Alumni Sign-up

I. Please enter the following information:

Last Name* : , First Name* :
Street1* :
Street2 :
City* : ,
State* : Zip* :
 
Home Phone : Cell Phone :
Main Email* : Alt. Email :

II. What program(s) did you participate in through the Department of Science Education at CSULB? (select all that apply):

Multiple Subject Credential:


Single Subject Science Credential:

Life Science - Biology
Earth Science - Geology
Chemistry
Physics

Masters Program:

ITEP program
Association of Future Science Educators (AFSE) Club Member
Young Scientists' Camp Teacher or Teaching Associate

In what year were you credentialed?

III. Are you currently teaching?

Yes
No

If you are currently teaching please complete only part A; otherwise, please skip to part B.

Part A - Currently Teaching

School at which you are currently teaching:

My school is in __________ County (select one):

LA
Orange
Other:

Note the type of school:

Public
Private
Public Charter
Private Charter

Grade level(s) you currently teach (select all that apply):

PreK 3 7 11
K 4 8 12
1 5 9 Community College
2 6 10 College or University

If you teach specific science subjects, indicate them here (select all that apply):

General Biology Honors Biology AP Biology Life Sciences
General Chemistry Honors Chemistry AP Chemistry Physical Sciences
General Physics Honors Physics AP Physics Earth Sciences
General Environ. Science Honors Environ. Science AP Environ. Science Integrated Sciences
 
Anatomy or Physiology
Botany
Ecology
Forensics
Organic Chemistry
Marine Biology

Part B - Not Currently Teaching

Please let us know what you are currectly doing professionally:

If you would like to become more involved in the life of the CSULB Department of Science Education through informal and formal events, workshops, and institutes, please indicate what would interest you.

I would come to the following Science Education-related events if time permitted (select all that interest you):

Content-based workshops/courses to increase my content knowledge
Teaching strategy workshops/courses to increase my pedagogical content knowledge
Grant writing workshops
Local field trips with other current and future science educators
Science speaker events on campus
Teacher groups engaged in action research in their classrooms
Annual Science Education Alumni Family Picnic
Masters Program
Other (please specify):

Please check here if you would like to be invited to be a future guest panelist or speaker to offer your expertise to our future teachers through a department-hosted events here on campus.
 
Please check here if you would like to be on our emailing list. We put out science education-related messages approximately 3 times per semester.