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Project ASTRO™ Teacher Application

The 2015 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):

Best way to contact you:

home email
work email
home phone
work phone
other

School/Organization Information

Name:

Address:

City:

State:

Zip:

Phone:

E-mail:

School Demographics (you must complete this section to be eligible)

School type:

public
private
after-school
rural
suburban
urban

Estimated percentage of students who will be in your class who are:

receiving free lunch
minority members
females

Describe the type and amount of science resources available at your school:

Teacher Background - Help us make a good match!

Please briefly describe your educational background, including any science-related studies.

Relevant teaching experiences: Please include professional development activities, curriculum development, in-service activities, and collaborative projects.

Grades and subjects you will be teaching next year.

Years of teaching experience:

What language(s) do you speak?

Astronomy-related Experience

Have you taught astronomy before?

yes
no

If so, for how long?

Please list any other astronomy or science activities in which you are involved.

When during the year do you plan to teach astronomy (approximate months)?

How would you rate your astronomy knowledge?

Limited

1

2

3

4

5

6

Extensive

Working with Project ASTRO

Why are you interested in working with Project ASTRO?

How will you include astronomy in your curriculum in 2015-16?

as a unit
integrated during the year
both
other

Do you have flexibility to teach astronomy at any time during the year?

yes
no

If no, please explain:

Have you had experience with classroom volunteers?

yes
no

If yes, please explain:

How did you hear about Project ASTRO?

I agree to attend the July/August two-day workshop and understand that if I am unable to attend, I will not be eligible to participate in Project ASTRO. Astronomers and teachers are required to commit to at least 4 classroom visits per academic year. By checking the box above, I certify that the above statements are true, and that I am able and willing to accommodate such visits during the 2015-2016 academic year.

IMPORTANT: Administrator support leads to more successful partnerships. Please have the appropriate administrator in your school or district, or Executive Director, certify support for your participation in Project ASTRO by completing and signing the administrator support form. Unsigned applications will not be accepted.