K-12 Contact Information
  Name:     Last:   First:   I:
  Phone:
  E-mail:
  Grades Taught?
  Subjects Taught?
  Number of Years Taught?
     
School Information
  School Name:
  School District:
  Address 1:
  Address 2:
  City:  State:   Zip: 
  Country:
  Title I school?:
  Percent free/reduced lunch??:
  Percent English language learners?:
  Percent non-white students?:
     
Information about computer
  OS? (Mac,Windows)
  Hours/day powered on?
  Powered on during weekends?
  Hours/day connected to internet?
     
 

Please describe why your classroom should receive a QCN USB sensor in 250 words or less.
 

Please print this form and mail it to:

The Quake-Catcher Network
Geophysics Department
Stanford University
397 Panama Mall, Room 360
Stanford, CA 94305
USA
 

Or,