Early Earth Workshop Registration

Registration deadline is March 23, 2007

For further information, contact Cathy Manduca at cmanduca@carleton.edu
Please download the following medical and emergency information form, complete it, and bring it with you to the workshop in a sealed envelope. Medical Emergency Information Form (opens in a new window)

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

We'd 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.
Full Name:

Name of Institution:

First Name for Badge:

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.)

Cell Phone Number (This information is only used to contact you if there are issues that arise during your transit to or from the workshop.)

Key Questions and ResourcesPlease state a question about the Early earth that is central to your teaching and about which you would like to see development of additional resources supporting your teaching and students learning. For example: What do we know about the origin of life on Earth? or How are we using atmospheric models to understand the evolution of the atmosphere? For more guidance, see instructions and example questions. (opens in a new window)

Please answer your question with one or two paragraphs including a description of alternative hypotheses under consideration. This answer should reflect your current state of knowledge and need not be complete. Do not revise your question to make it possible for you to answer it. The questions and answers will guide the speakers in developing their presentations and provide the foundation for work at the workshop on web-resources illuminating key questions about the Early Earth.

If you have identified references, data sets, or websites that assist you in teaching about this question, please provide the 3-5 you find most valuable.

We will be working on creating and reviewing activities for teaching about key questions at the workshop. If you have an activity or an idea for an activity that you would like to have incorporated in these discussions, please fill out the Contribute an Activity Form (opens in a new window)

Travel InformationThe workshop will begin at 4:00 p.m. on Thursday, April 12th with a reception and dinner. Please make your plans so that you will be able to attend this opening session. We will conclude after dinner on Saturday, April 14th. It is essential that you attend the full workshop including the full day on Saturday.

It will be most convenient for air travelers to fly into the Harford Connecticut's Bradley (BDL) airport. It will take approximately 1 hour to travel from the Bradley airport to Amherst by ground transportation. Flights in to Bradley should arrive by 2:30 p.m. on April 12th.

Alternatively air travelers can fly into Boston Logan (BOS) airport. It will take approximately 2 hours to travel from the Logan airport to Amherst by ground transportation. Flights into Logan should arrive by 1:30 p.m. on April 12th.

Return flights can be scheduled anytime on April 15th.
Travel Method:

I will be traveling by car.
I will be traveling by air.
I will be traveling by train.

Incoming Flight InformationAirport

Date

Airline

Flight Number

Time of Arrival

Outgoing Flight InformationAirport

Date

Airline

Flight Number

Time of Departure

I will be renting a car (at my own expense).

Do you have a disability, food allergy, or preference that requires accommodation at the workshop?If so please describe:

Do you anticipate difficulty walking moderate distances on campus?

Yes
No

Research ReleaseI 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 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 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 March 23, 2007. 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.
Name Email