Application to Join the Texas Electronic Coalition for Physics

__________ Affiliate Member

__________ Full Member

Name of Institution: _______________________________________________________________________

Name of Department: ______________________________________________________________________

Department phone and fax numbers: __________________________________________________________

Department Head or other responsible person: ___________________________________________________

Proposed TECP Coordinator: ________________________________________________________________

Coordinator's phone and fax numbers: _________________________________________________________

Coordinator's email: ________________________________________________________________________

Approximate number of students who will participate in the TECP annually: ___________________________

Approximate number of faculty who will participate in the TECP: ____________________________________

What TTVN site(s) do you expect to use to access TECP courses and meetings (there must be at least one)
 
_________________________________________________________________________________________
 
_________________________________________________________________________________________

Please give a brief description of why your department wants to join the TECP, and what you expect to get out of joining:
 
_________________________________________________________________________________________
 
_________________________________________________________________________________________
 
_________________________________________________________________________________________

I understand that in joining the Texas Electronic Coalition for Physics my institution will agree to the terms outlined in the TECP Bylaws and sign a Memorandum of Agreement. I have read and understand the terms outlined in these documents.
 
 

_________________________________
Name

                   

_________________________________
Date


Please fill out and return to:

Dr. Daniel Marble
Chair, Texas Electronic Coalition for Physics
Dept. Math, Physics and Engineering
Box T-470
Tarleton State University
Stephenville, TX 76402


You can also send by fax (254-968-9534) or email (marble@tarleton.edu).