Sept 22, 2011 - Teaching with Robots

1. Teacher Details

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

Dr.

Mrs.

Mr.

Ms.

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)

Yes

If yes, please specify

Yes

Yes - I want a hotel room for the night before the workshop

No - I do not want a hotel room for the night before the workshop