"Environmental Education: Awareness to Action (Advanced)"
June 14-20, 2008 @ Land Between the Lakes (LBL)

Name _________________________________________________________________________________________

Home Address__________________________________________________________________________________

City_______________________________________________________________Zip Code____________________

Home Phone_____________________________________Cell Phone______________________________________

e-mail Address__________________________________________________________________________________

SS#____________________________________________Student ID#_____________________________________

Name of School & District__________________________________________________Work Phone_____________

Grade and subjects you will teach next school year.______________________________________________________

Why are you interested in this environmental education opportunity?________________________________________

_____________________________________________________________________________________________

Are you interested in taking the course for 3 hours graduate credit?_______yes _______no

Have you attended a Land Between the Lakes Introductory workshop in the past? ________
* What year did you attend?_________   * Did you take it for course credit?___________
* Under what course number was you awarded credit? _________

Mail or fax the application by April 1, 2008.
You will be notified about acceptance after April 15, 2008.

Center for Math, Science &Environmental Education
1906 College Heights #11098
Bowling Green, KY 42101-1041

Fax: (270) 745-5245     web site = http://www.wku.edu/cmsee