Vernier In-House Workshop Application

To arrange a Vernier in-house workshop, please fill out the following application. If an in-house workshop does not fit your needs, please go to our workshop section for a listing of other options.

- Indicates required field

	Name:
	Home Phone:
	Fax:
	E-Mail:

	School Name:
	School Address Line 1:
	School Address Line 2:
	School City:
	School State:
	School Zip/Postal Code:
	School Country:
	School Phone:

	When would you like to hold the workshop? Provide at least 2 dates, at least 3 weeks in advance. Training limited to one day.
	First Choice:
	Second Choice:
	Other days, options or requests:
	Please indicate your position position Teacher Technology Specialist Dept. Chair Principal Other
	How many will attend the workshop?
	What grade levels do the participants teach?
	What are the experience levels of the teachers with Vernier products? (Check all that apply)
	Beginner Intermediate Advanced
	What do you collect data with? (Select all that apply)
	Windows Computer Macintosh Computer TI graphing calculator Palm OS Handheld
	What interface(s) are you using?
	Vernier LabPro Go! Link Go!Temp TI CBL2 Universal Lab Interface Serial Box Interface Original CBL
	How many of the following Vernier sensors do you have?
	Accelerometers Barometer CO2 Gas Sensor Colorimeter Conductivity Probe Current Probe Differential Voltage Probe Digital Control Unit Dissolved Oxygen Probe Drop Counter Dual-Range Force Sensor EKG Sensor Electrode Amplifier Exercise Heart Rate Monitor Flow Rate Sensor Force Plate Gas Pressure Sensor Instrumentation Amplifier Ion-Selective Electrodes Laser Pointer and Stand Light Sensor Magnetic Field Sensor Microphone Motion Detector O2 Gas Sensor Ohaus Balances ORP Sensor pH Sensor Photogate Radiation Monitors Relative Humidity Sensor Respiration Monitor Belt Rotary Motion Sensor Sound Level Meter Temperature Probes Thermocouple Turbidity Sensor UV Sensor Voltage Probe
	Which of the following lab manuals do you have? Biology with Computers Chemistry with Computers Physics with Computers Water Quality with Computers Middle School Science w/ Computers Earth Science with Computers Physical Science with Computers Real-World Math with Computers Advanced Chemistry with Vernier Let's Go! Investigating Temperature Biology with Calculators Chemistry with Calculators Physics with Calculators Water Quality with Calculators Middle School Science with Calculators Earth Science with Calculators Physical Science with Calculators Real-World Math with CBL 2 and LabPro Nuclear Radiation with Computers and Calculators Science with Handhelds
	What Vernier software are you using?
	Logger Pro Graphical Analysis Spectro Pro
	Which subjects do you want to cover in the workshop? (Check all that apply)
	Biology Chemistry Earth Science / Geology Environmental Science General Science Integrated Science Life Science Math Physical Science Physics Water Quality

Comments:

To continue, press this button: