FINESSE
Faculty Institutes for NASA Earth and Space Science Education

Sponsored by
NASA's Science Mission Directorate

ELECTRONIC APPLICATION FORM

All university and community college faculty who prepare future teachers in science are welcome; this includes graduate students, faculty in science departments, education faculty, and more.
All applications will be reviewed on a space available basis.

Please select which faculty institute you are applying to attend:
	FINESSE at ASTE, January 12-13, 2010, Sacramento, CA
	FINESSE at NACCTEP, March 25-26, 2010, Baltimore, MD

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.

The themes of the 2010 institutes will be using Earth and Space Science data in inquiry, with a focus on climate change. 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. Please list the names of other faculty (if any) attending this Institute, with whom you plan to collaborate.

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

All university and community college faculty who prepare future teachers in science are welcome; this includes graduate students, faculty in science departments, education faculty, and more. All applications 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

All university and community college faculty who prepare future teachers in science are welcome; this includes graduate students, faculty in science departments, education faculty, and more.
All applications will be reviewed on a space available basis.