2020 Workshop Application - April 17-20, 2020

Application Deadline: February 24, 2020

Application for K-12 Teachers, Park & Museum Interpreters, and Emergency Management and Health & Safety Educators

This workshop is primarily for participants from Mat-Su/Anchorage, Kenai, Kodiak, Southeast, and Aleutians. Educators from other areas should contact EarthScope ANGLE to see if you are eligible to apply.

There are three sections to the application: Basic Information, Background Information, and Registration Information. Please make sure to complete all three sections and select the Submit button at the end.

* indicates a required question.

For questions or further information, contact EarthScope ANGLE.

Basic InformationI am primarily a * required

Classroom Teacher
Interpreter/Guide
Emergency Management or Health/Safety Educator
Other

If other please describe:

First Name
* required
Last Name
* required

Work Email
* required
Confirm Work Email
* required
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.

Secondary Email (optional)

Phone
* required

Mailing Address (which you would like used for stipends or other paperwork)
* required
City
* required
State *required

Zip Code
* required

Background InformationOrganization/School *required

Department

If you are a teacher, what grade level(s) do you teach?

If you are an interpreter or other public educator, what audiences and age ranges do you work with?

Region or site where you educate learners (knowing this accurately will help us target resources to your area)
* required

What is your highest degree earned?

Experience in emergency management or health/safety education (in years)
* required

Experience interpreting (in years)
* required

Experience teaching (in years)
* required

Experience teaching/presenting Earth Science (in years)
* required

List other relevant education, work, or volunteer experience

Please describe the reasons you would like to participate in this workshop * required

What are your plans to incorporate EarthScope ANGLE content into your education program(s)? * required

How might you be able to carry your workshop learning to other educators?

Registration InformationI agree to attend the full four days April 17-20, 2020 * required

Yes
No

I agree to attend the Share-a-thon in Anchorage, Saturday February 6, 2021 * required

Yes
No

Interested in lodging (if available) for the nights of: (check all that apply)
Thursday, April 16
Friday, April 17
Saturday, April 18
Sunday, April 19

Roommate Request (housing if provided will be shared with same-gender participant unless you wish to pay the difference to have a single)

Please describe any other food allergies, preferences, or dietary restrictions that require accommodation at the workshop

Comments or concerns (optional):

Name Email