CLEA Summer 2010 Workshop Application Form

First Name:
Last Name:
Home Address:	Street: City: State: Zip Code: Home Phone: E-mail:
Work Address:	Institution: Street: City: State: Zip Code: Work Phone:

Highest Degree:	PhD MA/MS BA/BS Where?
Major Field:	Astronomy/Astrophysics Physics Other (please Specify):
What type of Institution do you work at?	PhD University Four Year Liberal Arts College Community College Other (please specify)
Annual FTE Enrollment:
Are computers available to you and your students?	Yes No
If yes, what types of computers:	PC Mac Unix/Linux
Have you used Clea software before?	Yes No
If yes, which Labs?	Radio Astronomy of Pulsars Astrometry of Asteroids The Revolution of the Moons of Jupiter The Rotation of Mercury by Doppler Effect Photoelectric Photometry of the Pleiades Spectral Classification of Stars The Hubble RedShift-Distance Relation The Large Scale Structure of the Universe The Flow of Energy Out of the Sun
Describe the observing facilities available to you and your students:
What courses have you taught in Astronomy?
How many years have you taught astronomy?
Are there labs associated with these courses?	Yes No
Describe other science courses you have taught:
Briefly describe your interest in the CLEA workshop; what do you wantto get out of it, and how will you use it at your home institution?

Sponsored by Gettysburg College and the National Science Foundation