Green Chemistry in Education Workshop
June 15-20, 2008
University of Oregon, Eugene, OR

Application Form

Sponsorship and workshop cost (All on-site expenses are covered by a grant from the National Science Foundation, participants are expected to cover their travel expenses to Eugene, OR)

Web site for more information about the workshop content.

Name
Title
Institution
Department
Mailing
address
Email
Office phone
Home phone
Mobile phone
Background and training

Education and degrees granted (please include years and field for each). Previous academic positions, if any. Any other relevant experience.

Courses taught during the last five years

Please include course title, course level, enrollment and number of times taught. Please indicate if the course has an integrated lab experience.

Previous workshop experiences

Please list the titles, year and duration of previous workshops you've attended.

Curriculum development

Please describe your experience with curriculum development or adoption and the level of departmental/institutional support for implementing a greener curriculum. Do you have specific plans to implement what you learn at the workshop? If so, in what courses? In what manner? When?

Professional activities

Please describe any professional accomplishments or activities that you think might be relevant to your application for this workshop.