Texas Mining and Reclamation Association
Texas Mining and Reclamation Association
100 Congress Ave.
Austin, TX 78701
512.236.2325
Fax: 512.236.2002
information@tmra.com

 

 

Free Teacher Workshop Application

 

Please note: * marks required fields.
Which workshop you would prefer to attend:
         
 

June 22-27, 2008
Big Brown Mine
Fairfield, Texas

  
 

July 27-Aug 1, 2008
Sabine Mine
Longview, Texas

  
Section 1: Personal Info
First Name:* 
 
Middle Initial:
  
Last Name:*
  
Home Address:*
  
City:* 
  
State:* 
  
ZIP Code:*
  
Day Phone:* 
  
E-mail Address:*
  
Section 2: School Info
Name of your school:
  
School Address:*
  
City:*
  
State:
  
ZIP Code:
  
Desired Mailing Address:
   Home School
Section 3: Employment Record
(in reverse chronological order)
Expected Position Next Year:
Date
Employer
Teaching Assignment
.
Current Position:
Date
Employer
Teaching Assignment
.
Prior Position:
Date
Employer
Teaching Assignment
   
Section 4: College/University Education 
Institution      
State
Year
  
 
 
 
Degree
Major Subject
Minor
 
       
Institution      
State
Year
  
 
 
 
Degree
Major Subject
Minor
 
       
Institution      
State
Year
  
 
 
 
Degree
Major Subject
Minor
 
Section 5: Questions
1. What is your science teaching experience (including
years of experience in each subject):
       
2. Please list your weekly teaching schedule at the present time, including periods per week:
       
3. In what ways have you been involved with in-service teacher training and/or curriculum development:
       
4. How do you expect you and your students to benefit from your attendance and participation in this institute:
       
5. Acceptance to this institute requires a commitment to arrange and offer a minimum of one 1-hour teacher-training workshop based on what you learned at the summer institute by May 31, 2008. This training can be in your local school, school district, region, etc. List the ways by which you hope to accomplish the required training:
       
6. Please tell us how you became aware of this workshop:
       
       
THE FIELD WORK DONE DURING THIS WORKSHOP REQUIRES THAT YOU BE ABLE TO CLIMB STAIRS AND WALK ON UNEVEN GROUND UNASSISTED. I UNDERSTAND THAT BY CLICKING THE SUBMIT APPLICATION, I CERTIFY THAT THE INFORMATION ON THIS APPLICATION IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.