Dins and Dogs Application

Application for Community Research Opportunity with Berea Middle Students

Looking to use your interest in math/science to develop a meaningful connection with the local community? Join us and be paired with 2 Middle School students to explore a local research project of your choice this academic year.

Name Name First Last
Are you interested in participating in the Furman sponsored Dins and Dogs STEM outreach opportunity?
If you answered "Yes" - please complete the rest of this form and we will contact you to conduct a short interview.

If you answered not Sure" - Drs. Kaup or Hawthorne (program coordinators) will contact you to set up a time to discuss the program and allow you to determine if this is a good fit for you. Feel free to complete the application or scroll to the bottom and click submit.

If you answered "No" - there is no need to complete any additional details but we do hope you will consider participating sometime in the future.
What is your preferred name
Your Academic Standing
Major (or Intended Major)
E-mail address
Phone number: Cell Phone number: Cell - ### - ### ####
Do you have your own transportation?
Are you willing to carpool?
Do you have any experience working with middle school students? If yes, please briefly explain this prior experience.

[Note: this is certainly not a requirement for participation in this program.]
Maximum of 100 words allowed. Currently Entered: 0 words.
One exciting componenet of this program is your ability to select a project to complete with the Berea Middle students. We (Drs. Kaup and Hawthorne) can help you select a project but let us know if you have a specific area that is of interest to you.

One exciting componenet of this program is your ability to select a project to complete with the Berea Middle students. We (Drs. Kaup and Hawthorne) can help you select a project but let us know if you have a specific area that is of interest to you. Mathematics EES / Sustainability Health Sciences Biology Chemistry Other Other

This program will start with an evening event at Furman on October 23rd and culminate at Furman Engaged! when we hope the Berea Middle students can join us at Furman. Between these two events, Furman students will travel to Berea Middle to work with their assigned students on 7 dates (the sessions will run from 3:30 - 5:00 pm). These dates are spaced out approximately every two weeks with two dates in the fall (Nov/Dec) and 5 in the spring (Jan/Feb/Mar). Consider your current schedule and indicate below (to the best of your ability) your first, second and third choice for the day of the week you would like to participate. [Note: We recognize this might change in the spring with your new academic schedule].
	Monday	Tuesday	Wednesday
First Choice	First ChoiceMonday	First ChoiceTuesday	First ChoiceWednesday
Second Choice	Second ChoiceMonday	Second ChoiceTuesday	Second ChoiceWednesday
Third Choice	Third ChoiceMonday	Third ChoiceTuesday	Third ChoiceWednesday
Not able to participate on this day	Not able to participate on this dayMonday	Not able to participate on this dayTuesday	Not able to participate on this dayWednesday

Please share with us why you are interested in participating in this program?
Maximum of 100 words allowed. Currently Entered: 0 words.
Reference: Please share the name of a faculty or staff member here at Furman with whom you have worked or taken a class. We will not request a formal reference from this individual but may contact them in reference to your interest in this program. Reference: Please share the name of a faculty or staff member here at Furman with whom you have worked or taken a class. We will not request a formal reference from this individual but may contact them in reference to your interest in this program. First Last
Please feel free to include anything else you would like us to know about you or that might be related to your participation in this program.
Thank you for completing this application and for your interest in this program. We will be in touch shortly to set up an interview to discuss your responses and answer any additional questions you might have. It is our plan to have students selected for this program no later than October 15th.