Astronomy Across the Science Curriculum:

Astronomy Across the Science Curriculum: A Workshop for District of Columbia Science Teachers at Southeastern University August 3 through August 21, 1998 Application:

1. Name:

2. Home address:

3. Home phone:

4. School:

5. School Address

6. School phone:

7. Number of years teaching experience?

8. Number of years science teaching experience?

9. Highest degree attained?

10. Major concentration in college?

11. Minor Concentration in college?

12. Please list the science courses and grade level of each class that you are teaching this year?

13. Do you have a personal computer at home?

14. Do you have a modem and Internet connection at home?

15. Do you have an Internet connection at school?

16. What is your email address?

17. Can you surf the world wide web from home?

18. Can you surf the world wide web from school?
List anything else that you think makes you a good candidate for this workshop.