CS4HS 2013					July 31 - August 2, 2013
Computer Science for High School teachers

Application Form - deadline: June 24, 2013

Seating is limited and applications will be reviewed on a first come, first served basis. Applications cannot be fully reviewed until the reservation fee is received. Participants will be asked to complete various short surveys during and after the workshops. 

PERSONAL INFORMATION

Name:

Home Address:

Name of school:

School address:

Contact phone number:

Email address:

Subject(s) taught:

Grade(s) taught:

Years teaching:

Do you need on-campus housing or parking for this workshop? If so, please specify dates.**

**Housing note: If needed, accepted participants will be eligible for free on-campus housing for 3 nights for the workshop, starting with the night before the first day of the workshop. (Participants are expected to check out on the last day of the workshop.) Participants may be able to stay in campus housing additional nights on-campus if necessary but would be responsible for their own costs. Please inquire for more information.

How would you travel to Carnegie Mellon (car, train, plane, bus):

Do you have any special needs that we can address for you while on campus (e.g. disabilities or dietary restrictions)? If so, please specify:

ADDITIONAL INFORMATION

If you attend, do you need a certificate in order to receive professional development credits for participating in your workshop(s)? (yes or no)

Explain in one short paragraph why you want to attend the workshop :

Please send your hard copy application along with your $50 reservation fee* (check made out to Carnegie Mellon University) to arrive no later than June 24, 2013 to:

Ms Angie Luck
Re: CS4HS 2013
Computer Science Department
Carnegie Mellon University
5000 Forbes Avenue
Pittsburgh, PA 15213

For more information, contact Angie Luck at:
Email: angieb@cs.cmu.edu
Phone: 412-268-5483 
Fax: 412-268-5576

*Your check will be held until the workshop. If you attend and complete the workshop, we will return the check to you. Late cancellations and no-shows are non-refundable.