Teacher/School Information Teacher Name School Name School Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code County School District School Phone Personal Phone Email Address How did you hear about the explorology in motion program at the museum? ---Sam Noble Museum WebsiteSam Noble Museum EmailSam Noble Museum Printed CalendarSocial MediaThursday FolderMagazine AdMagazine ArticleNewspaper AdNewspaper ArticleRadioPreviously attendedWhile At Museum: Event or ProgramA FlierBooth at Outreach EventEducation Colleague or Professional DevelopmentTV How many students attend your school? How many students are in the grade level(s) you teach? What percentage of students at your school receive free/reduced lunch? Degree(s) held and Major(s) Subjects Taught Grade Level(s) Taught Years of Teaching Experience Teaching Certification(s) Food and Lodging We will provide all Science Institute participants with housing near the University of Oklahoma campus. You are encouraged to stay in this housing during the workshop (or guarantee your availability during the ENTIRE workshop). We expect no late arrivals or early departures. We will also provide breakfast, lunch and snacks during the workshop. Do you have any special housing or food needs? YesNo If yes, please identify your special needs Expectations I understand that I am expected to attend ALL parts of the workshop. I also understand that I will be expected to complete an evaluation and additional distance learning professional development during the fall 2018 and spring 2019. I understand and agree with the above statement. Application Questions Please provide short answers to the following questions Why are you, personally, interested in participating in Science Institute? This program focuses on science and using the outdoors. What types of things do you like to do outdoors and in nature? Define science in your own words and tell why you like science. Describe something that makes you different from other applicants for this program. Does your school have a science club or other extra-curricular science opportunities? If so, please describe. Are you involved in these opportunities? Please give approximately a one-page response answering the following question: Why do you think you and your students will benefit from Science Institute? Résumé Please attach a copy of your résumé.