Technology - K12 Summer Institute 2012
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1.
1
. Name:
Name:
First name:
Last name:
2
. Email:
Email:
3
. Mailing Address:
Mailing Address:
Street Address 1
Street Address 2
City
State
Zip code
4
. Where do you teach?
Where do you teach?
School
District
5
. Teaching experience
Teaching experience
Years teaching:
Grade currently teaching:
Subjects:
Number of students in typical year:
6
. What do you hope to get out of this institute?
What do you hope to get out of this institute?
7
. How does this topic fit into your curriculum?
How does this topic fit into your curriculum?
8
. This program may be audited at no charge. Teachers completing the entire institute will be given certificates to confirm their participation in 15 hours of professional development. One professional development credit for 18 contact hours may be available from University Extension for a $150 fee. Please indicate if you are interested in credits.
This program may be audited at no charge. Teachers completing the entire institute will be given certificates to confirm their participation in 15 hours of professional development. One professional development credit for 18 contact hours may be available from University Extension for a $150 fee. Please indicate if you are interested in credits.
I wish to audit.
I am interested in Extension credits.
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