Smithsonian Science for Global Goals Field Testing Application

Biodiversity! and Sustainable Communities! Field Testing 2020/2021

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* 1. Contact Information:

What is your full name?

What is your role at your school/organization?

Email address

Cell Phone number with country code

Alternative email address

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* 2. How many years of teaching experience do you have?

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* 3. What subjects and grades do you currently teach?

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* 4. School/Organization Information:

Name of School

School District (if applicable)

Street Address

City

State/Province

Country

The next questions are about school/organization characteristics. In field testing Smithsonian Science for Global Goals, we are seeking educators and schools from all backgrounds. Feel free to answer honestly. Your answers will not impact your eligibility to be a field tester.

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* 5. What is your school/organization setting? (Primary, middle, high school, afterschool etc.)

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* 6. Is your school/organization rural, urban, or semi-urban/suburban?

Rural

Urban

Semi-urban/Suburban

Other (please specify)

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* 7. What is the age range of your students?

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* 8. How many students do you teach?

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* 9. How many hours per week can you devote to field testing with each group of students?

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* 10. What are your 2020/2021 school/organization year dates?

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* 11. What resources do you have access to at your school/organization?

Regular internet connection

Paper and pencils

Colored pencils/markers/paints

Chalkboard/whiteboard

Printers/copiers

Projector

Computers

Tablets

Cell phones

Each student has a device supplied by the school

None of the above

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* 12. Do you teach second-language learners? If so, how many?

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* 13. What language do you instruct in?

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* 14. What language(s) do your students speak at home?

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* 15. If you would like to tell us more about your school/organization, please do so here:

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* 16. Would you like to be added to Smithsonian Science Education Center's email newsletter?

Yes