FINESSE
Faculty Institutes for NASA Earth and Space Science Education

Sponsored by
NASA's Science Mission Directorate

ELECTRONIC APPLICATION FORM

Review of applications will begin September 30, 2008,
with notifications regarding applications by October 7.
Applications received after September 30th will be reviewed on a space available basis.

Please select which faculty institute you are applying to attend:
	FINESSE at AAS, January 3-4, 2009, Long Beach, CA
	FINESSE at ASTE, January 6-7, 2009, Hartford, CT
	FINESSE at NACCTEP, March 12-13, 2009, Reno, NV

First Name:

Last Name:

Please Enter Your Work Address:

Department:

Institution(s):

Address(1):

Address(2):

City:

* State: * Zip:

Country:

Work Telephone:

Work E-mail:

Re-confirm Work E-mail:

Subjects (course names) you are currently teaching or anticipate teaching, and course level (introductory, upper division, etc.):

Estimated demographics of your institution (note that this information will be combined with that of other participants and used only for reporting purposes):

Total number of pre-service teachers you teach each year
Estimated number of pre-service teachers in your school

Please estimate the student diversity in your college:

% Hispanic	% African American	% Caucasian	% American Indian	% Asian	% Other

How would you classify your community?

Rural Urban Suburban

Public Private

How would you classify the community income level?

upper upper-middle middle lower-middle lower

What specific Earth and space science topics do you currently cover in your classroom?

How will you use the outcomes from this Institute to enhance your classroom teaching? Be as specific as possible.

What are your primary goals in attending this Institute?

One of the objectives of the Institutes is to build partnerships and collaborations between departments and institutions. Do you have thoughts on meeting this objective? If you have potential partners applying to attend this Institute, please list them here.

Additional Comments:

* indicates required field.
If you see an error message, please correct and resubmit.

For further information, contact:
Christine Shupla
Lunar and Planetary Institute
3600 Bay Area Boulevard
Houston, TX 77058
281-486-2135
shupla@lpi.usra.edu

FINESSE Faculty Institutes for NASA Earth and Space Science Education

Sponsored by NASA's Science Mission Directorate ELECTRONIC APPLICATION FORM

Review of applications will begin September 30, 2008, with notifications regarding applications by October 7. Applications received after September 30th will be reviewed on a space available basis.

FINESSE
Faculty Institutes for NASA Earth and Space Science Education

Sponsored by
NASA's Science Mission Directorate

ELECTRONIC APPLICATION FORM

Review of applications will begin September 30, 2008,
with notifications regarding applications by October 7.
Applications received after September 30th will be reviewed on a space available basis.