2010 Faculty Summer Institute Application

Red Rocks Community College - August 2-6, 2010

Application deadline is June 14, 2010

Personal Information First Name: Last Name: Email: Phone:

Institution Information Title: Institution: Department: Institution Phone (if available): Address: City: State: Zip:

Educational Background Educational Background (Include Certificates and Credentials)

Teaching Experience Teaching Experience
Percentage of time you are currently teaching: % Total years teaching (including this year):

Industry Experience Industry Experience (if applicable) in Oil and Gas Exploration and Production, Chemical, Refining, Power Generation or other Manufacturing Industry:

Are you currently teaching or will you be teaching the CAPT curriculum at your institution?
Yes No What do you hope to gain by participating in this institute?

cancel

This material is based upon work supported by the National Science Foundation under Grant No. 0532652. Any opinions, findings, and conclusions or recommendations expressed in this material are those of the author(s) and do not necessarily reflect the views of the National Science Foundation. CAPT is housed in dedicated facilities at College of the Mainland in Texas City, Texas. College of the Mainland serves as the fiscal agent for the grant.