Teacher Application

This project provides professional development training, two teacher guides, one classroom set of student textbooks, and a set of classroom equipment. Thus, teachers must apply to this program in teams of two teachers from the same school, and must be willing to coordinate their schedules and share the classroom books and materials. One team member should teach the program early in the school year and the other should teach the program later in the school year. Each member of the team (pair) must apply individually, and identify the name of his or her teammate in the application.

 

Your Information
Your Name:	Prefix: Dr. Mr. Mrs. Ms. First: Last:
Team member:
High School:
Address:
City:
State:
Zip:
Work Phone:
Home Phone:
School Fax:
Email:
Alternate Email:
Grade level(s) you currently teach:
Grade levels you previously taught:
Classes you teach:
2004-2005 School Year:	START date: END date:

Education/Training Information

Have you ever taught EarthComm before? Yes No

Have you ever taught Earth science before? Yes No

Credits earned in Earth science courses:

Have you been trained in inquiry-based science education? Yes No

Number of years you have implemented inquiry-based science curriculum:

Dates you will teach EarthComm:

Dates your teammate will teach EarthComm:

Part B

In a brief paragraph, please describe why you want to participate in this program.

In a brief paragraph, please describe how you think that this program will help you to teach Earth science.

Part C

I understand that in return for participating in this program, I will provide feedback on the implementation of EarthComm in my classroom to the American Geological Institute. Feedback will include pre- and post-test data, student work, teacher evaluations of student work, and student projects. I agree with these terms. I do not agree with these terms. (If this box is checked, your application will not be considered.)

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