The Rahus Institute

Solar Schoolhouse Summer Institute for Educators 2015

July19-24th – Solar Schoolhouse, Sebastopol, CA
Please Print or Type (completed by participant)

______M/F______

NameGenderSubject/Grade You Teach

School/OrganizationSchool District

School AddressCounty

CityStateZip(area code) Phone NumberFax Number

Home Address

CityStateZip(area code) Phone Numberemail

Special Needs: Please note any special needs (disabilities and/or dietary requirements):

Sponsorships: A limited number of stipends are available.
__I need a sponsor. Applications received by April 20th will be notified by April30th . Otherwise, we will notify you within 2 weeks if you are accepted to receive a stipend.First-time Summer Institute participants and timely submission of this application will result in best chance for a sponsorship. Please note which electric utility serves your school __SMUD __GWP ___PaloAlto ___Silicon Valley ___Pasadena ____Other (please note:______).

Please also include a short description of your ideas for incorporating energy activities into your classroom.

Payment

_ $1500 for Full Registration, workshop materials (curriculum, solar fountain, portable power, solar cooker, etc.), lodging, and all meals, are included. Lodging is shared room at local hotel in Sebastopol.

_ Add $300 for own hotel room for 5 nights. (Total is $1800 for own hotel room option)

_ Subtract $300 for onsite camping. Bring your own camping gear. Hot showers available. ($1200 total)

_Subtract $300 for offsite lodging that you arrange yourself. ($1200 total)

______Total

Contact below to arrange credit card payment. To pay via Purchase Order, provide billing info for your school or organization.

Continuing Education Units (CEUs)

___ I am interested in registering for credit from California State University Sacramento for $75 (3 CEUs). Pay onsite.

Fax Completed Application Form to 707-277-3003 or email to

Or Mail your application to

The Rahus Institute, Attn: SSh Summer Institute 2015, 7966 Mill Station Rd., Sebastopol, CA 95472

Questions? Call Dena @ 707-484-5703 or email