Questions marked with an * are required
 
 
RAIN Session Request - Coppin State
 
 
* First Name : 
* Last Name : 
* Email Address : 
 
 
* Institution :
   
* Phone :
   
* City :
   
* State :
   
* Zip :
   
* Country :
   
 
 
Coppin State has the following instrument available. Please select to confirm this is the instrument you would like to use during your remote access session.
 
UV-VIS-NIR spectrophotometer (UV-3600 Plus - SHIMADZU (Shimadzu Corporation))
 
 
* Institution Type:
 
Middle school
 
High school
 
Technical high school
 
2 year college
 
4 year college
 
Other
 
 
* Approximately how many students will participate?
 
5 or less
 
5 to 10
 
10 to 20
 
20 to 25
 
More than 25
 
 
Select a date and time (Eastern Time Zone) for your remote test date:
MonthDayYearHrs.Mins.AM/PM
    
 
 
Select a date and time (Eastern Time Zone) for your remote activity date:
MonthDayYearHrs.Mins.AM/PM
    
 
 
Approximately, how much time would you like to allocate for this remote lesson session?
 
 
Which grade levels will participate in the remote session? (Check all that apply)
 
K - 8th
 
9th - 10th
 
11th - 12th
 
Undergraduate
 
Graduate student

 
 
What area of science background do your students currently have? (Check all that apply)
 
Unknown, mixed audience
 
Biology
 
Chemistry
 
Physics
 
Material Engineering
 
Electrical Engineering

 
 
What level of science background do your students currently have? (Check all that apply)
 
Below high school
 
High school
 
College 100-200 level course
 
College 300-400 level course
 
College 500 level course or above

 
 
Do you currently offer a nanotechnology course at your institution/organization?
 
Yes
 
No
 
 
Did you install the Zoom video conferencing software onto the computer you are using for the remote session?
 
Yes
 
No, it will be installed before the remote test
 
No, I would like help downloading and installing the software
 
No, I cannot download that software. Please suggest an alternative system.
 
 
* What type of samples would like to image during remote access? (Check all the apply)
 
Synthetic Nanomaterials (nanoparticles, nanowires, etc.)
 
Biological Nanostructures (butterfly wing, gecko skin, cicada, etc.)
 
Electronics (microchip, DVD, Blue-Ray, etc.)
 
Mail in your own samples*
 
Other: please describe:
 

 
 
Briefly describe your learning objective(s) for the remote activity:
   
 
 
Would you care to provide any additional details on student background, curriculum or how you hope to implement the RAIN opportunity into your event?
   
 
 
If you would like to use one of NACK’s Remote Labs please select from the below:
 
Gold Nanoparticle Synthesis and Characterization
 
Nickel Nanowire Synthesis and Characterization
 
Dye-Sensitized Nanocrystalline Solar Cell Fabrication and Characterization
 
 
I agree to complete a post remote session surveys (Instructors and Students/Attendees) to help the RAIN program as part of NACK Network’s NSF grant funding responsibility to report their outreach and educational efforts