Experimental and Computational Materials Research
Research Experience for Teachers (RET) Application Form
UAB

May 19, 2008 thru July 25, 2008

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Name
Home Address
City, State, Zip
Home Phone
Work Phone
E-Mail Address
Alternate E-Mail Address
Social Security #
Citizenship	US Citizen Permanent Resident
Ethnicity	American Indian or Alaskan Asian or Pacific Islander (Native) Black (Not of Hispanic Origin) Hispanic Caucasian (Not of Hispanic Origin)

Name of school where you teach

School Address

City, State, Zip

School Phone Number

Name, address & phone # of person supplying letter of recommendation

Qualified Teaching Areas
Years of Teaching Experience
Grade level you teach
Courses you teach
Special Certifications
Mailing address & phone number between March 1st and May 15th,	Home School
Will you available for the entire period (May 16, 2005 - July 22, 2005?	Yes No If no, what dates will you be unavailable? from to

If you have participated in an RET program before, please indicate the location and field of study of the program.

In the space below, please tell us why you would be interest in participating in our RET program.

Briefly describe your teaching philosophy. Indicate which teaching methods you currently use and wish to use in the future.

In order to better assist us in future planning, please tell me what you hope to gain from participating in this Research Experience for Teacher program?

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Please have one letter of recommendation sent to:

Charita H. Cadenhead
Program Coordinator
Research Experiences for Teachers
School of Natural Science and Mathematics
University Of Alabama at Birmingham
1300 University Blvd., Room310
Birmingham, AL 35294-1170

Phone: (205) 975-8076
Fax: (205) 975-8009
e-mail: charita@uab.edu