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NOAA Ocean Exploration


PRA Burden Statement:

A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information collection is 0690-0038. Without this approval, we could not conduct this information collection. Public reporting for this information collection is estimated to be approximately 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. All responses to this information collection are voluntary. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to the NOAA Ocean Exploration at 1315 East West HWY, SSMC#3, Silver Spring, MD 20910, Attn: Liz Hoadley. 

Privacy Act Statement

Authority: The collection of this information is authorized under 5 U.S.C. § 301, Departmental regulations which authorizes the operations of an executive agency, including the creation, custodianship, maintenance and distribution of records, and 15 U.S.C. 1512, Powers and duties of the Department.

 Purpose: NOAA collects limited information, such as name, address, phone number, or email address for a variety of purposes. This information will be used to respond to user inquiries or provide services requested by the user or for registration to a NOAA program or event.

 Routine Uses:  Disclosure of this information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a) to be shared among Department staff for work-related purposes. Disclosure of this information is also subject to all of the published routine uses as identified in the Privacy Act System of Records Notice COMMERCE/NOAA-11, Contact Information for Members of the Public Requesting or Providing Information Related to NOAA’s Mission, andCOMMERCE/DEPT-23, Information Collected Electronically in Connection with Department of Commerce Activities, Events, and Programs.

Disclosure:   Furnishing this information is voluntary. Failure to provide this information may prevent you from being registered for a NOAA program or event. By providing this information, you are consenting to the use of that information only for the purpose for which it is submitted.

 

OMB Control Number: 0690-0038

Expiration Date: 07/31/2026

First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Information
What is your educator role?*
Formal: K12 classroom educator
Formal: K12 science/curriculum specialist
Formal: K12 school administrator
Informal Science Center: museum, aquarium, zoo
Informal: non-profit organization
Afterschool or youth program
Government agency
Other
What stage are you in your career?*
Student
Early career (0-10 years)
Mid-career (11-20 years)
Late career (21+ years)
Retired
Other
What is the zip code of your school or education site?
Is your school Title 1?*
Yes
No
Do not know
Not applicable
What subject(s) do you teach?
Science (general)
Biology
Chemistry
Physics
Environmental Science
Marine Science/Biology
Math
Other
Who will you teach using the information and materials from this teacher professional development workshop?
Grade K-5 students
Grade 6-8 students
Grade 9-12 students
Community college students
University students
Other
Does your class composition include students that identify as any of the following groups that the federal government, in Executive Order 13985, has identified as underserved? Check all that apply.
Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders, and other persons of color
Members of religious minorities
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons
Persons with disabilities
Persons who live in rural areas
Persons otherwise adversely affected by persistent poverty of inequality
No, I do not identify with any of these groups
Why did you sign up for this teacher professional development workshop? Check all that apply.
I want to learn more about hydrothermal vents and cold seeps/deep-ocean chemosynthetic communities.
I am seeking activities and resources to integrate into my instruction.
I enjoyed participating in a previous NOAA professional development workshop(s).
I need to earn credit hours for my professional development.
Other
Click to customize multiple option*
Option 2
Option 3
How did you hear about this professional development opportunity?*
Social Media
Email/Listserv
Website
Colleague
Other
Please share any dietary restrictions.

Completion of this registration form will:

