JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Nature-Based STEM Community of Practice Application: January 2023 Cohort
Thank you for your interest in our program. Please complete the form below. Contact Jill Shashaty at jshashaty@riverbendeec.org with any questions.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Work email address
*
Your answer
Phone number and type (i.e. work, cell, home, etc.)
*
Your answer
What is the name of your school? (Leave blank if you do not work for a school.)
Your answer
What is the name of your school district?
*
Your answer
What is your work mailing address?
*
Your answer
What is your role at your school or organization?
*
Your answer
What grade level(s) do you teach?
*
Your answer
How many students do you teach who would be impacted by this program?
*
Your answer
How many years have you been teaching?
*
Your answer
Are you available to commit to an orientation meeting/phone call (January) and 6 monthly 1-hr. virtual meetings (January-June)?
*
Your answer
What skills, knowledge, or experiences do you hope to gain from this experience? (~150 words)
*
Your answer
Please describe how you intend to incorporate this training into your work (~150 words).
Your answer
Please describe your current approach to teaching about the environment (~150 words).
*
Your answer
What are the biggest challenges you face in teaching environmental education? (~150 words)
*
Your answer
Is there someone else at your school who would be willing to participate with you in this program as a partner? If so, please share this form with them and/or their name and contact information with us. Thank you!
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Riverbend Environmental Education Center.
Report Abuse
Forms
