Science Education Questionaire

We would like your thoughts and input regarding the Science Education Center at Pittsburg State University. This will be used to better serve the needs of teachers in the area.

Name ________________________________

School ____________________________________________

School Address __________________________________________________

_______________________________________________________________

e-mail address ___________________________________________________

Grade(s)/Level Taught ___________________

Subject(s)/Topics Taught _____________________________________________________________________________

__________________________________________________________________________________________________

Would you be interested in science education courses offered through PSU's Continuing Studies, such as those listed in the Additional Background section of this newsletter?

____ Yes ____ No


Please list any additional courses or topics that would be of interest to you.

_____________________________________________________________________________________

_____________________________________________________________________________________

Please list any other services that the PSU Science Education Center could provide to you or your school (grant writing collaborations, new on-campus tours and programs, new off-campus tours and programs, instruction in using laboratory equipment, science teaching resources, etc.)

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Any additional Comments:
__________________________________________________________________________________________________

__________________________________________________________________________________________________


Please return this completed survey to:

Todd VanGorden
Dept. of Physics
Pittsburg State University
Pittsburg, KS 66762
Fax: (316) 235-4050