APPLICATION FORM
Print this page and send the completed form to the address below. Or, send the requested information by email to the address below.
2003 Vernal Pools for Educators Workshops
Natural Heritage & Endangered Species Program
North Drive
Westboro, MA 01581
fax: 508-792-7821
e-mail: jessica.patalano@state.ma.us
Name
School
School address
Home address
Phone:(school)
(home)
E-mail
Subjects and grades which you teach.
Indicate your choice of workshop date and location.
March 17, Doyon Elementary School, Ipswich, MA
March 26, Stoney Brook Wildlife Sanctuary, Norfolk, MA
April 8, Arcadia Wildlife Sanctuary, Easthampton, MA
Please indicate if you wish to purchase the 90 slides to accompany Diving Into Wicked Big Puddles.
Note: The copy of Diving Into Wicked Big Puddles provided to participants of these workshops does not contain the set of 90 photographic slides available in the publication as usually sold by the Vernal Pool Association. The images in the slide set are included in the workshop handouts on a CD. However, if you wish to purchase the slides (for projection use), please tell us and bring $25 cash/check (RMHS-VPA) to the workshop. Only one set is available per participant.
Please use an additional sheet to answer the following questions. Entry to these workshops is competitive and we base the acceptance of participants on their application responses.
Subjects and grades which you teach.
Does your school include vernal pool studies in the curriculum?
Is there a vernal pool on or near school property?
Do you currently teach about vernal pools or do you intend to do so?