Modeling course questionnaire form

Modeling Course Questionnaire Form

Thank you for willingness to share information about your course!

Your answers below will be valuable in helping CSDMS Integration Facility Staff to develop educational products illustrating the power in coupling earth surface process models.

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{{#input:type=hidden|name=formmailer}}	{{#input:type=hidden|name=title|value=Modeling course questionnaire form_confirmation}}
Basic information
Name of course (e.g. Modeling of Hydrologic Systems)	{{#input:type=text|name=1. Name of course|size=35|mandatory }}
Department abbreviation and course number (e.g., CVEN 5363)	{{#input:type=text|name=2. Department abbreviation|size=35}}
Department name (e.g., Civil Engineering)	{{#input:type=text|name=3. Department name|size=35}}
University (e.g., CU Boulder)	{{#input:type=text|name=4. University|size=35}}
Instructor name(s)	{{#input:type=text|name=5. Instructor names|size=35}}
Instructor email address	{{#input:type=text|name=6. Instructor email address|size=35}}
When did you last teach this course? (select all that apply)	{{#input:type=checkbox|name=7. Last teaching course|value=Currently teaching}}Currently teaching {{#input:type=checkbox|name=7. Last teaching course|value=Taught within the last year}}Taught within the last year {{#input:type=checkbox|name=7. Last teaching course|value=Taught within the last two years}}Taught within the last two years {{#input:type=checkbox|name=7. Last teaching course|value=Taught more than two years ago}}Taught more than two years ago
Course level	{{#input:type=radio|name=8. Course level|value=Graduate}} Graduate {{#input:type=radio|name=8. Course level|value=Undergraduate}} Undergraduate {{#input:type=radio|name=8. Course level|value=Both (cross-listed}} Both (cross-listed)
Academic system	{{#input:type=radio|name=9. Academic system |value=Semester}} Semester {{#input:type=radio|name=9. Academic system|value=Trimester}} Trimester {{#input:type=radio|name=9. Academic system|value=Quarter}} Quarter
Assigned credit hours (undergraduate)	{{#input:type=radio|name=10. Undergraduate assigned credit hours |value=1}} 1 {{#input:type=radio|name=10. Undergraduate assigned credit hours|value=2}} 2 {{#input:type=radio|name=10. Undergraduate assigned credit hours|value=3}} 3 {{#input:type=radio|name=10. Undergraduate assigned credit hours|value=4}} 4 {{#input:type=radio|name=10. Undergraduate assigned credit hours|value=5}} 5 {{#input:type=radio|name=10. Undergraduate assigned credit hours|value=other}} Other	{{#input:type=text|name=10a. other undergraduate credit hours|size=35}}
Approximately how many hours per week do you think students spend for all course-related work (including attending classes and labs, readings, completing assignments, etc.)? (undergraduate)	{{#input:type=select|name=11 Undergraduate hours spend in week| 0-3 hours 4-6 hours 7-9 hours 10-12 hours 13-15 hours 16+ hours }}
Assigned credit hours (graduate)	{{#input:type=radio|name=12. Graduate assigned credit hours |value=1}} 1 {{#input:type=radio|name=12. Graduate assigned credit hours|value=2}} 2 {{#input:type=radio|name=12. Graduate assigned credit hours|value=3}} 3 {{#input:type=radio|name=12. Graduate assigned credit hours|value=4}} 4 {{#input:type=radio|name=12. Graduate assigned credit hours|value=5}} 5 {{#input:type=radio|name=12. Graduate assigned credit hours|value=other}} Other	{{#input:type=text|name=12a. other graduate credit hours|size=35}}
Approximately how many hours per week do you think students spend for all course-related work (including attending classes and labs, readings, completing assignments, etc.)? (graduate)	{{#input:type=select|name=13 Graduate hours spend in week| 0-3 hours 4-6 hours 7-9 hours 10-12 hours 13-15 hours 16+ hours }}
Format (select all that apply)	{{#input:type=checkbox|name=14. Format|value=Lecture}} Lecture {{#input:type=checkbox|name=14. Format|value=Discussion/Recitation}} Discussion/Recitation {{#input:type=checkbox|name=14. Format|value=Lab}} Lab {{#input:type=checkbox|name=14. Format|value=Field}} Field
If your course has a website, please provide the link	{{#input:type=text|name=15. URL course|size=35 }}
Course Description
Brief (a few sentences) description of course objectives, learning goals, and content; this can be copied from the university catalog course description.	{{#input:type=textarea|cols=50|rows=6|name=16. Course objectives description}}
Please list any course prerequisites (either specific courses or general skills)	{{#input:type=text|name=17. Course prerequisites|size=35}}
Please list the textbook(s) that are used in this course	{{#input:type=text|name=18. Course textbooks|size=35}}
Would you be interested in sharing your course syllabus?	{{#input:type=radio|name=19. Sharing course syllabus|value=Yes}}Yes{{#input:type=radio|name=19. Sharing course syllabus|value=No}}No
Quantitative Treatment of Earth Surface Processes
Please indicate any software that is used (select all that apply).	{{#input:type=checkbox|name=20. Used software|value=GIS software}}GIS software (please specify) {{#input:type=checkbox|name=20. Used software|value=HEC software}}Hec software {{#input:type=checkbox|name=20. Used software|value=Other}}Other (please specify)	{{#input:type=text|name=20a. other GIS software|size=35}} {{#input:type=text|name=20b. other software|size=35}}
