Please fill in the following information. Please only fill out this teacher registration if you attended the Head Start on Science Workshop at CSULB. To register on this site, you must have an email address. If you don't already have an email address, we would suggest obtaining a Yahoo! Email Account. ** All fields are required ** First Name: Last Name: Best contact phone number: Email Address: Select a password: Confirm password: Primary Language: Other Languages: Please describe your teaching experience: School Name: School Address:   School City: School State: School Zip: School Phone: In the following questions, refer to these topic areas: Art, Language Arts, Math, Science, Social Studies Before you signed up for the Head Start on Science Workshop, how would you rank the 5 topic areas above in order of your PERSONAL INTEREST in them. High Interest -------> -------> -------> Low Interest - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies Rank the 5 topic areas in order from least to greatest amount of actual time spent focusing on them in your Head Start or Early Childhood classroom. Least Time -------> -------> -------> Most Time - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies Rank the 5 topic areas in order from the least to greatest importance in the everyday world of a young child (from the child's point of view). Least Importance -------> -------> -------> Greatest Importance - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies Rank the 5 topic areas in order from the least to greatest importance for the education of the young child (your opinion). Least Importance -------> -------> -------> Greatest Importance - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies - select one - Art Language Arts Math Science Social Studies Prior to this workshop please indicate what you feel your personal interest in science was on a 5 point scale Not at all interested Very interested Prior to this workshop please indicate what you feel your personal confidence in teaching science was on a 5 point scale. Not at all confident Very confident What and when was the last science class you remember taking prior to this workshop? (examples: Biology in 10th grade or Physical Science in college)
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