Teacher Workshop Application | McDonald Observatory

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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.

Dates	Workshop	Grade Level
June 17-19	Comets!	6-12
June 21-24	Earth and Space Science ($750)	11-12
June 25-27	Explore Our Solar System I ($550)	K-8
July 5-7	Worlds Beyond Our Solar System	7-12
July 8-10	MONET: Using a Remote Telescope (Scholarships for Texas teachers only.)	9-12
July 11-13	Explore Our Solar System II ($550)	K-8
July 19-22	Formation of Planetary Systems	7-12

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:

Click Submit below to enter your request. It may take several seconds for the submission process to complete. Once we have received all applications (soon after the
deadline date) you will be contacted regarding the status of your visit.