Energy Education Certificate Application Form
If you are looking for ways to enhance your teaching portfolio and to verify your professional
development in energy education, you may be interested in the opportunity to earn a certificate in
energy education through the University of Wisconsin-Stevens Point. The Energy Education Certificate
is available to practicing K-12 teachers only. The certificate reflects comprehensive professional
development and experiences in energy content and teaching competencies. The certificate is awarded
after completing at least three Wisconsin K-12 Energy Education Program courses and providing
evidence of involvement in at least three energy education activities. Once you have completed all the
requirements for a certificate, complete this form and email it to KEEP at keep@uwsp.edu (with Energy
Education Certificate Application in the subject line).
NOTE: The certificate does not certify the recipient for any degree nor is it part of any licensing program or requirements;
rather, it supports and documents preparations and improvements in level of success in an area of practice—in this case
energy education. Achievement for the certificate can be verified through examination of a transcript showing courses
completed and is directly associated with the quality control asserted within the overall academic institution.
Name: ___________________________________________________________________________
Home Address: ____________________________________________________________________
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School Name:______________________________________________________________________
School Address: ____________________________________________________________________
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Email: ____________________________________________________________________________
Part I: At least three KEEP courses must be completed successfully.
Refer to your transcripts to identify your KEEP course titles, dates, and grades. Information about ordering transcripts can
be found at this site: www.uwsp.edu/reg-rec/transcripts.aspx). Visit the KEEP website for a list of eligible courses
(http://www.uwsp.edu/cnr-ap/KEEP/Pages/Professional-Development/Course-List.aspx).
Title of course
Optional: Comments about courses
KEEP Courses Completed
Dates of course
Grade received
Part II: Participation in at least three energy education activities
These activities may be undertaken while taking your energy education courses and must be completed within
five years of your third course. Clearly describe how your participation contributed to your professional
development; enhancing your teaching competencies and/or increasing and improving energy literacy for you,
your students, your colleagues, or your community. Some potential activities are listed below.
Energy Education Activities
Please use between 50 and 100 words to describe each activity thoroughly (either type information in the table below or
attach additional page). Descriptions should include who was involved, what was done, and where. This information will
help KEEP Staff determine if the activities can be used toward your certification.
Detailed Description of Activity
Date of Activity
Activity 1
Activity 2
Activity 3
Sample energy education activities
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Involve students in an energy-related contest
Involve students in a media-related project about energy
Involve students in hands-on technology-oriented project/competition that promotes energy efficiency or renewable energy (e.g., energy-efficient
student-built home, Electrathon, Supermileage, Solar Olympics)
Implement energy-related Unit Plan and provide proof of implementation: student assignments, report, photos, action research
Pilot KEEP or other energy education materials
Conduct staff meeting/inservice related to energy (provide agenda and outcome/feedback)
Present about KEEP +/or Focus on Energy +/or Utility at a conference/workshop
Offer a workshop at the Energy Fair
Work with utility company to promote energy awareness/efficiency
Work on the energy section of the Green & Healthy Schools application
Participate in the Cool Choices game