Application
Team Application _____ Individual Application _____
(Science, math, and language arts teachers are encouraged to participate as members of a team)
Name of Team Members:
Team Contact person: ____________________________________
______________________________________
______________________________________
______________________________________
______________________________________
School Name and Address:
_______________________________________
_______________________________________
_______________________________________
School phone:
Contact person e-mail address (where you prefer to receive your email):
Current teaching assignment for each team member (grade and subject):
Home address and phone:
Team Member 1 Team Member 2
_________________________________ _____________________________
__________________________________ _____________________________
Team Member 3 Team Member 4
__________________________________ _____________________________
__________________________________ _____________________________
Please characterize the diversity of your student body:
Does your school teach environmental science as a part of the science
curriculum? If so, through what courses?
Describe the computer facilities to which your class has access.
Name other teacher institutes and inservice programs that you have attended:
Please also attach a letter of support from your principal or superintendent
and a one page letter explaining why you or your team want to participate
in this program. The principal's letter must include the following statement:
"We agree to provide $200/$400 per team for classroom resources plus release
days as follows: one in spring 1999 (April 30), one in fall 1999, one for
the HASTI convention 2000, and one in late spring 2000."
Checklist: A complete application includes:
Return all forms to Jim McDonald, Department of Curriculum and Instruction, 1442 LAEB, Purdue University, West Lafayette, IN 47907-1442. Applications received by March 1, 1999 will be given preference.