OnlineAppllfuture. Sample Workshop Application

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Julius Lloyd
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1 OnlineAppllfuture This is a sample application for review purposes only. Once you have reviewed the sample application and are ready to answer the questions, please go online at to complete the official online application. Directions Sample Workshop Application Applications are now being accepted for Online and Onsite Workshops. Those not selected for a particular workshop will be notified. Applications will be kept for consideration of future workshops. There is no need to reapply. (Please note that for each Online Workshop, "meetings" take place over a 4- week period, averaging 6 hours per week, but only 1 hour being a fixed time.) Please take your time to read and answer all of the questions in this application. Any information left out may disqualify you from being considered for a workshop; this includes the two-page Institutional Endorsement Form at the end of the application. Incomplete applications will not be accepted. Applications for each will be accepted up until six weeks prior to the workshop. All applicants will be notified about the status of their application around that time. The application takes roughly 20 minutes to complete, however, there is no time limit and you should feel free to take as much time as you wish. Please be aware that there are four (4) essay questions that you should give some thought to before applying. Therefore, you should have already downloaded and reviewed a sample application. Helpful Hints: 1. Make sure you are happy with your answers on each page of the application before moving on to the next page. Hitting the back button on your browser may cause your answers to be submitted incorrectly. 2. When choosing Other as your answer, be sure to check the Other box in addition to filling out a description. 3. Toward the end of the application you will be able to download the required two-page Institutional Endorsement Form. However, feel free to skip the download and use the Institutional Endorsement Form included in the sample application. Before Applying Information: All Astronomy from the Ground Up applicants should have a thorough knowledge of the program and should have already read the Before Applying information section of the Astronomy from the Ground Up website before beginning this application. Click here if you wish to exit this application and go to the Before Applying information. If you are having problems with this web-based application, please contact us at afgu@astrosociety.org Please click the Next button below to continue with your application. Astronomy from the Ground Up Sample Application (Page 1 of 7)

2 Personal Information 1. First Name 2. Initial 3. Last Name 4. Job Title 5. Institution Name 6. Address One 7. Address Two 8. City 9. State 10. Zip 11. Work Phone ( ) Ext. 12. Work 13. If you prefer to be contacted at home, please provide your Home or Cell Phone: ( ) Personal Best way to contact you: [ ] Work phone [ ] Work [ ] Home or Cell Phone [ ] Personal 15. Select one category below which best identifies your racial/ethnic background: (optional) [ ] American Indian/Alaska Native [ ] Asian [ ] Black/African American [ ] Hispanic/Latino [ ] Native Hawaiian/Pacific Islander [ ] White/Caucasian [ ] Other 16. How did you hear about Astronomy from the Ground Up? (Please check all that apply.) [ ] ASTC Conference [ ] ASTC Informs [ ] Word of Mouth [ ] AAM Conference [ ] NAAEE Communicator [ ] Other [ ] NAI Conference [ ] ANCA Newsletter [ ] ASTC List Serve [ ] AAM AVISO [ ] ANCA List Serve [ ] Mercury Magazine [ ] NAAEE EE News List Serve [ ] NAI Inter News 17. Which type of workshop do you prefer? Please order from 1 (top choice) to 6 (least favored). On the actual application, you ll be given 6 choices here. Astronomy from the Ground Up Sample Application (Page 2 of 7)

