Print this page, provide all requested information, and return by fax or mail by the deadline of 18 February 2000 to: Florida EXPLORES! Department of Meteorology 4520 Florida State University Tallahassee FL 32306-4520 (850) 644-9642 (fax) (850) 644-3465 (voice) exploresadm@met.fsu.edu (email) http://www.met.fsu.edu/explores (WWW) __________________________________________________________________________ Your Name Title __________________________________________________________________________ School Name Street Address __________________________________________________________________________ City County State Zip Code __________________________________________________________________________ Your Home Address (Street, City, State, Zip Code) __________________________________________________________________________ Your Home Phone School Phone __________________________________________________________________________ Your FIRN or Internet Address Signature __________________________________________________________________________ School FAX Number (please include area code!)
(please sign after the teacher fills out the questionnaire) __________________________________________________________________________ Name of School Principal Signature __________________________________________________________________________ Name of Science Coordinator or Immediate Supervisor Signature