  1. Opt you in to the NOAA Ocean Exploration Education Newsletter, which offers information about education-related activities, resources, and upcoming events; and,
  2. Provide consent to NOAA Ocean Exploration to use, reproduce, edit, and/or broadcast any and all photographs, video recordings, and audio recordings of me taken during activities funded or supported by NOAA. Please see the NOAA Privacy Act Statement.”
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Information
What is your educator role?*
Formal: K12 classroom educator
Formal: K12 science/curriculum specialist
Formal: K12 school administrator
Informal Science Center: museum, aquarium, zoo
Informal: non-profit organization
Afterschool or youth program
Government agency
Other
What stage are you in your career?*
Student
Early career (0-10 years)
Mid-career (11-20 years)
Late career (21+ years)
Retired
Other
What is the zip code of your school or education site?
Is your school Title 1?*
Yes
No
Do not know
Not applicable
What subject(s) do you teach?
Science (general)
Biology
Chemistry
Physics
Environmental Science
Marine Science/Biology
Math
Other
Who will you teach using the information and materials from this teacher professional development workshop?
Grade K-5 students
Grade 6-8 students
Grade 9-12 students
Community college students
University students
Other
Does your class composition include students that identify as any of the following groups that the federal government, in Executive Order 13985, has identified as underserved? Check all that apply.
Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders, and other persons of color
Members of religious minorities
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons
Persons with disabilities
Persons who live in rural areas
Persons otherwise adversely affected by persistent poverty of inequality
No, I do not identify with any of these groups
Why did you sign up for this teacher professional development workshop? Check all that apply.
I want to learn more about hydrothermal vents and cold seeps/deep-ocean chemosynthetic communities.
I am seeking activities and resources to integrate into my instruction.
I enjoyed participating in a previous NOAA professional development workshop(s).
I need to earn credit hours for my professional development.
Other
Click to customize multiple option*
Option 2
Option 3
How did you hear about this professional development opportunity?*
Social Media
Email/Listserv
Website
Colleague
Other
Please share any dietary restrictions.

Completion of this registration form will:

  1. Opt you in to the NOAA Ocean Exploration Education Newsletter, which offers information about education-related activities, resources, and upcoming events; and,
  2. Provide consent to NOAA Ocean Exploration to use, reproduce, edit, and/or broadcast any and all photographs, video recordings, and audio recordings of me taken during activities funded or supported by NOAA. Please see the NOAA Privacy Act Statement.”
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Information
What is your educator role?*
Formal: K12 classroom educator
Formal: K12 science/curriculum specialist
Formal: K12 school administrator
Informal Science Center: museum, aquarium, zoo
Informal: non-profit organization
Afterschool or youth program
Government agency
Other
What stage are you in your career?*
Student
Early career (0-10 years)
Mid-career (11-20 years)
Late career (21+ years)
Retired
Other
What is the zip code of your school or education site?
Is your school Title 1?*
Yes
No
Do not know
Not applicable
What subject(s) do you teach?
Science (general)
Biology
Chemistry
Physics
Environmental Science
Marine Science/Biology
Math
Other
Who will you teach using the information and materials from this teacher professional development workshop?
Grade K-5 students
Grade 6-8 students
Grade 9-12 students
Community college students
University students
Other
Does your class composition include students that identify as any of the following groups that the federal government, in Executive Order 13985, has identified as underserved? Check all that apply.
Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders, and other persons of color
Members of religious minorities
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons
Persons with disabilities
Persons who live in rural areas
Persons otherwise adversely affected by persistent poverty of inequality
No, I do not identify with any of these groups
Why did you sign up for this teacher professional development workshop? Check all that apply.
I want to learn more about hydrothermal vents and cold seeps/deep-ocean chemosynthetic communities.
I am seeking activities and resources to integrate into my instruction.
I enjoyed participating in a previous NOAA professional development workshop(s).
I need to earn credit hours for my professional development.
Other
Click to customize multiple option*
Option 2
Option 3
How did you hear about this professional development opportunity?*
Social Media
Email/Listserv
Website
Colleague
Other
Please share any dietary restrictions.

Completion of this registration form will:

