Plant Science Institute Participant Application Question Title * 1. What is your last name? Question Title * 2. What is your first name? Question Title * 3. What is the name of your school? Question Title * 4. What grade level will you teach in 2017-2018? Question Title * 5. What is your current teacher certification/endorsement and certification status? Question Title * 6. About how many students do you expect to teach science to during the 2017-2018 school year? Less than 25. Between 25 and 50. Between 50 and 75. Between 75 and 100. Over 100. Question Title * 7. Are there colleagues from your school who are also applying to participate in the Plant Science Institute? Yes No Uncertain Question Title * 8. About how much time do you spend teaching plant-related standards? 1 week 2 weeks 3 weeks More than 3 weeks Question Title * 9. How confident are you in your current plant-related instructional practices? Very Somewhat Not At All Question Title * 10. How confident are you in your current genetics-related teaching practices? Not Very Confident Somewhat Confident Highly Confident Question Title * 11. Please rate your comfort with activities you currently use to make plant processes clear to students. Very Comfortable Somewhat Comfortable Not Very Comfortable Not Comfortable At All Very Comfortable Somewhat Comfortable Not Very Comfortable Not Comfortable At All Question Title * 12. Participation in the Plant Science Institute is dependent upon your attendance during two week long summer sessions (June 19-23, 2017 and June 18-22, 2018) as well as two Saturday events during the 2017-2018 school year (October 21, 2017 and February 3, 2018). If selected for participation, can you commit to attendance on ALL these dates? Yes No Question Title * 13. Participation in the Plant Science Institute will require you to have the support of your building principal (in a letter). Have you spoken to your principal about your potential involvement in the Plant Science Institute and your need for a letter of support from him/her? Yes No Question Title * 14. The Plant Science Institute funding agency requires that we collect certain forms of data from participating teachers. This includes classroom observations of you teaching science, content assessments, and attitude/belief data. If selected for the Plant Science Institute will you commit to completing the required pre- and post-data collection? Yes No Question Title * 15. Why should you be selected to participate in the Plant Science Institute? Question Title * 16. In the event that you are accepted in the Plant Science Institute, please provide an email address and phone number for us to contact you. Done