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SIS Application 2014 (Jan-June)

Participant Information

* 1. Please provide your contact information:

Full Name: (First, MI, Last Name)

Institution:

Address:

Address 2:

City/Town:

State:

ZIP:

Country:

Email Address:

Phone Number:

* 2. Institution Leader(s): 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?

* 4. Number of years teaching at the institution/company:

* 5. 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	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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