  1. Opt you in to the NOAA Ocean Exploration Education Newsletter, which offers information about education-related activities, resources, and upcoming events; and,
  2. Provide consent to NOAA Ocean Exploration to use, reproduce, edit, and/or broadcast any and all photographs, video recordings, and audio recordings of me taken during activities funded or supported by NOAA. Please see the NOAA Privacy Act Statement.”
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
What is your educator role?*
Formal: K12 classroom educator
Formal: K12 science/curriculum specialist
Formal: K12 school administrator
Informal Science Center: museum, aquarium, zoo
Informal: non-profit organization
Afterschool or youth program
Government agency
Other
What stage are you in your career?*
Student
Early career (0-10 years)
Mid-career (11-20 years)
Late career (21+ years)
Retired
Other
What is the zip code of your school or education site?
Is your school Title 1?*
Yes
No
Do not know
Not applicable
What subject(s) do you teach?
Science (general)
Biology
Chemistry
Physics
Environmental Science
Marine Science/Biology
Math
Other
Who will you teach using the information and materials from this teacher professional development workshop?
Grade K-5 students
Grade 6-8 students
Grade 9-12 students
Community college students
University students
Other
Does your class composition include students that identify as any of the following groups that the federal government, in Executive Order 13985, has identified as underserved? Check all that apply.
Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders, and other persons of color
Members of religious minorities
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons
Persons with disabilities
Persons who live in rural areas
Persons otherwise adversely affected by persistent poverty of inequality
No, I do not identify with any of these groups
Why did you sign up for this teacher professional development workshop? Check all that apply.
I want to learn more about hydrothermal vents and cold seeps/deep-ocean chemosynthetic communities.
I am seeking activities and resources to integrate into my instruction.
I enjoyed participating in a previous NOAA professional development workshop(s).
I need to earn credit hours for my professional development.
Other
Click to customize multiple option*
Option 2
Option 3
How did you hear about this professional development opportunity?*
Social Media
Email/Listserv
Website
Colleague
Other
Please share any dietary restrictions.

Completion of this registration form will:

  1. Opt you in to the NOAA Ocean Exploration Education Newsletter, which offers information about education-related activities, resources, and upcoming events; and,
  2. Provide consent to NOAA Ocean Exploration to use, reproduce, edit, and/or broadcast any and all photographs, video recordings, and audio recordings of me taken during activities funded or supported by NOAA. Please see the NOAA Privacy Act Statement.”
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
What is your educator role?*
Formal: K12 classroom educator
Formal: K12 science/curriculum specialist
Formal: K12 school administrator
Informal Science Center: museum, aquarium, zoo
Informal: non-profit organization
Afterschool or youth program
Government agency
Other
What stage are you in your career?*
Student
Early career (0-10 years)
Mid-career (11-20 years)
Late career (21+ years)
Retired
Other
What is the zip code of your school or education site?
Is your school Title 1?*
Yes
No
Do not know
Not applicable
What subject(s) do you teach?
Science (general)
Biology
Chemistry
Physics
Environmental Science
Marine Science/Biology
Math
Other
Who will you teach using the information and materials from this teacher professional development workshop?
Grade K-5 students
Grade 6-8 students
Grade 9-12 students
Community college students
University students
Other
Does your class composition include students that identify as any of the following groups that the federal government, in Executive Order 13985, has identified as underserved? Check all that apply.
Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders, and other persons of color
Members of religious minorities
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons
Persons with disabilities
Persons who live in rural areas
Persons otherwise adversely affected by persistent poverty of inequality
No, I do not identify with any of these groups
Why did you sign up for this teacher professional development workshop? Check all that apply.
I want to learn more about hydrothermal vents and cold seeps/deep-ocean chemosynthetic communities.
I am seeking activities and resources to integrate into my instruction.
I enjoyed participating in a previous NOAA professional development workshop(s).
I need to earn credit hours for my professional development.
Other
Click to customize multiple option*
Option 2
Option 3
How did you hear about this professional development opportunity?*
Social Media
Email/Listserv
Website
Colleague
Other
Please share any dietary restrictions.

Completion of this registration form will:

