Teacher Interest Form - CROCS
Interested in bringing an NU astrophysicist to you classroom in early 2024? Sign up below!

CROCS is a program where Chicago-area high school teachers can invite scientists from Northwestern’s astrophysics research center (CIERA) to their school. Hear about careers in cutting-edge space research, or have a scientist lead an activity with your students!

After-school programs/clubs are eligible.

Learn more at bit.ly/CIERA-CROCS 
Sign in to Google to save your progress. Learn more
Email *
Name *
Preferred contact information (email address, phone) *
If anyone else at your school should also be CC'd, like an administrator or additional teacher, please list their name and email as well.
School name and address *
Subjects you're teaching this academic year, and grade level *
If not a teacher, state/describe your role
What date ranges are generally available for you and your class? *
We'll contact you to find a specific date, but this will help us narrow down date ranges among requests.

If you have a particular week/range that would be a great fit for a visit, please choose one date range as you "Preferred" option. An example could be "my physics class is doing an astro unit around [date], so I'd choose [date range] as my preferred range to keep it relevant for my students."
Not available
Available
Preferred (only 1)
Jan 8 - Jan 19
Jan 22 - Feb 2
Feb 5 - Feb 16
Feb 19 - Mar 1
Mar 4 - Mar 15
Mar 18 - Mar 29
Apr 1 - Apr 12
How many classes would participate in a visit? *
Consecutive sessions, or a gap of an hour or less is preferred.
Separate concurrent sessions with multiple astronomers may be possible, but not guaranteed. 
Is/Are there a specific class time(s) you are considering for CROCS? 
Please list class name, time, and duration per class.

Example: Astro 101, 11:00-11:50am, M/W/F
 *
Any additional notes on scheduling?
CPS Spring Break March 25-29, 2024
Which type of visit are you looking to host? *
Required
What procedures are needed to visit your school/classroom, if known? (online form submission, background check, register with school administration *
Any additional comments or questions that we can address?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms