AstronomyAcross theScience Curriculum: A Workshop forScience Teachers, July 5 through July 23, 1999
Application Form

 
Name:
Home address line1:
Home address line 2:
City 
State 
Zip 
Home Phone: 
School Name:
School address line1:
School address line 2:
City 
State 
Zip 
School Phone: 
School Fax: 
Number of years teaching experience: 
Number of years science teaching experience: 
Highest degree attained: 
Major Concentration in College: 
Minor Concentration in College: 

Please list the science courses and grade levels of the classes that you are teaching this year:


 
Do you have a personal computer at home?
Do you have a modem and Internet connection at home?
Do you have an Internet connection at school?
E-Mail address:
Can you surf the world wide web from home?
Can you surf the world wide web from school?

Any useful comments, please brag on yourself list previous workshops attended, curriculum written and that sorf of stuff:


 

Dr. Harold Alden Williams
Montgomery College
Takoma Avenue and Fenton Street
Takoma Park, Maryland 20912-4197
Phone: 240-567-1463/ fax: 240-567-1550
E-mail: hwilliam@mc.cc.md.us