaiian Education (for HĀ summit).

**Please note that teacher applicants have to officially register for this course on the PDE3 site AND register for the HĀ Summit. You can find the HĀ Summit eventbrite registration link on our website, http://www.malamalearningcenter.org/hawaii-green-collar-institute.

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

What is your last name?
Your answer
What is your first name?
Your answer
Name of school where you teach currently.
Your answer
Grade level(s) and subject(s) that you teach currently.
Your answer
How many students are you teaching this school year?
Your answer
Island location of school
Email Address (that you use regularly)
Your answer
Phone Number
Your answer
Home 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 participate in this course?
Your answer
What do you hope to gain from this experience and how will it help 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 course and there is a $150 fee paid directly to HSTA.
Required
Mahalo for completing this application, you will be contacted soon regarding next steps.
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