Are you applying as part of a faculty team (See Part D selection Criteria) Check One Yes No

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1 2015 CERET Renewable Energy Train the Trainer Academy Solar Electric (Photovoltaic) Education and Training July 20-24, 2015 at Solar Energy International, Paonia, CO Instructions By March 15, 2015, submit this application and one letter of recommendation as specified in Part E. Please note that late or incomplete applications may not receive full consideration. To complete the application, please save this application form as a Word (.docx) or rich text format (.RTF) or PDF file. Add space as needed as you input your responses. Send your completed application by electronic attachment (preferred), fax, or mail to Ken Walz at CERET: (see part E) Part A - Contact information Your Name: Name of College or High School: School Address: School Phone: School Fax: School School Administrator (Name & Title): Your Home Address: Home Home Phone: Cell Phone: Are you applying as part of a faculty team (See Part D selection Criteria) Check One Yes No If Yes, please indicate the Name(s) of your teammates: Part B - Education & Experience Educational background (see also Part D selection criteria): Institution(s) Major/Field(s) of Study Degree/Year(s) Teaching background (see also Part D selection criteria): School Name Courses Taught Year(s)

2 Part B (Cont.) - Energy Experience and Pre-Requisite Knowledge Please document your experience and pre-requisite knowledge here, adding space below each question as needed. 1. In order of importance to you, list the energy technology, science, math, and/or other related technology courses that you teach or have taught in the past three years. 2. Indicate and briefly describe your prior experience with solar electric (photovoltaic) systems. (Note that prior experience with these systems is a pre-requisite for selection for this program. SEE PART D Criteria for Selection. If you have no prior experience, an additional scholarship is available to complete a six-week Intro to PV online course with Solar Energy International prior to the hands-on PV Academy. If applicable, please describe your experience with online course work, and indicate your interest in this option. no experience some experience (work or academic) significant experience 3. List or describe any other energy-related work experience or involvement in any other energy-related activities (school, work, community, regional, research, etc.). 4. Briefly describe why you are interested in the CERET PV Academy. In what ways might this experience benefit your students and/or impact your teaching practice? 5. Briefly describe your experience teaching non-traditional students, and describe any efforts that you have been involved with to encourage their engagement in Science, Technology, Engineering, and Math (STEM) fields.

3 Part C - Academy Outcomes If you are selected to participate in the academy, you will be expected to provide evidence documenting your contribution to the following Energy Academy Outcomes. Describe any ideas or plans that you have for future activities that would meet these objectives. Please respond to at least TWO of the outcomes below. Write your response in paragraph style, adding space as needed. Outcome 1 This academy will provide you with content knowledge and hands-on experience working with mechanical and electrical equipment used to install solar electric systems. How will you use this experience to enhance your classroom curriculum? Are you willing to work with CERET to assess the effectiveness of your new instructional materials and to help identify best practices in solar electric education? Outcome 2 This academy will provide professional development for high school and two-year college instructors that teach subjects related to solar electric technology. Collaboration will foster discussion of issues related to college preparation and exploration of career pathways related to energy and technical education. What relationships do you envision between high school and two-year institutions to promote cooperation between faculty and students at both levels? Are you willing to work with CERET to document the communications and relationships that you have with instructors at other institutions? Outcome 3 The academy will produce a cohort of trained expert faculty (you) to serve as leaders in solar electric education. Innovative teaching strategies and recommended learning materials will be disseminated to a national audience to promote the incorporation solar electric education in Science, Technology, Engineering, and Math (STEM) instruction. How will you share what you learned at the academy with your fellow teachers and colleagues in STEM education? Are you willing to work with CERET to report on these activities?

4 Part D - Criteria for selection Selection of CERET Renewable Energy Academy Participants shall be guided by the following criteria: 1. Education or Training: Associates degree, baccalaureate degree, and/or industry-specific training in the following: Energy Technology: (e.g., electrical technology, architectural technology, building management, construction and/or electrical trades, industrial maintenance, etc.) Science or Engineering (chemistry, physics, electrical engineering, mechanical engineering, etc.) Science Education or Technical Education 2. Current Employment: As a faculty member at a two-year college or a high school. (Note: adjunct instructors who also are in an energy technology industry/profession are eligible.) Affiliated with a high school or 2-year college as an educational specialist (e.g., instructional/curriculum designer, professional development specialist) and experienced in teaching science, mathematics, or technology education. 3. Experience: At least three years teaching energy/environmental technology, science, math, or technical education. Basic knowledge of electricity, AC/DC fundamentals, and electronic circuits Documented prior knowledge, work experience, and/or training with solar electrical systems and familiarity with Electrical Safety is required. (examples could include academic coursework or research in solar and renewable energy, employment with an electrical contractor or a solar business, or training through providers such as Solar Energy International, The Midwest Renewable Energy Center, the Florida Solar Energy Center, the Sustainable Living Institute, etc.) For potential applicants that lack appropriate pre-requisite PV experience, a limited number of additional scholarships are available to take Solar Energy International s 6-week PV 101 online course prior to the academy to obtain the necessary prerequisite knowledge.(see Part B, Item 2) 4. Applicants who are members of a faculty team (see also Part A) Applying as a team of educators from the same school, or school system. Applying as a team of educators from within the same geographic region. In particular, we strongly encourage teams formed between high schools and the two-year colleges that receive their graduates. 5. Applicants who have experience promoting engagement of non-traditional student groups in the STEM fields. CERET seeks to encourage women, racial and ethnic minorities, first generation college students, international students, and students from lower socio-economic status to pursue careers in renewable energy technology. 6. Letter of Recommendation Applicants shall submit one letter of recommendation from an educational supervisor or administrator addressing any two of the criteria listed below (see attached form for Dean or Principal s Recommendation) Demonstrated experience in developing and implementing innovative teaching strategies for students. Demonstrated leadership in the field of energy technology (e.g., in education, work, research, etc.); Demonstrated leadership in the education and professional development of fellow teachers NOTE: The PV Academy includes training and activities that take place primarily outdoors. Participants should expect to work outside, in hot and sunny conditions that will include working on rooftop environments. Sunburn, dehydration, and heat exhaustion all present potential health risks that may be associated with the PV academy work environment. Individuals with limitations that might prevent them from participating in such activities, may wish to consult with a physician to determine the appropriateness of this academy for their given physical condition.

