AMIGOS 2019 Panama Educator Trip Registration

We are thrilled to be offering an educator trip experience to learn more about AMIGOS, how we partner and experience Latin America in a whole new way.

Registration Deadline is June 1st

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* 1. What is your name?

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* 2. What is your cell phone number?

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* 3. What is your email address?

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* 4. Have you been involved with AMIGOS in the past?

Yes

If yes, in what capacity?

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* 5. Please specify your current role and title

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* 6. How does taking part in this professional development trip fit into your personal and professional goals?

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* 7. How did you learn about the Educator Professional Development Trip?

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* 8. Do you have any dietary or health restrictions that we should know about as we plan logistics this summer?

Yes

If yes, please describe here.

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* 9. What is your shirt size?

XXL

Other (please specify)

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* 10. Please select your room option:

Single occupancy hotel room

Double occupancy hotel room

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* 11. If you have a roommate preference, please indicate here. Note that AMIGOS staff will make roommate selections based on indicated preferences but we cannot guarantee any assignments.

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* 12. Please select your method of payment

Mailing check (Please make checks payable to AMIGOS)

Credit Card online payment

If billing to Chapter, please specify which Chapter

Thank you for registering for the 2019 Educator Professional Development trip!

We will be in touch within a few days to schedule an interview.

Please send any questions to Lauren Hauser at lhauser@amigosinternational.org