Application

Application Deadline: May 20, 2022

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

Primary Email
* required
Confirm Primary 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, so it needs to work over the summer.

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 September 30-October 3, 2022 * required

Yes
No

I agree to attend the Share-a-thon in Anchorage, Saturday March 25, 2023 (travel provided for those who need it) * required

Yes
No

Interested in lodging (if available) for the nights of: (check all that apply)
Thursday, September 29
Friday, September 30
Saturday, October 1
Sunday, October 2

Please share any accommodations that will better enable your full participation in the short course. Please also inform us of any dietary restrictions or preferences (optional):

If you have any colleagues whom you think would be interested in attending the workshop, please let us know their name, institution, and email address(es).

Comments or concerns (optional):

ConfirmationBy submitting my application, I confirm that I have read and will adhere to the following:

The ANGLE COVID19 Policy (Opens in new window) - including being able to show proof of "up-to-date" COVID19 vaccination or medical exemption. I realize that COVID19 Policies could continue to evolve if conditions and local/national protocols change.
The National Association of Geoscience Teachers (NAGT) Code of Conduct (Opens in new window).

I agree to adhere to the ANGLE COVID19 Policy.

* required

I agree to adhere to the NAGT Code of Conduct.

* required

Name Email