  1. Opt you in to the NOAA Ocean Exploration Education Newsletter, which offers information about education-related activities, resources, and upcoming events; and,
  2. Provide consent to NOAA Ocean Exploration to use, reproduce, edit, and/or broadcast any and all photographs, video recordings, and audio recordings of me taken during activities funded or supported by NOAA. Please see the NOAA Privacy Act Statement.”
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
What is your educator role?*
Formal: K12 classroom educator
Formal: K12 science/curriculum specialist
Formal: K12 school administrator
Informal Science Center: museum, aquarium, zoo
Informal: non-profit organization
Afterschool or youth program
Government agency
Other
What stage are you in your career?*
Student
Early career (0-10 years)
Mid-career (11-20 years)
Late career (21+ years)
Retired
Other
What is the zip code of your school or education site?
Is your school Title 1?*
Yes
No
Do not know
Not applicable
What subject(s) do you teach?
Science (general)
Biology
Chemistry
Physics
Environmental Science
Marine Science/Biology
Math
Other
Who will you teach using the information and materials from this teacher professional development workshop?
Grade K-5 students
Grade 6-8 students
Grade 9-12 students
Community college students
University students
Other
Does your class composition include students that identify as any of the following groups that the federal government, in Executive Order 13985, has identified as underserved? Check all that apply.
Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders, and other persons of color
Members of religious minorities
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons
Persons with disabilities
Persons who live in rural areas
Persons otherwise adversely affected by persistent poverty of inequality
No, I do not identify with any of these groups
Why did you sign up for this teacher professional development workshop? Check all that apply.
I want to learn more about hydrothermal vents and cold seeps/deep-ocean chemosynthetic communities.
I am seeking activities and resources to integrate into my instruction.
I enjoyed participating in a previous NOAA professional development workshop(s).
I need to earn credit hours for my professional development.
Other
Click to customize multiple option*
Option 2
Option 3
How did you hear about this professional development opportunity?*
Social Media
Email/Listserv
Website
Colleague
Other
Please share any dietary restrictions.

Completion of this registration form will:

  1. Opt you in to the NOAA Ocean Exploration Education Newsletter, which offers information about education-related activities, resources, and upcoming events; and,
  2. Provide consent to NOAA Ocean Exploration to use, reproduce, edit, and/or broadcast any and all photographs, video recordings, and audio recordings of me taken during activities funded or supported by NOAA. Please see the NOAA Privacy Act Statement.”
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
What is your educator role?*
Formal: K12 classroom educator
Formal: K12 science/curriculum specialist
Formal: K12 school administrator
Informal Science Center: museum, aquarium, zoo
Informal: non-profit organization
Afterschool or youth program
Government agency
Other
What stage are you in your career?*
Student
Early career (0-10 years)
Mid-career (11-20 years)
Late career (21+ years)
Retired
Other
What is the zip code of your school or education site?
Is your school Title 1?*
Yes
No
Do not know
Not applicable
What subject(s) do you teach?
Science (general)
Biology
Chemistry
Physics
Environmental Science
Marine Science/Biology
Math
Other
Who will you teach using the information and materials from this teacher professional development workshop?
Grade K-5 students
Grade 6-8 students
Grade 9-12 students
Community college students
University students
Other
Does your class composition include students that identify as any of the following groups that the federal government, in Executive Order 13985, has identified as underserved? Check all that apply.
Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders, and other persons of color
Members of religious minorities
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons
Persons with disabilities
Persons who live in rural areas
Persons otherwise adversely affected by persistent poverty of inequality
No, I do not identify with any of these groups
Why did you sign up for this teacher professional development workshop? Check all that apply.
I want to learn more about hydrothermal vents and cold seeps/deep-ocean chemosynthetic communities.
I am seeking activities and resources to integrate into my instruction.
I enjoyed participating in a previous NOAA professional development workshop(s).
I need to earn credit hours for my professional development.
Other
Click to customize multiple option*
Option 2
Option 3
How did you hear about this professional development opportunity?*
Social Media
Email/Listserv
Website
Colleague
Other
Please share any dietary restrictions.

