CSULB 1250 Bellflower Blvd., Long Beach, CA 90840 - (562) 985 4111
Welcome to myCSULB
CSULB Homepage Students Faculty and Staff Alumni Parents Donors and Friends Media Community
Science Education - California State University, Long Beach

Alumni Signup

We are so very happy you elected to attend CSULB and want to stay in contact with you as you move forward into your professional lives. Please take 5 minutes to fill out the form below so that we may best serve you in your alumni years.

Primary Contact Information (required)

Student ID CSULB Pyramid
Last Name
First Name
Street1
Street2
(optional)
City   State   Zip 
 
Primary Email
(Confirm Email)
 

Secondary Contact Information (optional)

Home Phone
Cell Phone
Secondary Email
(Confirm Email)
 

I. Program Involvement (required)

Please check here if you obtained your undergraduate degree at CSULB and indicate, type of degree, graduation year and area of degree obtained.

Undergraduate
Type of degree: Year graduated: Long Beach State icon
College that awarded degree:
Area/Discipline of degree:

Please check here if you obtained your graduate degree at CSULB and indicate, type of degree, graduation year and area of degree obtained.

Graduate
Type of degree: Year graduated: CSULB seal
College that awarded degree:
Area/Discipline of degree:

What programs did you participate in through the Department of Science Education at CSULB? (check all that apply)
If you have not yet completed a program, please leave the "year completed" field blank.

ITEP program [year completed (optional): ]
Multiple Subject Credential [year completed (optional): ]
Non-Science Concentrator
Science Concentrator
Single Subject Credential [year completed* (optional): ]
Biology
Chemistry
Earth/Geological Sciences
Physics
Masters Program [year completed (optional): ]
Elementary Option
Secondary Option
Informal Option
Association of Future Science Educators (AFSE) Club Member or Attendee
Young Scientist Camp Teacher or Teaching Associate
CSULB students

* if you have more than one single subject credential, please indicate when you obtained your first one.

II. Teaching Status (required)

Are you currently teaching?

Yes  No
If you are no longer teaching, please skip to question II-A.

Please indicate your school's county:

LA
Orange
Other:

Please indicate your school's district:

Please indicate your school's address:

School
Street1
Street2
City   State   Zip

Please indicate the type of school:

Public
Private

Please indicate the grade levels offered at your school: (check the most appropriate box or all that apply, if necessary)

Preschool or Early Childhood (preK)
Primary (K-2 or K-3)
Elementary (K-4, K-5, or K-6)
Elementary-Middle (K-8)
Middle (5-8, 6-8, or 7-8)
Middle-High (5-12 or 7-12)
High (9-12)

Please indicate the grade levels you currently teach: (check all that apply)

PreK
K
1
2
3
4
5
6
7
8
9
10
11
12
Community College
College or University
Japanese Gardens

Please indicate all specific science subjects and subject areas you teach, if any: (check all that apply)

Life Sciences
Earth Sciences
Physical Sciences
Integrated Sciences
General Biology
General Chemistry
General Physics
Geology
Astronomy
Environmental Science
Anatomy or Human Physiology
Botany
Marine Biology
Organic Chemistry
AP Biology
AP Chemistry
AP Physics
AP Environmental Science
Other (please list):

Question II-A. If you are no longer teaching, please let us know what you are currently engaged in doing:

III. CSULB Science Education Interests (optional)

If you would like to become more involved in the life of the CSULB Department of Science Education through informal and formal events, workshops, and institutes, please indicate what would interest you from the list below: (check all that apply)

Content-based workshops and courses to increase my content knowledge
Teaching strategy workshops and courses to increase my pedagogical content knowledge (teaching methods and skills)
Grant writing workshops
Local field trips with other current and future science educators
Science or science education speaker events on campus
Teacher groups engaged in action research in their classrooms
Community-based science-related events at parks, museums, aquaria, etc.
Educational policy forums
Annual Science Education Alumni Family Picnic
Masters Program
Adding middle school science authorization to my multiple subject credential (for a faster response, please email lhenriqu@csulb.edu)
Other (please list):

IV. Staying Connected (required)

Please check here if you would like to be invited to be a future guest panelist or speaker to offer your expertise to our future teachers through a department-hosted event here on campus.

Please check here if you would like to be on our newsletter list. We put out science education newsletter and related messages approximately 4 times per year. [Note: We do not share our mailing lists with anyone else inside or outside the Science Education Department.]

Please check here if you would like us to simply contact you once per year to update your contact information.

Footer
CSULB - 1250 Bellflower Blvd., Long Beach, CA 90840
Feedback