Cutting Edge > Introductory Courses > Workshop AGU 08 > Registration

Workshop Registration Process

Deadline - Friday, November 21, 2008

There are three components to the registration process for this workshop:

Complete the registration form below.
Submit a description of either an introductory-level activity or an introductory course that you teach.
If needed, apply for a travel stipend to help offset expenses you will incur by staying at AGU for additional time.

All participants who complete the registration form and submit either a course or an activity will be accepted to the workshop. There is no separate application process.

The deadline for each of these is Friday, November 21, 2008.

Workshop Registration Form

The National Science Foundation provides funding for the operational costs of the workshop and workshop materials for the participants. To be supported by these funds, participants must be either a US citizen, a permanent resident, or in the employ of a US institution. If you don't meet these requirements and are interested in participating in a workshop at your own expense, please contact the workshop conveners.

Complete the following form and click on SUBMIT to confirm your application. Be sure to hit the SUBMIT button before leaving this page or your information will be lost. We encourage you to compose your answers to the longer questions in a word processor and to cut and paste the resulting text into this form. This gives you access to conveniences like spell checking as well as the opportunity to save and reflect on your work before submitting.

Contact Information
First Name:
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Last Name:
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Department:
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Institution:
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Address:
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City:
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Select a State:

Zip Code:
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Phone:
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FAX:
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Email Address:
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(Please Note: Your email address is what we use to track your application and participation in the workshop. Be sure to use the same email address in all forms relating to your workshop participation. This email will also be our primary means of communication with you.)

Question SetWhat introductory geoscience course(s) do you teach?
For each intro course you teach, please list the course name and the size of the course.
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What are you doing in your introductory course that is innovative and exciting? What do you know about the impact of this on student learning?
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What would you most like to learn about teaching introductory geoscience during this workshop?
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DemographicsGender:
Male

Female

Ethnicity (choose one):
Hispanic or Latino

Not Hispanic or Latino

Race (select one or more):
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Disability status (select one or more):
Hearing Impairment
Visual Impairment
Mobility/Orthopedic Impairment
Other
None

Citizenship (choose one):
U.S. Citizen

Permanent Resident

Other non-U.S. Citizen

Number of years of full-time teaching experience:
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Number of years teaching at the college level:
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Current position:
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Discipline:

or Other discipline:
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Will you teach next fall at an institution that serves a large number of minority students?:
Yes

No

Which of the following best describes the department or program in which you will teach next fall:
Two year college (Associate is the highest degree)

Private four-year primarily undergraduate (BS or BA is the highest degree)

Public four-year primarily undergraduate (BS or BA is the highest degree)

Masters granting (MS is the highest degree)

Doctoral granting (PhD is the highest degree)

How did you learn about this workshop?
e-mail announcement

mailed brochure

browsing the Internet

link from the Cutting Edge web site

word of mouth

other

If there is other information relevant to your application, please let us know here:
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AccommodationsDo you have a disability, food allergy, or preference that requires accomodation at the workshop? If so please describe:
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Research Release

I have read the Description of the Research Project and Implications for Participation (opens in a new window) or it was read to me. I know the possible risks and benefits. I know that being in this study is voluntary. I choose to be in this study. I know that I can withdraw at any time. I am at least 18 years of age and voluntarily grant permission for the described release and use of notes and comments regarding me in the workshop.

Please select one of the following choices to indicate your level of desired participation in the study:

I consent to participate in ALL aspects of this study. My pre-workshop information, all workshop information, and follow-on workshop information can be used in this study, and I agree to participate in a follow-up interview in approximately 2-6 months which will be audio taped. Video, still images, and audio collected at the workshop may also be used in the research project.

I consent to participate in some, but not all, aspects of this study. Please discuss with us the aspects in which you do NOT consent to participate.

Workshop Product Release

In confirming my registration for this workshop, I agree that any audio recording or images (still or video) made of me during the workshop may be used on the project website, in printed project publications, and in materials developed by the project. I further agree that my contributions to creative works that emerge from workshop activities (e.g., discussions on the listserv, contributions to the web page, summaries of group discussion, etc.) may be used by the workshop series, PIs, and conveners for development of future workshop materials, for scholarly reports, and for promotion of the workshop series. Attribution for original contributions will be made whenever possible.

I also accept responsibility to cover any costs incurred should I withdraw from participation in the workshop after June 1, 2008. I understand that arrangements have been made on my behalf that have associated real costs (e.g. logistics, materials), and in many cases, my early confirmation has secured a place that has been denied to other interested colleagues. Exceptions will only be made in cases of extreme personal hardship.

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