Документ взят из кэша поисковой машины. Адрес оригинального документа : http://www.astrosociety.org/edu/astro/bayarea/astronomer.pdf Дата изменения: Sat Jan 30 02:10:02 2016 Дата индексирования: Sun Apr 10 02:01:37 2016 Кодировка: Поисковые слова: южная атлантическая аномалия

Fax (415) 337-5205 or send to Project ASTROTM Applications, ASP, 390 Ashton Ave., San Francisco, CA 94112 The 2016 Project ASTROTM introductory workshop will take place September 16-17, 2016 (Friday and Saturday). Participating teachers and astronomers are required to attend.

Astronomer Application - return by August 22, 2016 Personal Information
Name _____________________________ Address ___________________________ City ______________________________ State ________ Zip _________________ Home Phone _______________________ E-mail ____________________________ Ethnicity (optional)________________

Professional Information
Employer _____________________________ Your position __________________________ Full-time or part-time? ___________________ City __________________________________ State ________ Zip _____________________ Phone ________________________________ E-mail ________________________________

Best way to contact you: home email work email home phone work phone other

Astronomer Background ~ Help us make a good match!
Please briefly describe your educational background.

_______________________________________________________________________ _______________________________________________________________________
Please briefly describe your background and your experiences in astronomy (if different). ________________________________________________________________________________

_______________________________________________________________________ _______________________________________________________________________ Experiences with Youth
Describe experiences you have working with schools or explaining astronomy to students and/or the public.__________________________________________________________________

_______________________________________________________________________
Please list any other experience you have working with children.

_______________________________________________________________________ _______________________________________________________________________
What grade level(s) do you prefer to work with (circle all that apply) 5 6 7 8 9 no pref Would you be interested in working with a community-based organization (e.g. Boys' and Girls' Club) or after-school program? yes no


Astronomer Interests and Affiliations
Why are you interested in working with Project ASTROTM?

_______________________________________________________________________ _______________________________________________________________________
Please list astronomy organizations you are affiliated with and how long you have been involved.

_______________________________________________________________________
How can any of the organizations mentioned above contribute to your participation in the project? (e.g. Will your club put on a star party at your partner school?)

_______________________________________________________________________
What topics or areas of astronomy are of particular interest to you?

_______________________________________________________________________ Commitment
We ask that astronomers make at least 4 visits to their partner school or community organization, plus one planning/observation visit. Most visits will be during the school day. Please indicate times/days you are available: Time morning (8am-noon) afternoon (noon-2pm) after school (2pm-6pm) evenings weekends Day MT MT MT MT Sat S W W W W un T T T T h h h h F F F F

Preferred Location
We will make every effort to place you at a school that is convenient for you. Would you prefer to volunteer near to: your home: list possible areas ________________________________________ your work: list possible areas ________________________________________ Either work or home How far are you willing to travel? ____ miles from work ____ miles from home

How did you hear about Project ASTROTM? _____________________________________________ IMPORTANT: Some school districts require fingerprinting or a criminal background check for all non-parent volunteers. Are you willing to comply with your partner's school policy for screening volunteers? yes no Is there any reason you would not pass a screen? yes no By signing this form, I certify that the above information is true and that I am able and willing to make the commitment of time and energy described above to Project ASTROTM. Signature _____________________________________ Date ___________________________ If you have any questions, call (415) 715-1426, or e-mail bayareaastro@astrosociety.org.