M University of Minnesota
CONTACT INFORMATION
School of Physics & Astronomy
116 Church Street S.E.
Minneapolis, MN, 55455
Phone: 612-624-7375
Fax: 612-624-4578
Contact | Directory

2007 Quarknet Application

Application form
1. Name
Last, First, Middle Initial
2. School
3. Work Phone
4. Work Address
Street, City, State Zip Code
5. Home Phone
6.Home Address
Street, City, State Zip Code
7.Email address

Note - if mail is returned because an incorrect mailing address has been supplied, the application will no longer be considered.
8. Number of years teaching

9. Number of years teaching physics/physical science

10. What you will teach next year?
(include grade level and level of course: AP, conceptual, etc.)
11. To what extent are you available for follow-up meetings on weekends and during released days next school year?
12. Workshops you have taken in the last five years:
WhatWhereDates

13. Describe what (if anything) you have done that is innovative for a course, your school or other.
14. Formal Training:
DegreeFieldYear awarded

15. Number of formal courses in physics

16. What research experience have you had?
17. What research experience have you given your students?
18. Describe what you have done (if anything) with particle physics in your classroom?
19. Additional comments: