First Name:   Last Name:

Preferred e-mail:

Are you a QuarkNet teacher? Yes No

If yes, which QuarkNet center? Please choose. . . Black Hills State University Boston Center Brookhaven Center Colorado State University Fermilab/University of Chicago Florida Institute of Technology Florida International University Florida State University Hampton University/William and Mary University/George Mason University Idaho State University Johns Hopkins University Kansas State University Lawrence Berkeley National Laboratory Northern Illinois Universityi Oklahoma State University Purdue University Purdue University Calumet Rice University/University of Houston Rutgers University Southern Methodist University Syracuse University Texas Tech University University at Buffalo University of California at Riverside University of California at Santa Cruz University of Cincinnati University of Hawai'i University of Illinois - Chicago University of Iowa/Iowa State University of Kansas University of Minnesota University of Mississippi University of Notre Dame University of Oklahoma University of Oregon University of Pennsylvania University of Puerto Rico University of Rochester University of Texas at Arlington University of Washington University of Wisconsin Vanderbilt University Virginia Tech Virtual Center Wayne State University

How long have you been teaching?

What course(s) will you teach next year?

What does the term "inquiry-based learning" mean to you?

Provide an example of something that you do with your students that uses inquiry-based learning.

Describe your plan to disseminate what you learn at the institute.

Describe one good example in which your students investigate particle physics concepts.

Please indicate below the name, position and email address of a QuarkNet mentor, a supervisor or a colleague who will write a letter of recommendation for you for HST. Ask that person send the recommendation to Ken Cecire by the application deadline either by scanning and emailing it as a PDF or faxing it to 574-631-3977.

Submit Contact Ken Cecire if you do not receive a confirmation of your application within 72 hours.