Greentree Foundation

Name*

Home Address*

City*

State*

Zip*

Home Phone*

Cell Phone*

Personal Email*

School District:*

Building*

School Address*

City*

State*

Zip*

Position*

Work Phone*

Work Email*

How do you prefer to be contacted?*

Personal Email
Work Email

How did you hear about the Greentree Foundation Teachers’ Ecology Workshop?*

Web search for professional development programs
Referral
Other

If Referral or Other, Please Specify

NYS Teaching Certification Area:*

Will you apply for Professional Development credits?*

Yes
No

Teaching Grade Level*

K-3
4-6
Other

How often do you teach science?*

Not Often (less than 2 times per week)
Sometimes (2-3 times per week)
Frequently (more than 3 times per week)

On a scale of 1 (not confident) to 5 (very confident), how confident are you in teaching science?*

What science topics do you teach during the year?*

What nature-based education topics do you teach during the year?*

How often do you teach outside?*

Not Often (less than 2 times per week)
Sometimes (2-3 times per week)
Frequently (more than 3 times per week)

Why are you interested in being a participant of the Greentree Foundation Teachers’ Ecology Workshop for Elementary School Teachers? How do you think it will enhance your classroom and lesson plans? Please be as thorough in your response as possible. Thank you.*

Elementary

GREENTREE FOUNDATION TEACHERS’ ECOLOGY WORKSHOP

Elementary

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