Astronomy Across the Science Curriculum:

Astronomy Across the Science Curriculum: A Workshop for Science Teachers, A Cooperative Venture Between Montgomery College at Takoma Park and the University of Maryland at College Park July 6 through July24, 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?

Anything else that might make you a good candiate for this workshop. Please brag about yourself.