1. Introduction

This is the online registration form for the Island Energy Inquiry Professional Development Course. This is hosted by the MEDB Women in Technology Project.
Both public and private school teachers may register to attend.

The Oahu and Hawaii Island Development Course is CLOSED! We will no longer be accepting application for Oahu. Kauai Sessions are still open!

DOE Teachers who wish to seek PD credit rather than stipend will ALSO need to fill out the registration on the PDE3 website. We will notify you when the course is officially listed on the PDE3 website.Thank you for your patience on this.

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* 1. Full Name

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* 2. Please indicate what Island Energy Inquiry Professional Development Course location you are attending:
OAHU Sessions are now CLOSED!

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* 3. My school is on:

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* 4. My school is:

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* 5. School

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* 6. Please check your grade level(s):

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* 7. What subject area(s)do you teach?

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* 8. Email

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* 9. Alternate email address, if different from above.

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* 10. School phone + Extension

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* 11. Alternate phone number (home and/or cell)

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* 12. Please describe at least one thing you hope to learn in this workshop.

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* 13. Do you plan to seek the Professional Development (PD) Credits for this course OR the $200 stipend? (Participants must decide at time of registration. Mahalo.)

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* 14. Please indicate your form of payment.
To guarantee your reservation registration fee is $20.00. Please complete the application accompanying the payment voucher.

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