2009 Science Workshops for Educators Application Form
PLEASE READ THIS IMPORTANT INFORMATION BEFORE STARTING THE APPLICATION:
In the application below, when you see "support" we are referring to TUITION ONLY. If you ask for "partial" or "full support" you are asking for help with TUITION costs. Almost all other costs associated with attending the workshop; housing, books, most meals, and most of your travel expenses are included as part of the workshop. For more detailed information on fees see the "Fees and Funding" section of the web site.
The online application process has changed since last summer. This year, if you are requesting partial tuition you need to submit both a letter of interest and a letter of support. If you are NOT requesting tuition support then you only need to submit a letter of interest.
You can only submit one application. If you need to revise your application, please e-mail spacegrant@psu.edu.
More information, and answers to many of your questions can be found on the Summer Science Workshop web site: http://teachscience.psu.edu
Thank you for your interest in the Summer Science Workshops!
WORKSHOP INFORMATION
| Date |
Workshops |
| June 28-July 02, 2009 |
Exploring Renewable Energy Technologies and the Materials that Make it Happen |
| June 28-July 02, 2009 |
Earth's History: Interaction Between Life and the Environment |
| July 12-17, 2009 |
Calculator-Controlled Robots: Hands-On Mathematics and Science Discovery (NEW) |
| July 19-24, 2009 |
Lunar Exploration (NEW) |
| July 26-31, 2009 |
Extreme Cosmic Messengers |
| August 02-07, 2009 |
Black Holes: Gravity's Fatal Attraction |
Tuition Information
Utilizing the drop down menu, select the workshop you would like to attend and also indicate if you are applying for a tuition subsidy.
Priority is given to those educators who obtain partial tuition support from their school district. If your district does not provide tuition reimbursement, please make note of this in the comment section of the application.
Workshop #:1
Tuition Support Requested:
If you are requesting partial tuition support, please indicate the
amount you are requesting from the Pennsylvania Space Grant Consortium.
Full
Partial
None
Schedule permitting, I am willing to attend both Earth's History summer workshops in summer 2008 and 2009 Yes No
If you are applying for additional workshops, select them from the following drop down menus. Only apply for those workshops you are interested in attending. For each selected workshop, indicate if you are applying for a tuition subsidy. If partial tuition support is provided by your school district, please indicate the
amount you are requesting from the Pennsylvania Space Grant.
Workshop #:2
Full
Partial
None
Schedule permitting, I am willing to attend both Earth's History summer workshops in summer 2008 and 2009 Yes No
Workshop #:3
Full
Partial
None
Schedule permitting, I am willing to attend both Earth's History summer workshops in summer 2008 and 2009 Yes No
Comments: Use this text box to clarify your application. For example, prioritize workshop choices if you can only attend one, but have selected several; explain why you are requesting a full tuition subsidy; other pertinent information.
0 characters entered. | 250 characters remaining.
LETTERS OF INTEREST AND SUPPORT
Please upload your
Letter of Interest and Letter of Support. The Letter of Support is required if you wish for your tuition to be subsidized
. Supported formats include Microsoft Word 97-2007, Adobe PDF, RTF, or Text files. If you have any questions, please contact Heather Nelson.
Upload Letter of Interest:
Upload Letter of Support:
APPLICANT INFORMATION
* Required Field
* Last Name:
* First Name:
Middle Initial:
* Title:
* Name to appear on nametag:
* School District Name:
* School Name:
* School Type:
* School Location:
* School Address:
* City:
* State:
* Zip Code:
* School Phone Number:
-
-
* School Demographics: Place the appropriate percentage in the box as a whole number.
American Indian/Alaskan Native Students:
Asian/Pacific Islander Students:
Black, non-Hispanic Students:
Hispanic Students:
White, non-Hispanic Students:
Free and Reduced Lunch:
* Email Address:
(Where you can be reached at all times to acknowledge your acceptance and send further information.)
* Home Address:
* City:
* State:
* Zip Code:
* Home Phone Number:
-
-
Cell Phone Number:
-
-
* Grades you currently teach:
Elemetary School:
Middle School:
High School:
* Subjects you currently teach:
Astronomy:
Biology:
Chemistry:
Earth Science:
Environmental Education:
Oceanography:
Physical Science:
Physics:
Social Studies:
Space Science:
Other:
* How did you find out about this workshop?
1.
Flyer or Brochure
2.
Poster Display
3.
Web
4.
Recommended by Colleague
5.
Electronic mailing list ("LISTSERVE") Which one?
6.
PSTA Convention
7.
Regional or National Conference
8.
Other:
I have previously participated in a Penn State Science Workshop for Educators:
No. of Times. If unsure, indicate best estimate.
For Pennsylvania teachers only:
The school listed above is located in
county in Central
in the
Federal Congressional District.
If you have any questions, please contact the following person:
Heather Nelson
Program Coordinator
NASA's Pennsylvania Space Grant Consortium
The Pennsylvania State University
2217 Earth-Engineering Sciences Building
University Park Pa 16802
Tel: 814-863-5957
Email: spacegrant@psu.edu