2012 RET/V-P Application RET/V-P: A Research Experience for Teachers in Volcano-Petrology Professional Development for high school teachers in Hawaii Application Instructions 1. Complete this form using a word processing program and then submit it electronically as an attachment (MS Word or pdf documents preferred) to an email, or print it out and fax or mail (addresses follow). 2. Request a letter of recommendation from your school principal, and ask that it be sent to the same address. The recommendation letter should include (a) the positive impacts of your participation for your school and the RET/V-P program, and (b) a statement of administrative support for your participation. Information about the program may be found at: www.soest.hawaii.edu/retvp. Dr. Julia Hammer Department of Geology and Geophysics University of Hawaii- Manoa 1680 East-West Rd. Honolulu, HI 96822 ph: 808-956-5996 fax: 808-956-5512 jhammer@soest.hawaii.edu 1. Name and Contact Information Your name: Email address Position at school Name of school School’s Street Address City ZIP code School phone School fax Name of Principal Email address of Principal page 1 of 3 2012 RET/V-P Application 2. Education and Professional Experience What is the highest degree you have earned (check only one) __ Bachelors __ Masters __ Education specialist __ Other post-bachelor professional (name): __ Doctorate List all colleges and universities you have attended, including continuing education. Provide the names of institutions, dates attended, and major/topic of study. (example: UC Santa Barbara, 1992-1996, B.S. Physics). 1. 2. 3. other List your teaching experiences in chronological order. Include name of each school, years spent in position, grade level(s), and subject(s) taught. 1. 2. 3. other List extracurricular activities with students that are related to mathematics, science or technology education. Include dates and participation function. 1. 2. 3. other List professional development activities and projects. Include dates. 1. 2. page 2 of 3 2012 RET/V-P Application 3. Essay Questions 1. Describe briefly (400 words or less) why you would like to participate in this program. Include specific subject matter for which you wish to improve understanding and a description of how you expect participation to further your goals in improving science teaching and learning. 2. Describe how your participation will contribute to the research and educational goals of the RET/V-P program. 3. What evidence do you have that the school administration is supportive of teacher participation in professional development activities that aim to improve the content knowledge and inquiry skills of teachers (and ultimately students) in Hawaii’s schools? page 3 of 3