Geoscience in Two-year Colleges > Supporting and Advancing Geoscience Education in Two-Year Colleges > Workforce Development > ASLO 2013 Workforce Workshop > Registration

Workshop Registration

Registration deadline: February 10, 2013

Complete the following form and click on SUBMIT to confirm your registration. 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.

For additional information, contact Allison Beauregard (beaurega@nwfsc.edu) or Jan Hodder (jhodder@uoregon.edu).

Contact InformationFirst Name:

Last Name:

Institution:

Email Address:

Confirm Email Address:

(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 SetPlease list what you see as challenges of supporting preparation of 2YC students for the geoscience careers, especially those associated with the ocean sciences.

From your perspective, what is one important program, strategy, or resource that would improve the preparation of 2YC students for ocean science degrees and careers?

Describe an activity, program, or resource that you would like to develop that would improve the career preparation of your students.

If you have developed a resource or activity or initiated a program that relates to the themes of the workshop, please describe it.

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:

Number of years teaching at the college level:

Current position:

Discipline:

or Other discipline:

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?

Workshop Product ReleaseIn 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 email list, 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.

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