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Name:
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Home Address:
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City:
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Zip Code:
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Home Phone:
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Email:
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Employer:
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Position:
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Title:
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Work Address:
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City:
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State |
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Zip Code:
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Work Phone:
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Do you prefer to be called at home or work? |
Home
Work
Either
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Do you have a particular teacher that you would like to work with? (If
not, we will partner you with someone.) |
Yes
No
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If yes, what is the teacher's name:
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Teacher's School:
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School Town:
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1. Briefly describe your background, experiences and areas of expertise
and/or interest in astronomy |
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2. Describe any experiences you have had working in schools or explaining
astronomy to groups of students or to the public, or outreach experience
in general. |
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3. Please list any astronomy organizations with which you are affiliated |
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| 4. What grade levels would you prefer to work
with? |
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| 5. We ask that astronomers make at least four visits to
their partner’s school / community center during the year. If a teacher
has more than one class of students, we ask you to visit 2 classes (in
the same visit), but you may opt to do more if you wish. |
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Please indicate times that you are
available for visits, and any particular restrictions in your schedule. |
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6. What town/area(s) would you like to work in? |
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| 7. Some school systems require CORI (criminal background
checks) or TB tests for volunteers. Do you agree to such tests if they
are requested? (they will be available at no charge to you.) |
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8. Would you like to work with a community-based organization, such
as Boy or Girl Scouts?
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9. If you chose "Yes, but I prefer a school" or "possibly," please
provide details: |
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| Your commitment to Project ASTRO includes
attending a two-day orientation workshop in the summer and at least 2 of
3 follow-up
workshops on Saturdays during the school year (though you are welcome and
encouraged to attend all 3). These workshops train you and your partner
to work together using inquiry-based hands-on activities to solve scientific
problems. They also serve to teach scientists about the education process
and they give teachers enough scientific background to be able to choose
appropriate activities for their classrooms. |
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10. Are you able to attend both days,
Thursday and Friday, June 22 and 23? (if no, please specify which day you
plan to attend) |
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| 11. How
did you hear about Project ASTRO BOSTON? |
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