Completion of this registration form will:

  1. Opt you in to the NOAA Ocean Exploration Education Newsletter, which offers information about education-related activities, resources, and upcoming events; and,
  2. Provide consent to NOAA Ocean Exploration to use, reproduce, edit, and/or broadcast any and all photographs, video recordings, and audio recordings of me taken during activities funded or supported by NOAA. Please see the NOAA Privacy Act Statement.”
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
What is your educator role?*
Formal: K12 classroom educator
Formal: K12 science/curriculum specialist
Formal: K12 school administrator
Informal Science Center: museum, aquarium, zoo
Informal: non-profit organization
Afterschool or youth program
Government agency
Other
What stage are you in your career?*
Student
Early career (0-10 years)
Mid-career (11-20 years)
Late career (21+ years)
Retired
Other
What is the zip code of your school or education site?
Is your school Title 1?*
Yes
No
Do not know
Not applicable
What subject(s) do you teach?
Science (general)
Biology
Chemistry
Physics
Environmental Science
Marine Science/Biology
Math
Other
Who will you teach using the information and materials from this teacher professional development workshop?
Grade K-5 students
Grade 6-8 students
Grade 9-12 students
Community college students
University students
Other
Does your class composition include students that identify as any of the following groups that the federal government, in Executive Order 13985, has identified as underserved? Check all that apply.
Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders, and other persons of color
Members of religious minorities
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons
Persons with disabilities
Persons who live in rural areas
Persons otherwise adversely affected by persistent poverty of inequality
No, I do not identify with any of these groups
Why did you sign up for this teacher professional development workshop? Check all that apply.
I want to learn more about hydrothermal vents and cold seeps/deep-ocean chemosynthetic communities.
I am seeking activities and resources to integrate into my instruction.
I enjoyed participating in a previous NOAA professional development workshop(s).
I need to earn credit hours for my professional development.
Other
Click to customize multiple option*
Option 2
Option 3
How did you hear about this professional development opportunity?*
Social Media
Email/Listserv
Website
Colleague
Other
Please share any dietary restrictions.

Completion of this registration form will:

  1. Opt you in to the NOAA Ocean Exploration Education Newsletter, which offers information about education-related activities, resources, and upcoming events; and,
  2. Provide consent to NOAA Ocean Exploration to use, reproduce, edit, and/or broadcast any and all photographs, video recordings, and audio recordings of me taken during activities funded or supported by NOAA. Please see the NOAA Privacy Act Statement.”
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
What is your educator role?*
Formal: K12 classroom educator
Formal: K12 science/curriculum specialist
Formal: K12 school administrator
Informal Science Center: museum, aquarium, zoo
Informal: non-profit organization
Afterschool or youth program
Government agency
Other
What stage are you in your career?*
Student
Early career (0-10 years)
Mid-career (11-20 years)
Late career (21+ years)
Retired
Other
What is the zip code of your school or education site?
Is your school Title 1?*
Yes
No
Do not know
Not applicable
What subject(s) do you teach?
Science (general)
Biology
Chemistry
Physics
Environmental Science
Marine Science/Biology
Math
Other
Who will you teach using the information and materials from this teacher professional development workshop?
Grade K-5 students
Grade 6-8 students
Grade 9-12 students
Community college students
University students
Other
Does your class composition include students that identify as any of the following groups that the federal government, in Executive Order 13985, has identified as underserved? Check all that apply.
Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders, and other persons of color
Members of religious minorities
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons
Persons with disabilities
Persons who live in rural areas
Persons otherwise adversely affected by persistent poverty of inequality
No, I do not identify with any of these groups
Why did you sign up for this teacher professional development workshop? Check all that apply.
I want to learn more about hydrothermal vents and cold seeps/deep-ocean chemosynthetic communities.
I am seeking activities and resources to integrate into my instruction.
I enjoyed participating in a previous NOAA professional development workshop(s).
I need to earn credit hours for my professional development.
Other
Click to customize multiple option*
Option 2
Option 3
How did you hear about this professional development opportunity?*
Social Media
Email/Listserv
Website
Colleague
Other
Please share any dietary restrictions.

