Center for Probing the Nanoscale: An NSF Nanoscale Science and Engineering Center
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Summer Institute for Middle School Teachers (SIMST) Application
The Center for Probing the Nanoscale (CPN) A Stanford University, IBM Partnership

Eligibility:
The Summer Institute for Middle School Teachers is offered to middle school physical science teachers.

Instructions for Applying to SIMST:

Complete parts 1-25 of the online application below. If you do not receive an application confirmation email within two days, please contact Kyle Cole (kylecole@stanford.edu).
Section I.


1. Full Name (first, last)


2. I am a


3. Email Address


4. Home Mailing Address

City

State

Zip Code

Phone Number


5. Alternate Email Address


Questions 7, 8, and 9 are Optional.
(The following information is used by the NSF for statistical purposes only)

6. I am


7. Ethnicity


8. Physical Challenges or Special Needs, etc.


Section II.


9. School Name


10. School Mailing Address

City

State

Zip Code

Phone Number


11. Principal's Name


12. School Type


13. Total number of years teaching science at the K-12 level


14. Number of years teaching at current school


15. List courses and grade levels you are currently teaching (indicate if labs are included)
Course name Grade level # of classes Lab included?


16. What would you like to get out of the SIMST program?


17. Please list science education programs you have attended in the last 5 years.


18. List your involvement in extracurricular science organizations (e.g., advisor to student science clubs, member of NSTA, etc.)


19. What experience do you have in science curriculum development? (At your site, within your district, at the state/national level)


20. Would you be willing to participate in follow-up sessions with your class and CPN personnel during the school year?


Section III.


21. Undergraduate Institution You Attended


22. Major(s)


23. Degree earned and date of graduation (month and year)


24. Teaching Credential


   
 
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