Skip to Main Content
Skip to Navigation
Your Account
EarthLabs for Educators
>
Partners
>
Climate
>
Teacher Application
Partner Application for Climate Earthlabs
Please fill out the following form.
Personal Information:
First Name:
Last Name:
Street Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Home Phone:
Cell Phone:
Home Email:
Completion of the questions about gender and race is helpful for reporting statistics to our funders, but is voluntary.
Gender:
female
male
Race:
African American
Asian
Caucasian
Latino/Hispanic
Other
If Other, please describe:
Professional Preparation:
Undergraduate Degree Major(s):
Graduate Degree Major(s):
Technology Access:
Do you have an Internet-connected computer available for your personal use?
Yes, at home.
Yes, in my classroom.
Information about the school where you expect to teach during the 2015-2016 School Year:
School Name:
School Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
School Phone:
Fax:
Your Email at School:
School Principal's Name:
School Principal's Email:
School Science Coordinator's Name:
School Science Coordinator's Email:
Number of years you have been teaching.
Teaching Information (2015-2016 school year):
Subject(s):
Earth Science
Environmental Science
Please list other subjects here:
Grade(s) you will be teaching:
Anticipated number of students you will be teaching (total):
Months or time of year you anticipate using the module in your classroom this fall (Best guess is fine, but must be completed by May 15, 2016):
Note:
Part of the Earthlabs project involves collecting data from students to help evaluate the efficacy of the curriculum modules. Use of this data by project researchers requires the prior permission of participating students' parents or guardians, the school principal, and frequently someone from the District's Administrative Office.
Other info:
Use the box below for any other information you'd like to include with your application.
Name
Email
EarthLabs for Educators
Climate Series Intro
Climate and the Cryosphere
Climate and the Biosphere
Climate and the Carbon Cycle
Climate Detectives
Corals
Drought
Earth System Science
Fisheries
Hurricanes
Climate
Teacher Application
EarthLabs for Students