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Project ASTRO™ Astronomer Application

The 2014 Project ASTRO training workshop will take place July 31-August 1, 2015. (Friday and Saturday). Participating teachers and astronomers are required to attend.

Complete the form online and send in by June 1, 2015.

If you have any questions call 415-715-1426, or e-mail bayareaastro {at} astrosociety.org

Personal Information

Name:

Address:

City:

State:

Zip:

Home Phone:

E-mail:

Ethnicity (optional):

Professional Information

Employer:

Your position:

Full-time or part-time?

City:

State:

Zip:

Phone:

E-mail:

Best way to contact you:

home email
work email
home phone
work phone
other

Astronomer Background - Help us make a good match!

Please briefly describe your educational background.

Please briefly describe your background and your experiences in astronomy (if different).

Experiences with Youth

Describe experiences you have working with schools or explaining astronomy to students and/or the public.

Please list any other experience you have working with children.

What grade level(s) do you prefer to work with (check all that apply)

3
4
5
6
7
8
9
no preference

Would you be interested in working with a community-based organization (e.g. Boys' and Girls' Club) or after-school program?

yes
no

Astronomer Interests and Affiliations

Why are you interested in working with Project ASTRO?

Please list astronomy organizations you are affiliated with and how long you have been involved.

How can any of the organizations mentioned above contribute to your participation in the project?
(e.g. Will your club put on a star party at your partner school?)

What topics or areas of astronomy are of particular interest to you?

Commitment

We ask that astronomers make at least 4 visits to their partner school or community organization, plus one planning/observation visit. Most visits will be during the school day. Please indicate times/days you are available:

Time

Day

morning (8am-noon)

M

T

W

Th

F

afternoon (noon-2pm)

M

T

W

Th

F

after school (2pm-6pm)

M

T

W

Th

F

evenings

M

T

W

Th

F

weekends

Sat

 

Sun

 

 

Preferred Location

We will make every effort to place you at a school that is convenient for you. Would you prefer to volunteer near to:

your home: list possible areas

your work: list possible areas

either work or home

How far are you willing to travel?

miles from work
miles from home

How did you hear about Project ASTRO?

IMPORTANT: Some school districts require fingerprinting or a criminal background check for all non-parent volunteers. Are you willing to comply with your partner’s school policy for screening volunteers?

yes
no

Is there any reason you would not pass a screen?

yes
no

By checking the box, I certify that the above information is true and that I am able and willing to make the commitment of time and energy described above to Project ASTRO.