2023-24 ScienceLIVE WPMS Teacher Sign Up Form

Instructions - please read carefully

ScienceLIVE Components for the 2023-24 school year:

We will be visiting classrooms in-person this year!
At least two practicing UMass Chan scientists will be present for each of your class periods.
We will bring the materials for a fun, hands-on experiment for each of your students.
All of this is FREE!

We know that most of you teach multiple sections of the same grade- and that you would like this experience for all of your students. We can do that! Our hope is that we can schedule all classes for one teacher in the same day, and come back to work with another teacher's students a different day.

For your 7th grade classes, we are offering The Building Blocks of Life (exploring cell and molecular biology).

In this module, your students will revisit the concepts: the characteristics of all living things, cells as the basic units of life, and the role of DNA, with our scientists. They will be engaged in the steps of the scientific process as they are guided in a hands-on DNA extraction. Students will then compare the extracted DNA from different foods.

For your 8th grade classes, we are offering Doctor's Orders: Finish Your Antibiotics (exploring microbiology).

In this module, your students will be introduced to the world of microorganisms with our scientists! They will do a hands-on modeling experiment to see how mutations affect traits of a pathogenic “strain of bacteria” and the importance of following the directions for an antibiotic prescription

Please contact us at sciencelive@umassmed.edu if you have any questions.

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* 1. Please fill out your contact information, including your school, school address, and a cell phone number, should we need to reach you urgently.

Name

School name

School Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Cell Phone Number

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* 2. Please provide any parking instructions for our volunteers (if any).

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* 3. Please share the following pertinent information for your classes:

How many grade 7 class sections would you like us to visit?

In total, how many grade 7 students? (This number will be the total number of DNA extraction kits we bring.)

Please list the bell schedule (start and end times) for EACH ONE of your 7th grade classes.

How many grade 8 class sections would you like us to visit?

In total, how many grade 8 students? (This number will be the total number of Dr.'s Orders kits we bring.)

Please list the bell schedule (start and end times) for EACH ONE of your 8th grade classes.

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* 4. Date options for classroom visits will be 11/1/23- 5/31/24. Please indicate your top 3 dates you would like us to visit.

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* 5. Every effort will be made to schedule all of your classroom visits for the same day. However, if we need to schedule your 7th grade classes on one day and the 8th grade classes on another, please list two more option dates for classroom visits.

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* 6. Overall, how would you describe your students' level of excitement towards science during your regular class periods?

Not at all excited

Slightly excited

Somewhat excited

Very excited

Always excited

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* 7. Overall, how curious do you perceive your students to be towards science during regular class periods?

Not at all curious

Slightly curious

Somewhat curious

Very curious

Always curious