Application for Rural Teen Science Café (TSC) Project
Before completing this application, please read the description of the project at the following link: http://bit.ly/2M4pCev. The deadline to fill out this application by is: November 8th, 2019. If you have any questions, please email  jmokros@scieds.com or hall@scieds.com.
Sign in to Google to save your progress. Learn more
Email *
First name *
Last name *
Institution *
Have you implemented Teen Science Cafés in the past?                                                               NOTE: If you have not done TSCs, please complete the membership application at https://teensciencecafe.org/start/cafe-membership/. We will provide training in starting a teen café prior to starting the project. *
Describe the rural community where you plan to implement cafés. What makes it rural? (population size, distance from major cities, etc.) *
Describe your relationship to this rural site. Do you live or work there? If not, what personal or professional connections do you have to the community? *
What is your interest in doing research on the Teen Science Café in your rural area? How do you hope to develop your role as an adult leader by doing this research? *
Briefly describe how you plan to start developing a map/list of the STEM and organizational resources in your community. Describe the “top 3” organizations or people you would contact first. *
Are you able to commit to 40 hours each year to doing research on your Teen Science Café (in addition to the time you spend running cafés)?   *
Are you able to attend two Teen Science Café Network two-day workshops, the first of which will be in St. Louis in mid-January 2020? (TSCN will pay for your travel expenses) *
By writing my full name and the date below, I agree to all of the conditions of participation in this NSF-funded project, as described in the document “Rural Adult Leader Basics" (see http://bit.ly/2M4pCev). I also acknowledge that if my application is accepted, the acceptance will be contingent on getting my supervisor's approval. *
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy