Be A Part Of The "2013 Darwin Day Roadshow"
NESCent wants to bring evolution to your school/community.  We will send a small team of our scientists and science educators to your town to visit your school, talk to your students about their research in evolutionary biology, describe what it takes to become an evolutionary biologist (and what some of the rewards and challenges are), and help students understand why it is relevant to them.  

Other activities might include a public presentation by our scientists to your community on evolution, screening an evolution-themed movie at a local library or community center and discussing it with our scientists, or any other ideas you might have.  As a "NESCent Darwin Day Scholar", you will help us design a series of events that best serve the needs of your school and community.

If you're interested in becoming a "NESCent Darwin Day Scholar" and helping to bring cutting edge evolutionary science to your school/community, fill out the following form and let us know why you think we should come to you!

If you have questions, please contact Dr. Jory Weintraub at jory@nescent.org.

DEADLINE TO APPLY IS 8PM (Pacific) ON FRIDAY, NOVEMBER 9th, 2012!

Sign in to Google to save your progress. Learn more
Your first name *
Your last name *
Your email address *
Your phone number *
xxx-xxx-xxxx
What is the name of your school? *
In what city is your school located? *
In what state is your school located? *
What courses do you teach? *
In three or four sentences, please tell us a little bit about your school and community. *
Please give one or two examples of activities you would organize to get NESCent scientists/educators involved with your school and/or community if you are selected to be a "NESCent Darwin Day Scholar". *
In three or four sentences, please describe how you, your students and your community would benefit from participation in NESCent's "2013 Darwin Day Roadshow". *
By checking here, I acknowledge that I have discussed the Darwin Day Roadshow with my principal (and/or other members of my school/district administration) and indicated my interest in applying to be a part of the 2013 program. My principal is in support of my application, and has agreed to have NESCent scientists visit my campus, if we are selected to be participants in the 2013 Darwin Day Roadshow. *
(This is necessary to ensure that planning/implementation of our visit will go smoothly if your school is selected.)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms