Earth Camp Earth Camp

Application Form - Earth Camp 2013 for Educators

Your name:
Your home mailing address:
Home phone number:
Cell phone number:
The name of your school:
Your school address:
Your school phone number:
Your school email address:
Which email address would you like us to use for correspondence?
In my school, the percent of students eligible for free or reduced lunch is: %
What grades do you teach?
What subjects do you teach?
Total years of classroom teaching experience:
Have you written any of your curriculum materials?
Name of principal or supervisor:
Contact for principal or supervisor:
I am interested in, or already run an after-school science or environment club (not required) Yes No

Is there anything that you would like us to know about you in consideration of your application? (200 word limit)

In what ways do you envision that content, activities, and other program elements can be integrated into your classroom? (200 word limit)

I am healthy, energetic, and physically fit enough to enjoy, hiking, exploring and spending a lot of time outdoors doing field work.
Yes No

Please rate your interest in the following topics (not at all interested, somewhat interested, very interested)

Astronomynot at all somewhat very
Earth Sciencenot at all somewhat very
Water Resources Managementnot at all somewhat very
Remote Sensingnot at all somewhat very
Ecologynot at all somewhat very
Climate Changenot at all somewhat very
Sustainabilitynot at all somewhat very

I can attend the all of the required sessions, including
Saturday January 26, 2013 8:30 a.m. - 4 p.m.
Saturday February 16, 2013 8:30 a.m. - 4 p.m.
Saturday March 30, 2013 8:30 a.m. - 4 p.m.
Saturday May 4, 2013 8:30 a.m. - 4 p.m.
Tues (8 a.m.) to Wed (5 p.m.) May 28-29, 2013
Monday to Thursday June 10-13, 2013 8:30p.m. - 4 p.m.
Saturday August 17, 2013 1 p.m. - 4 p.m.
Saturday November 2, 2013 8:30 a.m. - 4 p.m.

Questions? Feel free to call or email Debra Colodner, 520-883-3021 or dcolodner@desertmuseum.org.

Participants number limited to 15.