School’s Application

Name*

Email*

Phone*

Taught Subjects*
BiologyChemistryEarth SciencesPhysical SciencesPhysicsMathematicsOther

School Name*

Country*
United States of AmericaAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic People's Republic of Korea (North Korea)Democratic Republic of the CongDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic Republic (Laos)LatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesia (Federated States of)MonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRepublic of Korea (South Korea)Republic of MoldovaRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTajikistanThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited Republic of TanzaniaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe

State*

Address*

City*

ZIP*

Type of School?*
PublicPrivateCharterOther

Title 1 Eligible?*
YesNoN/AI don't knowI prefer not to answer this question

Diverse Learners*
I don't knowI prefer not to answer0-10%11-19%20-29%30-39%40-49%50-59%60-69%70-79%80-89%90-100%

Graduation rate*
I don't knowI prefer not to answer0-10%11-19%20-29%30-39%40-49%50-59%60-69%70-79%80-89%90-100%

Estimated College Placement*
I don't knowI prefer not to answer0-10%11-19%20-29%30-39%40-49%50-59%60-69%70-79%80-89%90-100%

English Language Learners*
I don't knowI prefer not to answer0-10%11-19%20-29%30-39%40-49%50-59%60-69%70-79%80-89%90-100%

Have you participated in H2AC before?*
YesNo

Why do you as a teacher want to volunteer your time to coach your team?*

List any Curricular or Extra Curricular Clubs that you lead or have lead in the past:*

How will participating in this competition benefit your students’ familiarity with renewable energy & their opinions on further education and careers opportunities in STEM related fields? *

List any past hydrogen, renewable energy,engineering activities or competitions that you have facilitated: *

RETURNING TEAMS ONLY:How did H2AC increase you and your team's familiarity with renewable energy?

RETURNING TEAMS ONLY: After H2AC, were your students more comfortable about topics pertaining to STEM?

RETURNING TEAMS ONLY: For you as a teacher, did participating in H2AC give you aid in future curriculum for your students?

After finalizing the first step you will have to wait for the application approval.