Biotechnology Summer Teachers Institute Application

Personal Information

First Name: *

Last Name: *

Middle Initial:

Are you a United States citizen?: *

Yes

Mailing Address: *

City: *

State: *

Email: *

Phone Number: *

School Information

School Name: *

At what level do you teach?: *

Elementary School (K-5)

Middle or High School

Elementary Teacher Information

What grade do you teach?: *

To select multiple options, hold down the CTRL key.

Do you teach science?: *

Yes

Describe the microscopy/magnification content (if any) that you have used/included in your instruction: *

What microscope/magnification equipment (if any) do you have available at your school that can be used for instruction?: *

What types of skills would you like to learn about or what specimens would you like to see if you participate in this program?: *

Would you like to have an HCC representative visit your classroom to present or co-teach an activity on microscopy or magnification this Spring?: *

Yes

Essay question 1: What would you like to get out of this workshop?
Essay question 2: How would you use magnification and microscope skills in the classroom to enhance your science lessons?
Essay question 3: How would you share the information you learned in this workshop with other teachers at your school?

Middle/High School Teacher Information

List the Science Courses you teach: *

List the microscopy content (including lab techniques) that you have used or included in your classes: *

What equipment do you have available at your school that can be used for microscopy?: *

Essay Questions: Please answer the following essay questions below in a single document, clearly label each response with the corresponding question number and attach it using the prompt below. Acceptable document formats are .doc, .docx, .pdf, .rtf, and .txt. If you are a returning teacher, skip questions 1 and 2 and answer question 3. Question 3 is for returning teachers only.

Essay question 1:How do you plan to integrate the information you learn in the Biotechnology Summer Workshop into your classroom? What are you looking forward to learning about most during the Institute?
Essay question 2: Microscopy is a tool in the field of biotechnology. What type background/basic understanding of microscopy would you advise your high school students to prepare them for a career in biotechnology?
Essay question 3 (returning teachers only): If you are a returning teacher, how have you used your experience in previous institute(s) in your classroom?

Attach Essays: *

If selected for this Summer Institute, are you planning to take the course: *

	Yes	No
For graduate credits at Frostburg State University*?
For Maryland State Department of Education credit (if available)?
For West Virginia credit?

*Note: If you plan to earn credit from FSU, you will need to register before the Institute begins. Contact 240-527-2741 for more information.

Signature: *

I hereby certify that to my knowledge the information on this application is complete and accurate.