Advancing Science Member Teacher Profile 2022-23

Course 1

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* 1. Please provide your contact information

First Name

Last Name

School District Name

School Name

Email address for communicating with Advancing Science

Email address for accessing files from Google Drive (if different from above)

Cell Phone

Course Profile 1 - Please complete a course profile for each different type of course that you teach. If you do not know your class schedule or class sizes yet, please wait to complete this form.

If you teach only one grade level/subject area and all of your classes will use the same activity kits, you only need to complete one course profile. If you teach multiple grades or multiple subjects, please complete additional course profiles below.

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* 2. Course 1 Name

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* 3. Is this a full year or semester course?

Full year course

Semester-long course

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* 4. Class Times (You can skip this question if you only plan to request loans)

Start of First Class

End of Last Class

Class Length

Class time schedule (i.e., 8:30-9:15, 10:00-10:45)

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* 5. Choose the statement that best matches how you will submit requests for this course.

I will submit requests for my classes only.

I will submit requests for my grade level and each teacher* will lead their own classes. *All teachers must have attended an AdvSci workshop to be eligible to use AdvSci resources.

I will submit requests for my grade level, but I will lead all of the classes.

My colleague will submit the requests