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Teacher Workshop Application

Contact Information for Participating Teacher — Please fill in all fields
Title First Name M.I. Last Name  
Preferred Name or Nickname Gender  
 
School Name  
School Address
City State ZIP
School Phone Number School Fax Number ESC*
School Email Address  

*Educational Service Center -- Texas schools only.

Home Address
We will need to contact you during the summer months to alert you about important workshop-related information, or possible openings for teachers on waitlists. Please provide your summer contact info here.
Home Address
City State ZIP
Phone Number Email Address
Best Way to Contact You

Choose your overall best contact method (left column) and your preferred contact method for mail, phone and email (right column).

Mail: School Address
Home Address
Phone: School Telephone
Home Telephone
Email: School Email
Home Email
Rank Your Choices from Available Workshops
Workshop availability varies based on the volume of applications we receive and the credentials of the applicants.
2012 Workshops Dates Grades
Comets! * June 25-27 6-12
Worlds Beyond Our Solar System * June 28-30 7-12
Light and Optics * July 9-11 8-12
Exploring the Hubble Universe ($600) July 16-18 8-12
Solar Systems Uncovered ($600) July 23-25 6-12
Explore Our Solar System ($600) July 26-28 K-8

Please let us know your first, second, and third choice of workshop.
First Choice: 
Second Choice:

Third Choice:
School Demographics
This information is required by our funder.
Do you teach in a rural school? No Yes
Percent students of low socio-economic class:
Percent students of underrepresented minorities:
Dietary Restrictions
Do you have any special dietary restrictions? No Yes
If yes, please list your restrictions:
Background Information
Please take a minute to tell us about yourself so we can provide you with a meaningful experience. List the grade you currently teach first:
Grade Level:   Subject(s) Taught:   Years:
Grade Level:   Subject(s) Taught:   Years:
Grade Level:   Subject(s) Taught:   Years:

Teaching Certificate Areas


College/University Education
Undergraduate Institution:
City:   State:
Major:   Minor:   Degree & Year:
Graduate Institution(s):
City:   State:
Degree(s):   Major:   Year:
Professional Activities
1. List professional science organizations you belong to:
2. List any other science professional development programs you have attended.
3. Describe how participating in this workshop will benefit both you and your students. Please provide a thorough answer, including the name(s) of the class and grade level(s) you currently teach.

Click Send Application below to submit your application. It may take
several seconds for the submission process to complete. Applications for
all 2012 teacher workshops are due February 10, 2012. Soon after that date
you will be contacted regarding the status of your application.

Teachers accepted into 2012 workshops are required to pay a $100 refundable deposit by April 16, 2012 to hold reservations. The balance of the fee for workshops not covered by scholarships is due as follows: Exploring the Hubble Universe due June 16, Solar Systems Uncovered due June 23, and Explore Our Solar System due June 26.

Accepted teachers that fail to attend their workshop or cancel less than 30
days before a workshop begins will not receive a refund of their $100
deposit.

 



© 2002-2012 The University of Texas McDonald Observatory
Last Modified: November 07, 2011