EarthScope Workshop for Middle and High School Science Teachers
Application Deadline February 29, 2012
Last Name: First Name:
Cell Phone: Home Phone:
Primary Email: Secondary Email:
School: School Phone:
Grade: Subjects Taught:
Previous inservice workshops
Undergraduate Degree (Major and Date):
Any food concerns?
Any special needs or concerns?
Please answer the following questions
Why do you want to attend a workshop on the geology of the midcontinent (with emphasis on Illinois and the New Madrid Earthquakes), plate tectonics, earthquakes, volcanoes, and an opportunity to be involved in a REALLY BIG SCIENCE research project?
What are your future plans for teaching Earth Science, Geology or integration workshop materials into your class?
this Application form as an
attachment to email@example.com