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AP CS A Prep - March 17, 2010

1. Teacher Details

Please tell us some information about you (the teacher).

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* 1. Title

Dr.

Mrs.

Mr.

Ms.

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* 2. Fill in the following

Name (first and last)

school e-mail

home e-mail

school phone number

home phone number

home address (include street, city, state, and zip code)

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* 3. Due to our NSF grant we can pay for a hotel room for Georgia teachers who live more than 30 miles from Georgia Tech. Would you like a hotel room for the night before the one day workshops or for two days during each segment of the Int Prog workshop?

Yes

No

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* 4. Can you bring a laptop?

Yes

No

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* 5. Do you have any dietary restrictions?

No

Yes

If yes, please specify