Science Project Support Application

For Public and Non Profit Private Schools in California

Teachers at public schools or private not-for-profit schools located in California may request a donation of science project poster boards and an Edison UV Meter (learn more at http://www.arborsci.com/prod-UV_Meter-1288.aspx) for use during the 2010-'11 academic year.

Acceptance of Science Project Support is subject to the following conditions:

•	Each teacher may request a maximum of 150 science project poster boards
•	Each teacher may request a maximum of one Edison UV Meter
•	Science Project Support is available only to teachers at public schools or private not-for-profit schools located in California
•	Science project poster boards are DONATED by the Synopsys Outreach Foundation. The boards MAY NOT be re-sold to students or parents
•	Teachers and school administrators will recognize the Foundation's donation in any science fair related materials and publicity
•	In order to insure equitable distribution of the science project poster boards, the Foundation may reduce the number of boards allotted for your school
•	All materials provided by the Synopsys Outreach Foundation are donations made to the school and not to any teacher as an individual

NOTE: Incorrect or invalid Email or Street Addresses will result in automatic cancellation of the Request. Please use caps and lowercase as appropriate.

Teacher Contact Information

* Required fields
Your Name:*
Primary Email Address:*
Re-Enter Email Address:*
Secondary Email Address:*
Re-Enter Email Address:*
Teacher Phone Number:*	() -

For questions from a UPS or Conway delivery person, please provide a Contact Phone Number that will be answered immediately and not sent to voicemail. It could be yours or the school secretary or administrator.

Contact Phone Number:*

() -

School Name:*    Select ----------------------------------------------------------------- Bear Valley - Bear Valley Elementary Bear Valley - Bear Valley High Markleeville - Alpine County Elementary Community Day Markleeville - Alpine County Secondary Community Day Markleeville - Diamond Valley Elementary Markleeville - Woodfords High Other public or private school not on this list

If you selected 'Other' for School Name above, please complete the following School contact fields:

School Name:
School Street Address:
City:
Zip Code:

Science Project Support Request

Number of STUDENTS at your school preparing science projects and using materials
donated by the Synopsys Outreach Foundation:* 

Number of SCIENCE PROJECTS being prepared at your school using materials
donated by the Synopsys Outreach Foundation:* 

Number of TEACHERS at your school supervising students in the preparation of science projects
using materials donated by the Synopsys Outreach Foundation:* 

Please enter your quantity requirements below:
I am requesting a donation of *  (1-150) science project poster boards (white, tri-fold, 32"x48").
I am requesting a donation of *  (0-1) Edison UV Meter.

My school is located in California and is a public school or a 501(c)(3) not-for-profit school:*  Select ---------- Yes No

Synopsys Outreach Foundation Survey

Thank you for completing your application for Science Project Support. Now, please take a moment to help us understand more about you, your students, your school and your science project activity. This information is confidential and for Foundation research purposes only, and has NO effect whatsoever on your application.
Section A. About me, my school and my students
1.	I have been teaching science (full or part time) for:
	Select ------------------------------------------------------------------------------------ This is my first year 2-5 years 5-10 years More than 10 years
2.	I currently teach:
	Select ------------------------------------------------------------------------------------ Elementary school students Middle school students High school students
3.	I estimate the student population at my school to be:
	Select ------------------------------------------------------------------------------------ Made up mostly of students from lower income families Made up mostly of students from middle income families Made up mostly of students from higher income families Hard to say; don't know
4.	I have had my students develop science projects for:
	Select ------------------------------------------------------------------------------------ This is my first year 2-5 years 5-10 years More than 10 years
Section B. About Science Project Support from the Synopsys Outreach Foundation
1.	I have received support from the Synopsys Outreach Foundation:
	Select ------------------------------------------------------------------------------------ Previously Never, this is my first year applying for support
2.	Which best describes the impact of Science Project Support from the Synopsys Outreach Foundation on your decision to have your students develop science projects this year?
	Select ------------------------------------------------------------------------------------ Essential Helpful, but not essential No impact Not applicable/first year I am applying
3.	Of the programs available to support education, how would you rank the support provided by the Synopsys Outreach Foundation:
	a. Ease of application process
	Select ------------------------------------------------------------------------------------ Among the best Average Needs Improvement Can't answer; this is the first year I am requesting support
	b. Timeliness and delivery of support
	Select ------------------------------------------------------------------------------------ Among the best Average Needs Improvement Can't answer; this is the first year I am requesting support
	c. Quality of materials
	Select ------------------------------------------------------------------------------------ Among the best Average Needs Improvement Can't answer; this is the first year I am requesting support
	d. Satisfying needs not met by other sources
	Select ------------------------------------------------------------------------------------ Among the best Average Needs Improvement Can't answer; this is the first year I am requesting support
	e. Direct benefit to students
	Select ------------------------------------------------------------------------------------ Among the best Average Needs Improvement Can't answer; this is the first year I am requesting support
If this is the first year that you have had students develop science projects, you have completed the survey. You may scroll down to the bottom and click the 'Submit' button. Otherwise, please continue on with the survey Section C below.
Section C. About Science Projects
1.	Overall, which of the following best describes the impact of science projects on students' understanding of science?
	Select ---------------------------------------------------------------------------------------------------------------------------------------------------- There is little carry over from science fair into science content curriculum Science fair is the best way for students to develop a thorough understanding of the nature of science Science projects are a way to reach students who struggle with language and/or reading Science projects are a means to satisfy the investigation and experimentation teaching standards
Please rate your level of agreement/disagreement with the following statements:
2.	The opportunity to work with my students on science projects improves the quality of science education my students receive.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
3.	My students' involvement in science projects has helped them achieve a greater understanding of specific subject matter.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
4.	My students are more excited about science after having the opportunity to work on science projects.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
5.	Having my students work on science projects made it easier for them to comprehend graphing, hypothesis formation or other difficult processes.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
6.	Working with my students on science projects has led to stronger teacher-student relationships within the classroom.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
7.	Working with my students on science projects has led to the students viewing me as more approachable for assistance.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
8.	The experience of working together on science projects has led to students being more likely to approach each other for content-based discussion.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
9.	Through their involvement in science projects, my students found it easier to apply science concepts learned in the classroom to the world around them.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
10.	The opportunity to work with my students on science projects improves my satisfaction with my teaching job.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
11.	The opportunity to work with my students on science projects contributes to my desire to continue teaching science.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
12.	If I were on the job market I would be more likely to take a job at a school that provided the opportunity and resources for student science projects.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
13.	Based on reports from parents, I believe that conducting science projects has positive effects on both students and their families as the projects are designed, developed, and readied for presentation.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
14.	After developing science projects, my students are more likely to conduct independent inquiry at home (search the internet, read books, conduct experiments) when they have questions related to science.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
15.	I believe that my students are more likely to pursue science or engineering careers after developing science projects.
	Select --------------------------------------------- Strongly Agree Agree Neutral Disagree Strongly Disagree
Thank you for completing the survey!