CASE Institute Host Application 2016-2017

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Host Institute Information
All prospective affiliate institutions must be able to provide the following if they are chosen as a host site:
  • Classroom and laboratory facilities with appropriate equipment including:
    • Vernier equipment and sensors
    • Table-style classroom seating for group projects
    • Wet laboratory including sinks
    • Compound and dissecting microscopes
    • Glassware, such as beakers, graduated cylinders, and test tubes
    • Heating devices, such as burners, hot plates, and microwave
    • Electrical access for 110 volt power
    • Power strips for participant laptop computers
    • Measurement instruments, such as electronic balances
    • Internet access for all Lead Teachers and participants
    • Appropriate and sufficient PPE for all Lead Teachers and participants
  • Other equipment as required for the specific course(s) that may include:
    • FSS: ovens, stove-tops, various cooking items such as pots and pans and utensils
    • APB: PCR, electrophoresis, hot water baths
    • APT: various hand tools, workbenches, vices, saws, drill press
    • Be sure to refer to CI purchasing manuals for more information
  • Supplies required for the instruction of lessons for the specific course(s) - a specific list of equipment and supplies is available online in the private group on Communities of Practice.
  • Staff for logistical support to assist CASE Lead Teachers during the sessions (graduate or work study student)
  • If host institution is not post-secondary, need affiliation with supportive in-state post-secondary institution
  • Lodging for Lead Teachers and institute participants
  • Meals for Lead Teachers and institute participants
  • Transportation for Lead Teachers as needed to and from airport and each day to the institute
  • Logistical support for billing participants and receiving funds from participants - note that pre-service teacher financial transactions may be different than current in-service teachers
  • Payment of per-institute CASE Service Fee ($8,400)
  • Payment of per-participant Administration Fee ($800 except for Biotech which is $900)
  • Host must guarantee a minimum enrollment of 10 participants from within the local state or region (300-mile radius)
Institute Schedule Lengths are as follows:
  • AFNR, ASA, ASP, NRE - 8 days plus Orientation
  • FSS, APB, ESI, APT - 9 days plus Orientation
  • ARD - 5 days with NO Orientation
1. Will this be your only application for a CASE Institute? *This question is required.
2. Is the host site a post-secondary institution? *This question is required.
3. Physical Address of Institute Location
This is a required response.
4. Is the physical address the shipping address for supplies and other correspondence? *This question is required.
5. Is the billing address the same as the physical address? *This question is required.
Billing Address for Institute Related Financial Paperwork
Is this billing address the shipping address for supplies and other correspondence? *This question is required.
6. Primary Contact Person - Host Site Coordinator *This question is required.
This should be the person most directly involved in the planning and day-to-day needs of the institute.
7. Choose one of the following options for the address of the Primary Host Site Coordinator: *This question is required.
If the physical address and the billing address are the same, please choose physical address.
Host Site Coordinator address
8. Are there other people who are assisting with hosting this institute for whom we should have contact information? *This question is required.
Secondary Contact Person - Please describe role