Please indicate any programming language(s) used (select all that apply).	{{#input:type=checkbox|name=21. Programming language|value=C}} C {{#input:type=checkbox|name=21. Programming language|value=C++ software}} C++ {{#input:type=checkbox|name=21. Programming language|value=Fortran}} Fortran {{#input:type=checkbox|name=21. Programming language|value=Java}} Java {{#input:type=checkbox|name=21. Programming language|value=Matlab}} Matlab {{#input:type=checkbox|name=21. Programming language|value=Python}} Python {{#input:type=checkbox|name=21. Programming language|value=Visual Basic}} Visual Basic {{#input:type=checkbox|name=21. Programming language|value=Other}} Other (please specify)	{{#input:type=text|name=21a. other program language|size=35}}
Please indicate the type of numerical modeling that students do (select all that apply).	{{#input:type=checkbox|name=22. Type numerical modeling|value=Use existing code/software}} Use existing code/software {{#input:type=checkbox|name=22. Type numerical modeling|value=Create new code/software}} Create new code/software
Does this course incorporate analytical solutions or Mathematical models?	{{#input:type=radio|name=23. Analytical mathematical|value=Yes}}Yes{{#input:type=radio|name=23. Analytical mathematical|value=No}}No
Does this course incorporate statistical techniques?	{{#input:type=radio|name=24. Statistical techniques|value=Yes}}Yes{{#input:type=radio|name=24. Statistical techniques|value=No}}No
Does this course incorporate GIS or spatial analysis?	{{#input:type=radio|name=25. Spatial analysis|value=Yes}}Yes{{#input:type=radio|name=25. Spatial analysis|value=No}}No
Does this course address applied problems?	{{#input:type=checkbox|name=26. Applied problems|value=Anthropogenic impacts}} Anthropogenic impacts (please specify) {{#input:type=checkbox|name=26. Applied problems|value=Climate change}} Climate change (please specify) {{#input:type=checkbox|name=26. Applied problems|value=Natural hazards}} Natural hazards (please specify) {{#input:type=checkbox|name=26. Applied problems|value=Natural resource management}} Natural resource management (please specify)	{{#input:type=text|name=26a. Specified Anthropogenic impacts|size=35}} {{#input:type=text|name=26b. Specified Climate change|size=35}} {{#input:type=text|name=26c. Specified Natural hazards|size=35}} {{#input:type=text|name=26d. Specified Natural resource management|size=35}}
Please briefly list any other details you would like to share about the content of this course.	{{#input:type=text|name=27. Content course details shared|size=35}}
Relevance to CSDMS
CSDMS accommodation support is limited to shared rooms. Every attempt will be made to accommodate specific roommate requests.
I request a shared room.	{{#input:type=checkbox|name=8. Shared room|value=yes}}
My preference for a roommate is:	{{#input:type=text|name=9. Roommate|size=35|value=First & Last name }}
I request a single room.	{{#input:type=checkbox|name=10. Single room|value=YES}}	I understand that I will be responsible to cover the cost difference between single (~$140/night) and shared room accommodation (~$70/night).
The meeting includes one hosted dinner. I will bring my spouse/partner.	{{#input:type=checkbox|name=11. Dinner with partner|value=yes}}
Within its budget, CSDMS intends to support the greatest number of its membership to attend this strategic planning meeting. In order for us to budget appropriately for travel support, please indicate whether you would request funding for:
Air travel (within continental USA)	{{#input:type=checkbox|name=12. Air travel support|value=yes}}
Lodging (at meeting hotel)	{{#input:type=checkbox|name=13. Lodging support|value=yes}}
per diem (meeting includes coffee breaks)	{{#input:type=checkbox|name=14. Per diem support|value=yes}}
If you need funding support, to what degree can you support yourself?	{{#input:type=text|name=15. Level own support|value=$....,-|size=35}}
Is there anything else we need to know?	{{#input:type=textarea|name=16. Additional information|cols=50|rows=3}}
Interest & Abstract
Your statement of interest in the meeting: (max. 200 words)	{{#input:type=textarea|cols=50|rows=6|name=17. Interest meeting}}
Abstract title CSDMS related research: (Abstract is required)	{{#input:type=textarea|cols=50|rows=2|name=18. Abstract title}}
Abstract authors & text CSDMS related research: (max. 300 words)	{{#input:type=textarea|cols=50|rows=8|name=19. Abstract}}
What is the main target audience for your abstract:	{{#input:type=radio|name=20. Presentation-focus|value=Terrestrial}}Terrestrial {{#input:type=radio|name=20. Presentation-focus|value=Coastal}}Coastal {{#input:type=radio|name=20. Presentation-focus|value=Marine}}Marine {{#input:type=radio|name=20. Presentation-focus|value=EKT}}EKT {{#input:type=radio|name=20. Presentation-focus|value=Cyber}}Cyberinformatics and Numerics {{#input:type=radio|name=20. Presentation-focus|value=Hydrology}}Hydrology {{#input:type=radio|name=20. Presentation-focus|value=Carbonate}}Carbonate {{#input:type=radio|name=20. Presentation-focus|value=Chesapeake}}Chesapeake
After your registration form has been reviewed and accepted by CSDMS program committee, you will receive a confirmation email that includes further information on the meeting venue and available funding. Please remember to fill in the whole form.
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