Ecological Society of America

NEON Workshop > Application Form

FACULTY DEVELOPMENT OPPORTUNITY
CONTINENTAL-SCALE DATA IN UNDERGRADUATE EDUCATION
October 2-4, 2008

ALL INFORMATION REQUESTED IS REQUIRED.

General Information

Full Name


Last Name	First Name

Gender:

Male Female

Date of Birth (MM/DD/Year):

Notification Address:

City:

State:

Zipcode:

Phone No:

Alternate Phone:

Notification Email Address:

(name@domain.edu)

Alternate Email (Option):

(name@domain.edu)

Permanent Address:

City:

State:

Zipcode:

Permanent Phone No:

Race/Ethnicity:
(select all that applies)

American Indian or Alaska Native,

Tribal Affiliation:

Asian Black or African American Native Hawaiian or Other Pacific Islander
White Hispanic or Latino/a Other

Do you teach at an accredited institution in the continental U.S., Alaska, or Hawaii?

Yes No

Job title/academic rank:

Institution:

Department:

Institution Type:
(check all that apply)

small undergraduate institution
tribal college
historically black college or university
other minority-serving institution (please specify)

I expect to be teaching at the same institution during the 2008-09 academic year. Yes No

If No, please indicate 2008-09 teaching institution

Research and Teaching Interests and Experience

Briefly describe your area(s) of ecological expertise and research (150 words).

Describe your interest and experience in using innovative methods to teach ecology (200 words). Please mention specific methods used (i.e. turn-to-your-neighbor).

Describe your interest and experience in using raw data in the classroom (200 words).

Describe your experience mentoring undergraduate students conducting independent research (200 words).

Describe why you are interested in participating in this workshop. What do you hope to learn and how do you hope to apply it in classes that you teach? (300 words)

Resume/Curriculum Vitae

Resume/Curriculum Vitae: Please upload your resume/curriculum vitae on the next page during preview to complete the process. We will accept CVs up to 2 pages long. Please edit down longer files. For the CV file name, please use your first initial and last name. Example: JRiem.doc for Jennifer Riem.

Certification of availability to participate in workshop events.

I will be available on August 19, 2008 from 2-4 PM (EDT) to participate in the first preparatory webinar.

I will be available on October 2-4, 2008 to participate in the 3-day workshop.

I will be available to participate in the second preparatory webinar on (choose one)

September 18, 2008 from 2-4 PM (EDT)
September 24, 2008, from 2-4 PM (EDT)

Certification of accuracy: I have read and checked this form for omissions and errors. To the best of my knowledge, the information is complete and correct. Yes