5 Part E - Applicant s Commitment, Recommendation, and Submission Instructions Applicant's Commitment: I understand that if I am chosen to participate in the CERET Academy, I shall commit to: Prepare for the academy by completing pre-trip readings and/or online assignments Complete pre- and post- examinations to measure content knowledge gains from the academy Participate in group activities and projects during the academy Share best practice teaching ideas with other academy participants Provide documented evidence illustrating the impact of the academy on teaching and learning that may include: - lesson or unit plans to incorporate solar electricity into the courses that I teach - new solar electricity instructional materials that I create - new solar electricity equipment, supplies, or materials that I acquire to teach - outreach efforts related to solar education (presentations, meetings, publications, etc.) - creation of new solar electric courses, curriculum, or programs for your school - participation in other solar activities (e.g. grants, education, research, etc.) - other evidence of impact that is judged to be appropriate for reporting to NSF Applicant Name (print): Signature: Date: CERET endorses the principle of equal educational and employment opportunities for all people, regardless of race, color, sex, religion, ancestry, national origin, sexual orientation, age or non-job related handicap or disability. Furthermore, CERET does not discriminate on the basis of race, color, sex, religion, ancestry, national origin, sexual orientation, age or non-job related handicap or disability in the educational programs or activities it operates. The following information is collected for demographic reporting purposes only. Your response to this question is OPTIONAL, and will not impact your selection to this program. Please indicate if you are: Male Female American Indian or Alaskan Native Asian or Pacific Islander Black Hispanic White To complete your application, you must also arrange for approval from your academic dean or principal and they must also provide a letter of recommendation supporting your application. (see details on the following page). Please send materials for this application to: Dr. Kenneth Walz attachments (preferred method): kwalz@madisoncollege.edu Fax: (please include a cover page labeled: Renewable Energy Program, ATTN: Kenneth Walz) Postal mail: Kenneth Walz, Madison Area Technical College, 1701 Wright St, Madison, WI Phone: (Notes: submission of electronic documents is preferred. Application materials can be submitted either as word processing documents (.doc,.rtf, etc.) or as scanned image files (.pdf) attached to communications. On an e- mailed attachment, your typed name originating from your own address is considered your legal signature. Alternatively, if you have an electronic signature file image (.jpg,.gif,.tiff, etc. ) you can insert images where appropriate. If it is necessary to fax or mail a handwritten application, legibility is mandatory. Please keep a copy of your original application for your records. Applicants will be notified of selection by April 15, 2015.)

6 Dean's or Principal's Recommendation Form for the CERET Renewable Energy Academy A letter of recommendation is required to complete the teacher s application to the CERET Renewable Energy Academy. Letter s should be written on school letterhead if possible, and be signed by the teacher s senior academic supervisor (dean or principal). The letter should be submitted along with a copy of this form to the CERET office as instructed below. Electronic submission via is preferred, and letters can be provided either as word processing documents (.doc,.rtf, etc.) or as scanned image files (.pdf) attached to communications. The letter of recommendation should address at least two of the criteria listed below: Demonstrated experience in developing and implementing innovative teaching strategies for students. Demonstrated leadership in the field of energy technology (e.g., in education, work, research, etc.); Demonstrated leadership in the education and professional development of fellow teachers We welcome your questions about the CERET Academy. Please feel welcome to contact the Principal Investigator for this NSF-sponsored project, Dr. Kenneth Walz, kwalz@madisoncollege.edu. I have reviewed s application to the CERET Academy and fully support his/her participation. I understand that during the upcoming school year my employee: 1) might apply and measure the impact of a teaching and learning strategy related to the CERET Academy that is appropriate to his/her teaching assignment and students, 2) will provide the CERET program with aggregate, anonymous, demographic information on students impacted. Dean or Principal Name: Title: Phone: Signature: Date: Please send materials for this application to: Dr. Kenneth Walz attachments (preferred method): kwalz@madisoncollege.edu Fax: (please include a cover page labeled: Renewable Energy Program, ATTN: Kenneth Walz) Postal mail: Kenneth Walz, Madison Area Technical College, 1701 Wright St, Madison, WI Phone: (Notes: submission of electronic documents is preferred. On an ed attachment, your typed name originating from your own address is considered your legal signature. Alternatively, if you have an electronic signature file image (.jpg,.gif,.tiff, etc. ) you can insert images where appropriate. If it is necessary to fax or mail handwritten documents, legibility is mandatory. Please keep a copy of your original application for your records. Applicants will be notified of selection by April 15, 2015.)