3 Institution Information 1. What is your institution s annual operating budget? [ ] $1 - $500,000 [ ] $501,000 - $1million [ ] $1million - $2million [ ] Above $2million 2a. What was your institution s recorded or estimated onsite attendance last year, including ticketed gate attendance, groups, members, free admissions, and program and event attendance?: 2b. Your answer to number 2a above is: [ ] Your Institution s Reported Attendance Figures [ ] An Estimate 3. Type of institution? (Please check one) [ ] Nature Center [ ] Natural History Museum [ ] Science Center/Museum [ ] Other (e.g., County Park) 4. a. Does your institution provide (or does it plan to provide) targeted programming to audiences traditionally underrepresented in the sciences? [ ] Yes [ ] No b. If Yes to 4a, please explain how your institution chose (or will choose) which audience(s) in your community to create targeted programming for: (Although there is no limit, please try to keep your answer to no more than about 9 lines in the field below. Please note, if someone from your same institution has already applied, you can simply write, See [NAME] application in the field below.) c. If Yes to 4a, please briefly describe one of your institution s existing (or future) programs for an underrepresented group in your community: (Although there is no limit, please try to keep your answer to no more than about 18 lines in the field below. Please note, if someone from your same institution has already applied, you can simply write, See [NAME] application in the field below.) 5a. Please provide the reported or estimated racial/ethnic breakdown of your institution s visitors: (Percentages should add to 100%) (optional) American Indian/Alaska Native Asian Black/African American Hispanic/Latino Native Hawaiian/Pacific Islander White/Caucasian Other 5b. Your answer to 5a above is: [ ] Your Institution s Reported Attendance Figures [ ] An Estimate Astronomy from the Ground Up Sample Application (Page 3 of 7)

4 Professional Background/Job Information 1. What does your job position entail? (Please check all that apply) [ ] Designing Science Education Programs [ ] Conducting Science Education Programs [ ] Using Hands-on Activities [ ] Using Activity/Floor Carts [ ] Conducting Tours [ ] Giving Interpretive Talks to Small Groups (less than 50) [ ] Giving Interpretive Talks/Lectures to Large Groups (50 or more) [ ] Designing Exhibits [ ] Building Exhibits [ ] Teaching Classes for Children [ ] Teaching Classes for Adults [ ] Teaching Classes for Families [ ] Managing a Department within Your Institution [ ] Training Staff or Volunteers [ ] Providing Administrative Support [ ] Other 2. Given your selections in #1 above, how do you spend most of your time at your job? (Although there is no limit, please try to keep your answer to no more than about 6 lines in the field below.) 3. Do you: [ ] Work Full-Time [ ] Work Part-Time [ ] Volunteer 4. What audiences are you directly involved with? (Please check all that apply) [ ] Elementary Students K-3 [ ] Elementary Students 4-5 [ ] Middle School Students [ ] High School Students [ ] College Students [ ] Afterschool Groups (designated programs/organizations only) [ ] Families [ ] Adult Groups [ ] Tour Groups [ ] Senior Citizens [ ] Other Astronomy from the Ground Up Sample Application (Page 4 of 7)

5 Astronomy Experience 1. What of the following does your institution offer in astronomy-related programming? (Please check all that apply). Please also indicate which astronomy-related programming you are involved in. My institution offers: I m involved in: Classes [ ] [ ] Workshops [ ] [ ] Star Parties [ ] [ ] Interpretive Programs [ ] [ ] Lectures [ ] [ ] Special public viewing events [ ] [ ] Other public astronomy events [ ] [ ] Exhibits (for the public) [ ] [ ] Exhibit Design/Fabrication [ ] [ ] Other 2. How will participating in the AFGU program benefit you and your institution? (Although there is no limit, please try to keep your answer to no more than about 18 lines in the field below.) Institutional Endorsement (Page 5 of 7) Administrative support leads to more successful partnerships between informal educators and the Astronomy from the Ground Up team. Please have the appropriate administrator (e.g., supervisor, director) from your institution certify support for your participation in AFGU by completing and returning the Institutional Endorsement form, which was included in the sample application, to the AFGU Selection Committee. Be sure to fill in your name at the top of each page of the form where indicated before giving it to an administrator to sign. All AFGU workshop applications will be considered incomplete until the AFGU Selection Committee has received a completed Institutional Endorsement form. If you do not have one already, you can download the Institutional Endorsement form now by clicking here. A new window will open in your browser and a 322KB PDF will download to your computer. Close the new window if it interferes with continuing your application. The form includes instructions for submitting it. Your Application is Almost Complete! Please check the box below if you would like to be placed on the Astronomical Society of the Pacific s (ASP) mailing list* to be informed of other ASP programs, conferences and events. [ ] *The ASP's privacy policy is available on our website. Your name will not be sold by the ASP and you will only receive notification of other ASP programs, conferences and events. To Submit Your Application Please Click on the Button Below [ Submit Application ] Astronomy from the Ground Up Sample Application (Page 7 of 7)

