Exit this survey 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: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming 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 Next