Completion of this registration form will:

  1. Opt you in to the NOAA Ocean Exploration Education Newsletter, which offers information about education-related activities, resources, and upcoming events; and,
  2. Provide consent to NOAA Ocean Exploration to use, reproduce, edit, and/or broadcast any and all photographs, video recordings, and audio recordings of me taken during activities funded or supported by NOAA. Please see the NOAA Privacy Act Statement.”
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
What is your educator role?*
Formal: K12 classroom educator
Formal: K12 science/curriculum specialist
Formal: K12 school administrator
Informal Science Center: museum, aquarium, zoo
Informal: non-profit organization
Afterschool or youth program
Government agency
Other
What stage are you in your career?*
Student
Early career (0-10 years)
Mid-career (11-20 years)
Late career (21+ years)
Retired
Other
What is the zip code of your school or education site?
Is your school Title 1?*
Yes
No
Do not know
Not applicable
What subject(s) do you teach?
Science (general)
Biology
Chemistry
Physics
Environmental Science
Marine Science/Biology
Math
Other
Who will you teach using the information and materials from this teacher professional development workshop?
Grade K-5 students
Grade 6-8 students
Grade 9-12 students
Community college students
University students
Other
Does your class composition include students that identify as any of the following groups that the federal government, in Executive Order 13985, has identified as underserved? Check all that apply.
Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders, and other persons of color
Members of religious minorities
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons
Persons with disabilities
Persons who live in rural areas
Persons otherwise adversely affected by persistent poverty of inequality
No, I do not identify with any of these groups
Why did you sign up for this teacher professional development workshop? Check all that apply.
I want to learn more about hydrothermal vents and cold seeps/deep-ocean chemosynthetic communities.
I am seeking activities and resources to integrate into my instruction.
I enjoyed participating in a previous NOAA professional development workshop(s).
I need to earn credit hours for my professional development.
Other
Click to customize multiple option*
Option 2
Option 3
How did you hear about this professional development opportunity?*
Social Media
Email/Listserv
Website
Colleague
Other
Please share any dietary restrictions.

Completion of this registration form will:

  1. Opt you in to the NOAA Ocean Exploration Education Newsletter, which offers information about education-related activities, resources, and upcoming events; and,
  2. Provide consent to NOAA Ocean Exploration to use, reproduce, edit, and/or broadcast any and all photographs, video recordings, and audio recordings of me taken during activities funded or supported by NOAA. Please see the NOAA Privacy Act Statement.”
Parent or Guardian's Email Address
Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
What is your educator role?*
Formal: K12 classroom educator
Formal: K12 science/curriculum specialist
Formal: K12 school administrator
Informal Science Center: museum, aquarium, zoo
Informal: non-profit organization
Afterschool or youth program
Government agency
Other
What stage are you in your career?*
Student
Early career (0-10 years)
Mid-career (11-20 years)
Late career (21+ years)
Retired
Other
What is the zip code of your school or education site?
Is your school Title 1?*
Yes
No
Do not know
Not applicable
What subject(s) do you teach?
Science (general)
Biology
Chemistry
Physics
Environmental Science
Marine Science/Biology
Math
Other
Who will you teach using the information and materials from this teacher professional development workshop?
Grade K-5 students
Grade 6-8 students
Grade 9-12 students
Community college students
University students
Other
Does your class composition include students that identify as any of the following groups that the federal government, in Executive Order 13985, has identified as underserved? Check all that apply.
Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders, and other persons of color
Members of religious minorities
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) persons
Persons with disabilities
Persons who live in rural areas
Persons otherwise adversely affected by persistent poverty of inequality
No, I do not identify with any of these groups
Why did you sign up for this teacher professional development workshop? Check all that apply.
I want to learn more about hydrothermal vents and cold seeps/deep-ocean chemosynthetic communities.
I am seeking activities and resources to integrate into my instruction.
I enjoyed participating in a previous NOAA professional development workshop(s).
I need to earn credit hours for my professional development.
Other
Click to customize multiple option*
Option 2
Option 3
How did you hear about this professional development opportunity?*
Social Media
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Completion of this registration form will:

  1. Opt you in to the NOAA Ocean Exploration Education Newsletter, which offers information about education-related activities, resources, and upcoming events; and,
  2. Provide consent to NOAA Ocean Exploration to use, reproduce, edit, and/or broadcast any and all photographs, video recordings, and audio recordings of me taken during activities funded or supported by NOAA. Please see the NOAA Privacy Act Statement.”
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 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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