2012 Best Practices Conference
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1. 2011 Summer of Innovation Best Practices Conference
June 29-July 1
Coeur d'Alene , Idaho
"A teacher affects eternity; he can never tell where his influence stops." ~Henry Brooks Adams
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1
. Name:
Name:
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2
. Contact Information
Contact Information
Address:
City:
State:
Zip Code:
County:
Phone:
email Address:
3
. In which year did you participate in the Summer of Innovation program?
In which year did you participate in the Summer of Innovation program?
2010
2011
Both
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4
. At which location did you participate in the Summer of Innovation workshop?
At which location did you participate in the Summer of Innovation workshop?
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. Current Teaching Status
Grade
Please select one of the following:
K
1
2
3
4
5
6
7
8
9
12
The grade at which I teach is subject to change each year.
I currently work as a substitute teacher.
Other
Current Teaching Status Please select one of the following: Grade
Other (please specify)
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. What subject do you teach?
What subject do you teach?
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. School Information:
School Information:
School:
City/Town:
Phone:
Principal's Name:
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8
. Have you used NASA curriculum in your classroom this year?
Have you used NASA curriculum in your classroom this year?
YES
NO
9
. Please list the 3 nearest airports to you in order of distance (Please ignore if you would be driving to the conference)
Please list the 3 nearest airports to you in order of distance (Please ignore if you would be driving to the conference)
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. FLIGHT INFORMATION:
Name: (as it reads on your official driver's license)
Birthdate:
Gender:
FLIGHT INFORMATION: Name: (as it reads on your official driver's license) Birthdate: Gender:
11
. Comments/Questions:
Comments/Questions:
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