6 Institutional Endorsement Form for First Name Last Name Dear Director, Supervisor or Administrator: Astronomy from the Ground Up is a National Science Foundation funded program from the Astronomical Society of the Pacific in collaboration with the National Optical Astronomy Observatory and the Association of Science-Technology Centers. All three nonprofit organizations are working together to provide informal science educators at small- to mediumsized nature centers, science centers/museums and natural history museums with new and innovative ways to communicate the excitement of modern astronomy to their visitors. More information on Astronomy from the Ground Up can be found at An application for participation in an Astronomy from the Ground Up workshop has been submitted by the member of your staff listed above. We believe that administrative support leads to more successful partnerships between informal educators and the Astronomy from the Ground Up (AFGU) team. Therefore, please certify your institution s support for this applicant s participation in AFGU by completing and returning this two-page Institutional Endorsement form to the AFGU Selection Committee. Institutional Endorsement forms are required for all Astronomy from the Ground Up workshop applicants and applications will be considered incomplete until the AFGU Selection Committee has received a completed Institutional Endorsement form. Name of Director/Supervisor/Administrator Completing this Form [Please Print]: Title: Institution: Address: City: State: Zip: Phone: ( ) Astronomy from the Ground Up Institutional Endorsement Form Page 1

Institutional Endorsement Form for: First Name Last Name (continued) Statement of Endorsement: I hereby certify that Institution will support the participation of the applicant listed at the top of

7 Institutional Endorsement Form for: First Name Last Name (continued) Statement of Endorsement: I hereby certify that Institution will support the participation of the applicant listed at the top of this form in the Astronomy from the Ground Up (AFGU) program and understand that he/she will be taking part in the following: Teaching and incorporating informal astronomy education into the educational programming at our institution. Completing a brief, online astronomy tutorial before attending the workshop (if selected). Taking part in approximately 30 hours of follow-up training through online and other applications. (Most of the follow-up training is self-paced and can be completed at the participant s convenience over a six-month period). Training and mentoring at least one additional staff or volunteer at our institution. ( Apprentices are expected to train 3 or 4 AFGU activities in order to become familiar with and practice the new activities.) Conducting an average of two astronomy-related visitor engagements per month, either as stand alones or enhancements to existing programming, for a minimum of one year after attending the AFGU workshop. (If the astronomy programs at your workplace are infrequent, perhaps there is a way to average 12 events per year. Contact AFGU staff at afgu@astrosociety.org for more information.) Participating in the online AFGU community, a support network of peers from all over the country that have participated in similar AFGU training. Submitting regular online activity reports and participating in evaluations of the program. Providing interest stories (and a few photos if permission is granted) of some astronomy education events/programming at our institution. For the onsite workshop, I understand that, if selected, this applicant s workshop materials, airfare, hotel and most meal expenses for this free workshop will be covered by the Astronomical Society of the Pacific. Meals covered are breakfast, lunch and one dinner; but otherwise, participants are responsible for covering all other meals on their own. I further understand that AFGU-related astronomy programming costs at our institution, if any, are the institution s responsibility. Signature Date Please submit the completed Institutional Endorsement form to: AFGU Selection Committee Astronomical Society of the Pacific 390 Ashton Avenue San Francisco, CA Or FAX it to: (415) Questions? Please contact us at: afgu@astrosociety.org Astronomy from the Ground Up Institutional Endorsement Form Page 2

APPLICATION FORMS. For. Certified Prevention Specialist (IC&RC reciprocal) CPS

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