Research Opportunity for Teachers Seabed Physics/Chemistry/Biology of the Georgia Mid-shelf APPLICATION Please print out form and type or print clearly. RETURN THIS FORM TO:
Skidaway Institute of Oceanography 10 Ocean Science Circle Savannah , GA 31411
Mr./Mrs./Ms./Dr.: Name: __________________________________________ Home Address: _________________________________________________ City, State Zip: __________________________________________________ Home Phone: _____________________ Cell Phone: ___________________ Preferred Email (please print clearly) ________________________________ Work Place: ___________________________________________________ Name of Principal or Supervisor: ____________________________________ Work Address: __________________________________________________ City, State, Zip: _________________________________________________ Work Phone: ___________________ FAX: ______________________ Position: ______________________________________________________ Subject(s) taught: _______________________________________________ Years Teaching: _____________ Grade Level: ______________
Answer each question below. Attach additional pages if necessary.
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__________________________________________ Date:_______________________ I recommend the above person for participation in the Research Experience for Teachers. I will encourage and support the pre and post-cruise criteria to promote marine science in the community and the classroom.
__________________________________________ Date:_______________________ |