PDF version Name: * Home address: * Street or PO Box City: * State: * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code: * School name: * School address: * Street or PO Box City: * State: * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code: * School telephone: * Include area code Home telephone: * Include area code Cell telephone: Include area code Email Address: * Grade(s) taught: * Years in teaching: * Please briefly describe your experience teaching Earth science during your career. Specify whether this includes "Earth Science" courses, integrated science courses, or other science course in which you included Earth science content. (Up to 100 words.) * Earth science topics (K-5) or courses (6-8) currently teaching: * Please note file specifications: This application form can only receive Microsoft Word (.doc or .docx) or PDF (.pdf) documents. Use only filenames without spaces or special characters. Each file must be smaller than 8 MB. Files must be PC-compatible. Each of the five filenames should be unique. Trouble-shooting tip: If you receive a warning that you did not properly load one or more of the documents, remove all of the documents, and add them all again. Then, click Submit. Document 1: * Current curriculum vitae or resume with complete contact information, professional development experience and awards. Files must be less than 8 MB.Allowed file types: pdf doc docx. Document 2: * Letter of recommendation from the teacher's principal on school letterhead. Files must be less than 8 MB.Allowed file types: pdf doc docx. Document 3: * Letters of recommendation (with contact information and on letterhead) from two other education professionals who have observed the applicant teaching Earth science (district science supervisor, teaching colleague, team leader, etc.). If you can combine the two letters into one document, please submit them as Document 3. If you are unable to combine your two letters into one document, please submit one as Document 3 and the other as Document 3a.Files must be less than 8 MB.Allowed file types: pdf doc docx. Document 3a: Files must be less than 8 MB.Allowed file types: pdf doc docx. Document 4: * Exemplary Earth system science lesson plan (including any handouts) that emphasizes an inquiry-based and/or phenomenon-based approach. The lesson plan must include key instructional elements, such as: objectives, student outcomes, key concepts, materials used, safety guidelines, lesson procedure, and assessment methods. Files must be less than 8 MB.Allowed file types: pdf doc docx. Document 5: * Essay (750 words maximum) describing the importance of teaching Earth science to students and how the applicant inspires students to learn Earth science concepts. The essay should also include information on how the applicant augments their own Earth science understanding as an adult learner. Statements about the potential impact of the Ed Roy Jr. Award on the applicant’s career path are also welcome.Files must be less than 8 MB.Allowed file types: pdf doc docx. How did you hear about this award? *