Application

Contact InformationFirst Name:

Last Name:

Institution:

Department:

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. Please double-check that you have typed it correctly.)

Question SetWhat are you hoping to gain from participating in this workshop?

What experience do you have, if any, collecting GPR, seismic refraction, or electrical resistivity data?

What experience do you have, if any, teaching with GPR, seismic refraction, or electrical resistivity data?

In what course or courses do you envision using IGUaNA curricular materials?

If there is other information relevant to your application, please let us know here:

Institution type

The workshop size is limited. Participants will be selected with the goal of assembling a group representing a wide range of experiences and educational environments. Priority will be given to those who teach at MSIs or 2YCs and to individuals who belong to groups that have been historically marginalized in STEM.

Which of the following best describes the department or program in which you teach:

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)

Is the institution where you teach a Minority Serving Institution?

Yes
No

Demographics

The following questions are OPTIONAL. We collect these data for our reports to the National Science Foundation, which funds this project. The information will be reported only in aggregate. You are welcome to skip any of these questions if you prefer not to answer them.

Gender Identity:
If you prefer to describe, please type here:

Ethnicity (choose one):

Hispanic or Latino
Not Hispanic or Latino
I prefer not to answer

Race (select one or more, or leave all boxes blank if you prefer not to answer):
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Disability status (select one or more, or leave all boxes blank if you prefer not to answer):
Hearing Impairment
Mobility/Orthopedic Impairment
Visual Impairment
Other
None