SMAPSIT Application
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Participant Information
*
1
. Please provide your contact information:
Please provide your contact information:
Full Name: (First, MI, Last Name)
Institution:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
Phone Number:
2
. Institution Leadership: We recommend getting support from your school's leadership. Please name your Principal, Dean, or President who is supporting your efforts in bringing solar topics to your school.
Institution Leadership: We recommend getting support from your school's leadership. Please name your Principal, Dean, or President who is supporting your efforts in bringing solar topics to your school.
Name:
Position (i.e. Principal, Dean, President):
E-Mail:
3
. What is your teaching position?
What is your teaching position?
4
. Number of years teaching at the institution/company:
Number of years teaching at the institution/company:
5
. What is your teaching Status?
What is your teaching Status?
Full-time
Part-time
*
6
. Do you agree to the following required tasks as a participant of the Solar Instructor Series program?
Yes
No
Administer/integrate photovoltaic curriculum at your institution
*
Do you agree to the following required tasks as a participant of the Solar Instructor Series program? Administer/integrate photovoltaic curriculum at your institution Yes
Administer/integrate photovoltaic curriculum at your institution No
Become a leader in solar education programs in your community/industry
Become a leader in solar education programs in your community/industry Yes
Become a leader in solar education programs in your community/industry No
Provide updated
metrics
on class and student progress
Provide updated
metrics
on class and student progress Yes
Provide updated
metrics
on class and student progress No
Be responsive to information requests
Be responsive to information requests Yes
Be responsive to information requests No
Take & pass the NABCEP test (Those taking the weeklong REPV)
Take & pass the NABCEP test (Those taking the weeklong REPV) Yes
Take & pass the NABCEP test (Those taking the weeklong REPV) No
Pass all quizzes and submit assignments and projects required to complete the course.
Pass all quizzes and submit assignments and projects required to complete the course. Yes
Pass all quizzes and submit assignments and projects required to complete the course. No
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