NOAA Teacher At Sea Program Participant Application

NOAA’s TEACHER AT SEA PROGRAM
Form A: Participant's Application

OMB Control #0648-0283
Expires 5/31/2007

Name: _________________________________ Date of Application ___________________________
Home Address:______________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Home Phone: ___________________________ Cell Phone:__________________________________
Name of School:_____________________________________________________________________
School Address:_____________________________________________________________________
__________________________________________________________________________________
Work Phone: ___________________________ Citizenship: _________________________________
Sex:

Female

Age:

21-29

Male
30-39

Have you applied previously?
40-49

50-59

60-69

No

70-79

Yes
80-89

90-99

Over 99

E-Mail: ____________________________________
What subjects and grades do you currently teach?
__________________________________________________________________________________
__________________________________________________________________________________
What subjects and grades are you likely to teach next year?
__________________________________________________________________________________
__________________________________________________________________________________
What leadership roles have you held in education?
__________________________________________________________________________________
__________________________________________________________________________________

On a separate piece of paper attached to this application, please address the following:
1. NOAA's primary interest in this program is the way in which teachers will incorporate the
experience into their classroom activities and help others do the same. How will you use this
experience to benefit your students and colleagues? (Note: This is the most important selection
criteria.)
2. Describe your experience with and ability writing your own classroom activities. Be specific and
offer examples.
3. What type of project would you prefer to join? Explain the reasoning behind your choice.
4. Discuss your ability to adapt to the physical and personal demands of life onboard a ship.

SELECTING A CRUISE: Form A: Participant's Application (continued)
The research projects undertaken by each NOAA vessel are available on the Internet at
http://teacheratsea.noaa.gov. Please check the Web site for cruise options. Due to homeland
security, the ship schedules are no longer available to the public; therefore you cannot select a cruise
specifically. By filling in the following parameters, you will be matched with a cruise that best fits
your interests. Since placement is based upon ships’ bunk space availability, the more flexible you are,
the more likely you will be placed. If you are flexible, respond to the question with “N/A.” However,
you must list the exact dates of your availability.
A) Please list below ALL the dates that you would be available to participate on a cruise. Available
Dates:
__________________________________________________________________________________
B) Nature of the research conducted that you are most interested in:
__________________________________________________________________________________
__________________________________________________________________________________

C) Do you have a preference as to where the ship operates? Preferred Ports/Area:
__________________________________________________________________________________
D) How long are you comfortable being away at sea? Some cruises last over a month. Preferred
length of cruise:
__________________________________________________________________________________

Completed application packets must be received by January 31, 2007.
Send completed applications to: NOAA’s Teacher at Sea Program, Office of Marine and Aviation
Operations, 8403 Colesville Road, Suite 500, Silver Spring, MD 20910. Include Form A with the
attached sheet, and Forms B and C in their sealed envelopes. Please note that you cannot be selected
for the program until your medical history form has been approved by the NOAA Medical Officer.
Placements will be made approximately two months prior to the sailing date.
PAPERWORK REDUCTION ACT INFORMATION
NOAA conducts the Teacher at Sea Program in order to promote oceanographic and related education. The information obtained from the
application will be used to select the teachers who will be accepted for participation in the program, and an application is required for
acceptance. The information submitted on this form will not be treated confidentially. Public reporting burden for this collection of information
is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or
any other aspect of this collection of information, including suggestions for reducing this burden, to NOAA’s Teacher at Sea Program, Office
of Marine and Aviation Operations, 8403 Colesville Road, Suite 500, Silver Spring, MD 20910.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to
comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection displays a
currently valid OMB Control Number.