Concord Field Station Professional Development program: Engaging teachers in ecology-‐based investigations August 17 – 18, 2015 Application procedure_______________________________________________ ♦ ____ ________ A complete application package will include the following: o o Signed application form Statement addressing application questions For more information contact: Tara Bennett Bristow ([email protected]) Program Manager, Life Sciences Outreach at Harvard University, FAS ♦ E-mail your completed application to: Tara Bennett Bristow at: [email protected] Check to make sure your responses have been saved in the PDF form before sending Application Questions_______________________________________________________ ______ 1. Describe the courses you currently teach and your experiences in teaching biology and ecology 2. Within the context of your classes, what computer resources are available to your students? 3. Within the context of your classes, what laboratory technology resources are available to your students? 4. Are your classes using a 1:1 iPad platform? 5. Do you currently address ecology through laboratory or field investigations with your students? 6. Do you have flexibility to implement new standards-based ecology investigations with your classes? 7. Describe your experiences working with Citizen Science programs, if any. 8. How can your school benefit from a relationship with Harvard University and the Concord Field Station through our program? What might be the tangible results of such a relationship? Deadline_________________________________________________________________ _ ___ Completed applications must be received by May 1, 2015 PDPs_______________ ____________________________________________ ____ ____ PDPs: Teachers will receive 10 PDPs upon completion of the summer program. Location______________ ____________________________________________ This program will take place at the Concord Field Station, 100 Old Causeway Rd., Bedford, MA 01730 http://www.oeb.harvard.edu/cfs/ ________ TEACHER APPLICATION FORM __________________________ __ _ INSTRUCTIONS ♦ ♦ Please read the instructions for this form carefully before completing it. In addition to this form, please attach the a short statement, no more than one page, addressing the above application questions If you have any questions, please contact the Program Manager for Life Sciences Outreach Program, Tara Bennett Bristow ([email protected]). BIOGRAPHICAL INFORMATION_______________________________________________ Last Name: First Name: Cell phone: School telephone: ____ Middle Initial: Email Address: Home Address: School Address: School Name: Optional: Race: Asian Type of school: Black Public Caucasian Private Hispanic Charter Native Other Ethnicity: Parochial ACADEMIC RELATED INFORMATION__________________________________ _______ _ Please list all Life Sciences Courses you are teaching Course: AGREEMENT AND SIGNATURE__ Level: _____________________________________ ____ “The information I have given in this application is true and correct as indicated on this application and I understand that if I am accepted into the Concord Field Station professional development program, I am expected to attend both days of the summer workshop..” Applicant signature Date
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