Tried & True: Psychophysiology Workshop Application Form

All fields for each applicant are required.

Institution name:

Team Member 1
First Name
 Middle Name
Last Name
 Suffix
Title
  
Email
 Phone
 Fax
  
Address

  
City
 State
 Zip
  
Dietary restrictions and/or special needs:

Please complete the application below. Your answers may be excerpted in part for the meeting notebook.

1.

Please indicate if you are planning to attend:

  • Workshop 1: Itasca Community College, May 21 - 23, 2007
  • Workshop 2: St. Olaf Colelge, July 9 - 11, 2007
  • Both: Participant at Itasca Workshop, and Facilitator/Coach at St. Olaf Workshop
 
2. In a brief statement, please indicate:
  • What are your interests and goals in teaching the science of psychology?
  • Where are you in the process of realizing your goals?
 
3. What is one burning question that you would like to have addressed at the workshop?
 
4. Please submit the letter of institutional support by faxing it to the Project Kaleidoscope National Office at 202-331-1283.
 
Note: By clicking "Submit Application," applicants agree to the following (see Workshop Expectations for more information):
  • I agree to bring my introductory course syllabus/plan to the workshop.
  • I agree to integrate workshop activities into my course syllabus/plan.
  • I agree to bring a laptop to the workshop with me.
  • I agree to provide feedback about the workshop.
  • I agree to share student information via web-form questionnaires.
  • I agree to stay and participate for the entire workshop.
  • I agree to provide feedback and information regarding my experiences in integrating the approaches addressed in the workshop into my classroom.
  • I agree to being video-recorded as a part of my participation in this workshop.

This workshop is sponsored by the National Science Foundation under grant number DUE-0618573: Investigative Psychophysiology Laboratory Experiences for Community Colleges. Co-PIs: Howard Thorsheim (St. Olaf College) and Robert Gephart (Itasca Community College).

Any opinions, findings, conclusions or recommendations expressed are those of the grantee and do not necessarily reflect the views of the National Science Foundation. http://www.nsf.gov/.